Study Of Mindfulness-Based Cognitive Therapy For People With Diabetes And Diabetes-related Distress

Objective:This study aims to explore the effect of mindfulness-based cognitive therapy(MBCT)on diabetes-related distress,self-management level and mindfulness level of patients with diabetes,and so as to provide reference for the development of psychological intervention program for people with diabetes.Methods:According to the inclusion and exclusion criteria,70 patients with type 2 diabetes were selected from the endocrinology department of a top three hospital in Shenzhen by convenience sampling method,and they were divided into intervention group and control group according to the order of admission time.Among them,35cases of patients who were admitted to hospital from March to May 2019 were divided into the control group,and 35cases of patients who were admitted to hospital from June to October 2019 were divided into the intervention group.Patients in both groups completed the general demographic data questionnaire at the time of admission,and completed the Diabetes Distress Scale(DDS),the Mindful Attention Awareness Scale(MAAS),and the Summary of Diabetes Self-Care Activities(SDSCA).The control group used routine health education,and the intervention group implemented mindfulness-based cognitive therapy on the basis of routine health education,and the intervention time of two groups lasted for one month.After that,The diabetes-related distress of the two groups were measured by DDS,the self-management levels were measured by SDSCA,and the mindfulness levels were measured by MAAS when these interventions finished and one month after intervention.After collecting and inputing the data,they were processed and analyzed by the SPSS 19.0 statistical software.Results:(1)In the process of the study,the intervention group exited one,and finally the intervention group included 34 cases,and the control group included 35 cases.The general demographic data including age,gender,education level,religious belief,marital status,occupation status,family per capita monthly income,source of medical expenses,BMI,HbA1c,blood pressure,blood lipids,course of diabetes,diabetic complications,number of other diseases and current treatment of the two groups were compared,and it showed that the differences were not statistically significant(P>0.05),and the baseline was comparable.In addition,the variables including scores of diabetes-related distress,mindfulness levels,and self-management in each dimension of the two groups showed no statistically significant differences(P>0.05),and it was comparable,in which the overall average score of diabetes-related distress was(2.62±0.36).(2)In the intervention group,there were statistically significant differences(P<0.05)in diabetes-related distress,five dimensions of self-management including diet,exercise,blood glucose monitoring,foot care,medication as prescribed by the doctor,and mindfulness levels in the comparison of post-intervention and pre-intervention,follow-up and pre-intervention,but it showed no statistically significant differences(P>0.05)in the smoking dimension of self-management.(3)In the control group,there were statistically significant differences(P<0.05)in diabetes-related distress,two dimensions of self-management including diet and medication as prescribed by the doctor in the comparison of post-intervention and pre-intervention,but it showed no statistically significant differences(P>0.05)in the comparison of follow-up and pre-intervention.And it showed no statistically significant differences(P>0.05)in four dimensions of self-management including exercise,blood glucose monitoring,foot care and smoking in the comparison of post-intervention and pre-intervention,follow-up and pre-intervention.(4)After the intervention,the average scores of diabetes-related distress in intervention group were lower than that in control group,and the difference was statistically significant(P<0.05).The average scores of three dimensions of self-management including diet,exercise and medication as prescribed by the doctor in intervention group were higher than that in control group,and the difference was statistically significant(P<0.05).But,it showed no statistically significant differences(P>0.05)in three dimensions of blood glucose monitoring,foot care and smoking in the comparison of the intervention group and the control group.The total scores of mindfulness level in intervention group were higher than that in control group,and the the difference was statistically significant(P<0.05).Conclusion:(1)Most of the diabetes-related distress of diabetic patients in this study was at moderate level.(2)MBCT can effectively alleviate the degree of diabetes-related distress in diabetic patients,and it has a continuous effect.(3)MBCT can effectively improve the five dimensions including diet,exercise,blood glucose monitoring,foot care,and medicine of self-management in diabetic patients,and it has a continuous effect.But,it has no obvious effect on smoking in the short term.(4)MBCT can effectively improve the mindfulness level of diabetic patients,and it has a continuous effect.