在患有慢性糖尿病足的痛苦患者中放松和催眠干预的有效性:一个纵向试点随机对照试验
M Graça Pereira1, Margarida Vilaça1, Susana Pedras2
1Psychology Research Center (CIPsi), School of Psychology, University of Minho, Braga, Portugal.
概括
渐进性肌肉放松和催眠改善了患有糖尿病的患者的糖尿病足 (DFU) 愈合和生活质量 (QoL). 这些压力减轻技术应纳入DFU治疗计划.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 再生医学是一种再生医学.
背景情况:
- 糖尿病足 (DFU) 在愈合过程中存在重大挑战,受身体和心理因素的影响.
- 在DFU患者中,痛苦是常见的,可能会影响的发展和复发.
- 仅靠标准护理可能无法完全解决DFU治疗的多面性质.
研究的目的:
- 评估渐进性肌肉放松和催眠对痛苦患者的DFU愈合和生活质量 (QoL) 的有效性.
- 评估这些干预措施对二次结果的影响,包括压力,心理发病率和疾病表现.
- 为了比较肌肉放松,催眠和控制条件在试点随机对照试验中的有效性.
主要方法:
- 一项试点随机对照试验,涉及69名受困境的DFU患者接受标准护理.
- 患者被分为四组:肌肉放松 (TG1),催眠 (TG2),中性会话 (主动控制),或没有干预 (被动控制).
- 结果,包括DFU愈合,QoL,压力和心理发病率,在基线,2个月和4个月被评估.
主要成果:
- 渐进肌肉放松 (TG1) 和催眠 (TG2) 组在2个月后与被动对照组 (PCG) 相比,DFU愈合显著改善,TG1在4个月后优于TG2和PCG.
- 与TG2相比,干预导致DFU表现的威胁程度降低,TG1中的心理发病率降低,并在2个月后进行主动对照 (ACG).
- 除PCG外,所有组都显示了与DFU相关的QOL的改善. 在TG2和ACG中精神QOL增加. 在TG1,TG2和ACG中,压力和心理发病率下降.
结论:
- 渐进性肌肉放松和催眠显示出作为改善DFU愈合和患者福祉的辅助疗法的潜力.
- 压力减轻干预措施是多学科治疗和康复的宝贵补充,痛苦的患者与DFU.
- 需要进一步的研究来证实这些发现,并优化心理干预措施在DFU管理中的整合.
相关概念视频
01:15Diabetes: Management and Pharmacotherapy
214
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
214
01:29Chronic Pancreatitis II: Collaborative Care
50
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
50
01:25Stress Prevention and Stress Management Techniques III
31
Regular exercise and meditation serve as essential tools in managing stress and promoting physical and mental well-being.
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
31