周英华　刘小惠

[摘要] 目的 探讨心理行为干预对2型糖尿病初诊患者治疗依从性的影响。方法 选择2015年4月—2017年4月这一时间段某院收治的60例2型糖尿病初诊患者为分析对象，随机分为2组，对照组（n=30）给予使用常规护理方法，观察组（n=30）在对照组护理方法的基础上给予使用心理行为干预方式，观察两种护理模式对患者治疗依从性的影响。 结果 ①两组患者护理前治疗依从性相比较差异无统计学意义（P>0.05）；护理后观察组患者治疗依从性明显优于对照组（P<0.05）。②两组患者护理前血糖控制情况相比较差异无统计学意义（P>0.05）；护理后观察组患者血糖控制情况相比较于对照组显著下降（P<0.05）。③观察组护理满意度为96.67%；对照组护理满意度为70.00%，两组比较差异有统计学意义（P<0.05）。结论 心理行为干预对2型糖尿病初诊患者治疗依从性有着良好的影响，值得推广。

[关键词] 心理行为干预；2型糖尿病；初诊；依从性

[中图分类号] R473.5 [文献标识码] A [文章编号] 1672-4062（2018）02（a）-0114-03

Effect of Mental Behavior Intervention on the Treatment Compliance of Patients Initially Diagnosed with Type 2 Diabetes

ZHOU Ying-hua， LIU Xiao-hui

Medical School of Jiaying College， Meizhou， Guangdong Province， 514031 China

[Abstract] Objective To study the effect of mental behavior intervention on the treatment compliance of patients initially diagnosed with type 2 diabetes. Methods 60 cases of patients initially diagnosed with type 2 diabetes admitted and treated in our hospital from April 2015 to April 2017 were selected and randomly divided into two groups with 30 cases in each， the control group used the routine nursing method， while the observation group used the mental behavior interventional way on the basis of the control group， and the effect on the treatment compliance was observed. Results The difference in the treatment compliance between the two groups was not obvious， before nursing（P>0.05）， after nursing， the treatment compliance in the observation group was obviously better than that in the control group（P<0.05）， and the difference in the blood glucose control situation between the two groups before nursing was not obvious（P>0.05）， and the blood glucose control situation in the observation group after nursing obviously decreased compared with that in the control group（P<0.05）， and the difference in the nursing satisfactory degree between the observation group and the control group was statistically significant（96.67% vs 70.00%）（P<0.05）. Conclusion The mental behavior intervention has a good effect on the treatment compliance of patients initially diagnosed with type 2 diabetes， which is worth promotion.

[Key words] Mental behavior intervention； Type 2 diabetes； Initial diagnosis； Compliance

糖尿病屬于一种慢性、终身性心身疾病，与高血压、高血脂这两种疾病并称为临床三种进行性慢性疾病[1]。伴随着经济水平的提高，人们的生活方式以及饮食习惯有了很大的改变，一些疾病也随之而来，糖尿病就是其中一种，而且最近几年的发病率在不断上升[2]。2型糖尿病初诊患者大多数不具备丰富的糖尿病知识，且缺乏自我管理意识，对于血糖的控制情况不是很乐观[3]。糖尿病既然是一种终身性疾病，这也就决定了该疾病需要进行长期的治疗，要求患者有良好的治疗依从性方能有效控制血糖，提高治疗效果。良好的护理模式不仅能提高患者的护理满意度，还能提高患者对于糖尿病的认识，增强其对于疾病治疗的信心，从而有效提升其治疗的依从性[4]。为……