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一个认知行为疗法整合,医院为糖尿病前期的程序的有效性:一个匹配的队列研究
Chaiwat Washirasaksiri1, Withada Pakornnipat2, Pinyapat Ariyakunaphan1
1Division of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Bangkok Noi, Bangkok, 10700, Thailand.
Scientific reports
|April 5, 2024
概括
一个整合认知行为疗法 (CBT) 的医院糖尿病预防计划显著减少了糖尿病前期患者的2型糖尿病 (T2DM) 进展. 这种干预措施在60个月内将T2DM发展的风险减半.
科学领域:
- 代谢健康 代谢健康
- 行为医学是一种行为医学.
- 临床研究 临床研究
背景情况:
- 强化生活方式干预已被证明可以预防2型糖尿病 (T2DM).
- 对高心脏代谢风险个体的医院计划的证据有限.
- 糖尿病前期管理对于预防T2DM至关重要.
研究的目的:
- 评估一个医院的糖尿病预防计划,整合认知行为疗法 (CBT).
- 评估这种干预措施在糖尿病前期患者的长期有效性.
- 为了比较干预和标准护理组之间的T2DM发病率.
主要方法:
- 一个匹配的队列研究,比较1年的CBT综合预防计划与标准护理.
- 卡普兰-梅尔和考克斯回归模型分析了60个月的T2DM发病率.
- 参与者患有糖尿病前期和高心脏代谢风险.
主要成果:
- 干预组在12个月后显著降低了空腹血葡萄糖,HbA1c,甘油三和体重.
- 60个月后,干预组的T2DM发病率为1.7,标准治疗组为3.5.
- 干预组患T2DM的调整后风险降低了0.46倍.
结论:
- 整合CBT的医院糖尿病预防计划在减少T2DM进展方面是有效的.
- 这种干预措施显著降低了糖尿病前期患者患2型糖尿病的风险.
- 医疗保健提供者应促进糖尿病预防的综合计划.
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