基于小组的行为疗法改善了1型糖尿病成年人的自我护理,血糖控制和痛苦
Melanie S Burkhardt1, Carlo Pirri2, Mark A Summers3
1Medical School, University of Western Australia, Perth, Western Australia, Australia; Department of Endocrinology and Diabetes, Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia, Australia; Department of Clinical Psychology and Clinical Neuropsychology, Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia, Australia.
一个新的行为疗法 (BT) 团体计划显著改善了HbA1c,并减少了1型糖尿病 (T1D) 的成年人糖尿病困扰. 这种干预措施有望提高T1D管理中的自我护理和幸福感.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 行为医学是一种行为医学.
背景情况:
- 心理干预在1型糖尿病 (T1D) 的成年人中为HbA1c提供了适度的好处.
- 需要有效的干预措施来改善糖尿病自我护理,并减少T1D的痛苦.
- 正在探索新的治疗方法,以加强T1D管理.
研究的目的:
- 评估一项针对T1D成年人的新型群体行为疗法 (BT) 计划.
- 评估该计划对HbA1c水平和糖尿病困境 (DD) 的影响.
- 确定功能分析模型和行为自我管理培训在T1D中的有效性.
主要方法:
- 在9周的时间里,给T1D和HbA1c升高或情绪/行为困难的成年人进行了6次BT组计划.
- 参与者至少接受了两年的专业多学科投入.
- 结局在基线,干预后和1个月后期进行了测量.
主要成果:
- 在66名参与者中,54人完成了BT课程.
- 从基线 (9.7%) 到随访 (8.8%) 的HbA1c显著改善 (p < 0.001).
- 糖尿病困扰 (DD) 评分从基线 (49.2) 到随访 (32.8) 显著下降 (p < 0.001),在所有DD分级都有改善.
结论:
- 基于功能分析和行为自我管理模型的行为疗法 (BT) 是T1D成年人的有希望的干预措施.
- 这种BT方案有效地改善了血糖控制 (HbA1c),并减少了糖尿病的患病率.
- 这种方法提供了一种有价值的策略,用于提高T1D管理中的自我护理和心理健康.
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