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目的:探讨健康教育与运动干预对2型糖尿病伴发焦虑患者在焦虑、糖代谢及主观幸福感方面的影响。方法:采用特质焦虑量表(TAI)、纽芬兰纪念大学主观幸福感量表(MUNSH)对120例2型糖尿病伴发焦虑患者进行测评,并随机分成对照组、健康教育组、运动干预组、健康教育加运动干预组各30人。在原有药物治疗不变的情况下,对不同组别施以相应的干预方式。结果:3个月后,对照组治疗前后各项指标无明显变化;健康教育组TAI水平显著下降;运动干预组糖化血红蛋白(HbA1c)水平下降明显;健康教育合并运动干预组TAI、HbA1c水平显著下降;MUN-SH水平显著提高。结论:健康教育可以明显降低焦虑程度,运动干预可明显改善糖代谢,健康教育与运动干预共用可同时改善焦虑及糖代谢,并提高患者的主观幸福感。
Objective: To investigate the effects of health education and exercise intervention on anxiety, glycometabolism and subjective well-being in type 2 diabetic patients with anxiety. Methods: A total of 120 patients with type 2 diabetes mellitus with anxiety were evaluated by Trait Anxiety Scale (TAI) and Newfoundland Memorial University Subjective Well-being Scale (MUNSH) and randomly divided into control group, health education group, exercise intervention group, Health education and sports intervention group 30 each. In the same case of the original drug treatment, different groups impose appropriate interventions. Results: After 3 months, there was no significant change in the indexes before and after treatment in the control group; the TAI level in the health education group decreased significantly; the level of HbA1c in the exercise intervention group decreased significantly; the levels of TAI and HbA1c in the health education combined exercise group decreased significantly ; MUN-SH levels increased significantly. Conclusion: Health education can significantly reduce anxiety, exercise intervention can significantly improve glucose metabolism, health education and exercise intervention can improve anxiety and glucose metabolism, and improve the subjective well-being of patients.