摘要
目的:基于保护动机理论(PMT)的分阶段访谈联合运动指导改善中青年2型糖尿病(T2DM)患者心理痛苦、疲劳和遵医行为的价值。方法:选取2021年5月至2024年5月某院收治的中青年T2DM患者78例,以计算机随机数字生成表法分为常规组、观察组,各39例。常规组行常规干预方式,观察组行基于PMT的分阶段访谈联合运动指导干预。比较两组心理痛苦、疲劳、遵医行为及生活质量。结果:干预后观察组中文版糖尿病痛苦量表(DDS)各维度评分均低于常规组(t=3.376,2.676,8.222,4.540;P<0.05);干预后观察组中文版多维疲劳量表(MFI-20)评分低于常规组(t=3.441,P<0.05);干预后观察组遵医依从性评定量表(MARS)评分高于常规组(t=2.281,P<0.05);干预后观察组2型糖尿病患者生存质量量表(DMQLS)评分高于常规组(t=5.321,P<0.001)。结论:基于PMT的分阶段访谈联合运动指导可减轻中青年T2DM患者心理痛苦、疲劳状态,改善遵医行为及生活质量。
Objective:To explore the value of staged interviews combined with exercise guidance based on the theory of protective motivation(PMT)in improving psychological distress,fatigue,and medical compliance behavior in young and middle-aged patients with type 2 diabetes mellitus(T2DM).Methods:A total of 78 young and middle-aged T2DM patients admitted to the hospital from May 2021 to May 2024 were selected and randomly divided into a routine group and an observation group,with 39 cases in each group.The routine group received routine interventions,while the observation group received staged interviews combined with exercise guidance interventions based on PMT.Psychological distress,fatigue,medical compliance behavior,and quality of life were compared between the two groups.Results:After the intervention,the scores of all dimensions of the Chinese version of the Diabetes Distress Scale(DDS)in the observation group were lower than those in the routine group(t=3.376,2.676,8.222,4.540;P<0.05).After the intervention,the score of the Chinese version of the Multidimensional Fatigue Inventory(MFI-20)in the observation group was lower than that in the routine group(t=3.441,P<0.05).After the intervention,the score of the Medical Adherence Rating Scale(MARS)in the observation group was higher than that in the routine group(t=2.281,P<0.05).After the intervention,the score of the Diabetes Mellitus Quality of Life Scale(DMQLS)in the observation group was higher than that in the routine group(t=5.321,P<0.001).Conclusion:Staged interviews combined with exercise guidance based on PMT can alleviate psychological distress and fatigue in young and middle-aged T2DM patients,and improve medical compliance behavior and quality of life.
作者
高月乔
邢军辉
安淑敏
GAO Yueqiao;XING Junhui;AN Shumin(Department of Endocrinology and Metabolism,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Cardiovascular Medicine,First Affiliated Hospital of Zhengzhou University)
出处
《中国健康心理学杂志》
2024年第10期1491-1496,共6页
China Journal of Health Psychology
基金
河南省青年人才托举工程项目(编号:2021HYTP043)。
关键词
中青年
2型糖尿病
心理痛苦
疲劳
遵医行为
保护动机理论
分阶段访谈
运动指导
Young and middle-aged
Type 2 diabetes mellitus
Psychological distress
Fatigue
Medical compliance behavior
Protection motivation theory
Staged interview
Exercise guidance
