关键词: Compliance behavior Diabetes mellitus Malignant tumor Motivational interviewing Psychological status Quality of life

来  源:   DOI:10.12669/pjms.40.6.7627   PDF(Pubmed)

Abstract:
UNASSIGNED: To investigate the effects of motivational interview education on psychological status, compliance behavior and quality of life in patients with malignant tumors combined with diabetes mellitus.
UNASSIGNED: This is a retrospective study. Eighty patients with malignant tumors combined with diabetes mellitus admitted at The Fourth Hospital of Hebei Medical University from January 2021 to June 2022 were included as subjects and divided into observation group and control group according to the intervention measures. Patients in the control group were given routine health education intervention, while those in the observation group were given motivational interviewing intervention on the basis of the control group. We compared the prognosis, cognitive function, quality of life, relief of cancer pain before intervention and three months after the intervention of the two groups were compared.
UNASSIGNED: At three months after the intervention, the total remission rate of cancer pain in the observation group was higher than that in the control group(p<0.05), while the levels of FBG and 2hPG in the observation group were significantly lower than those in the control group(p<0.05). Self-Rating Anxiety Scale(SAS) and Self-rating depression scale(SDS) scores decreased in both groups three months after the intervention, with the level of reduction in the observation group being higher than that in the control group(p<0.05). The overall compliance was higher in the observation group than in the control group(p<0.05).
UNASSIGNED: Motivational interviewing leads to alleviate negative emotions, improve the psychological status, enhance compliance behavior and improve quality of life in patients with malignant tumors combined with diabetes mellitus.
摘要:
为了探讨动机性访谈教育对心理状况的影响,恶性肿瘤合并糖尿病患者的遵医行为及生活质量。
这是一项回顾性研究。选取2021年1月至2022年6月河北医科大学第四医院收治的恶性肿瘤合并糖尿病患者80例为研究对象,根据干预措施分为观察组和对照组。对照组患者给予常规健康教育干预,观察组在对照组的基础上给予动机性访谈干预。我们比较了预后,认知功能,生活质量,比较两组干预前及干预后3个月癌痛缓解情况。
干预后三个月,观察组癌痛总缓解率高于对照组(p<0.05),观察组FBG、2hPG水平明显低于对照组(p<0.05)。干预后3个月,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均下降,观察组下降程度高于对照组(p<0.05)。观察组总体依从性高于对照组(p<0.05)。
激励式面试可以缓解负面情绪,改善心理状况,提高恶性肿瘤合并糖尿病患者的遵医行为,提高生活质量。
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