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題 名 | 最小心理介入於降低中老年糖尿病人心理負擔與血糖之效果初探=Evaluation of a Minimal Psychological Intervention for Decreasing Psychological Burden and Blood Glucose Level in Middle-aged and Older Diabetes Patients |
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作 者 | 盧豐華; 林品辰; 楊宜青; 吳晉祥; 胡藝瀚; 邱靜如; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 9:3 2014.08[民103.08] |
頁 次 | 頁96-110 |
分類號 | 417.7937 |
關鍵詞 | 第二型糖尿病患; 憂鬱症狀; 糖尿病情緒困擾; 醣化血色素; 隨機分派試驗; Type 2 diabetes; Depressive symptoms; Problem areas in diabetes; Hemoglobin A1c; Randomized controlled trial; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:憂鬱症在糖尿病患中的盛行率約是一般族群的二倍。現行糖尿病衛教行之多年,雖對提升病患對疾病認知頗有幫助,但對強化動機與態度或改善病患的情緒狀況成效有限。本研究因此引進最小心理介入(minimal psychological intervention, MPI),評估此介入對於糖尿病人的心理與血糖之影響。方法:本研究於2012年針對南部某教學醫院50歲以上第二型糖尿病患者進行收案(N=182),並隨機分派為實驗組與對照組。分配至實驗組的受試者,除接受與對照組一樣之一般衛教外,並接受以個案為中心、問題解決的方式進行之最小心理介入,以兩週1次的電話訪問進行,總共六週。研究結果採用病患介入前、最後一次介入,以及介入後一個月,共三次之生心理指標進行分析。結果:對照組及實驗組之憂鬱(CESD)、情緒困擾(PAID)及醣化血色素介入前後在全體樣本未達顯著差異。然而,在男性、有併發症及慢性病、憂鬱分數(CESD)小於10分的糖尿病患者其情緒困擾(PAID)之降低於介入後及介入後一個月達顯著差異;另一方面,醣化血色素為8%以上的糖尿病患者其醣化血色素在介入後一個月亦有改善。討論:本研究採用電話進行的最小心理介入,能有效改善男性、有併發症及慢性病,以及較少憂鬱情緒的糖尿病患者其對糖尿病的情緒困擾。建議未來研究可進一步探討其情緒困擾的減少,是否能改進其血糖控制情形。另外,臨床上應針對有較多合併症或有輕微憂鬱症狀的糖尿病患進行早期介入,可促進照護品質、提升成效。 |
英文摘要 | Background: Risk of depression for patients with type 2 diabetes is two times higher than that for the general population. Though fairly effective in promoting patients' knowledge about the disease, continuous general diabetes education over the years has achieved only limited success in motivating patients toward a healthy lifestyle and a positive attitude and alleviating depressive symptoms associated with diabetes. This study thus implemented a minimal psychological intervention (MPI) to assess its effects on the depressive symptoms, distress, and HbA1c in patients with diabetes. Method: The pilot study of MPI was launched in a medical center in southern Taiwan in 2012, recruiting 182 middle-aged and older diabetes patients with informed consent. The participants were randomly assigned to either the control or the experiment group. The experiment group underwent the MPI program in addition to general diabetes education. Interventions through telephone were delivered every two weeks for up to six weeks with the evaluation conducted at baseline, post intervention, and one-month after intervention. Results: Depressive symptoms, distress and HbA1c showed no significant difference between the two groups after intervention. However, compared to their counterparts in the control group, male participants and participants with complications, chronic diseases, or CESD <10 at baseline in the experiment group significantly improved their distress immediately after the intervention and at one month after the intervention. Those with higher glycemia (HbA1c >8%) at baseline also significantly improved their blood glucose level immediately after the intervention and at one month after the intervention. Conclusions: In this first study using MPI in Taiwan, we found the intervention capable of decreasing diabetes patients' distress symptoms. Our findings also suggest that MPI for diabetes patients with minor depressive symptoms can be clinically beneficial by helping lower blood glucose level. |
本系統中英文摘要資訊取自各篇刊載內容。