意象对话技术对二型糖尿病患者的心理干预研究

发布时间：2019-04-17 06:20

【摘要】： 目前全球糖尿病患者已达1.8亿左右,以北京为例,北京市的糖尿病发病率为6%,糖尿病人超过80万人。糖尿病的患病率、致残率和病死率以及对健康的总体危害程度,已居北京市慢性非传染性疾病的第3位。糖尿病作为一种身心疾病,是现代医学无法治愈的难题。长期服用降糖药、注射胰岛素的治疗方法,已经实现了降低血糖、控制数值的目的。但治疗不等于治愈,治疗仅仅等于降低血糖值。随着近年来“生物-心理-社会医学模式”的提出,糖尿病的心理干预给糖尿病的研究带来了一种新的思路。本研究欲采用国内一项专门的心理咨询技术——意象对话心理咨询与治疗技术(Imagery Communication Psychotherapy),对二型糖尿病患者进行心理干预与治疗。研究欲通过意象对话心理咨询,直观的呈现患者心理状态中与糖尿病有关部分;再通过治疗提高这部分的心理健康水平,并观察意象对话心理干预对血糖的影响。研究通过记录患者治疗前后空腹血糖、餐后两小时血糖、糖化血红蛋白三个指标的变化,对患者进行前、后测效果检验。结果发现,同接受意象对话治疗之前相比,这三个血液指标都有所下降,但只有空腹血糖降低达到显著水平(P〈0.05)。而患者心理呈现出过分好强和缺乏爱与被爱能力这两个特点。
[Abstract]:At present, the number of diabetes patients in the world has reached about 180 million. Take Beijing as an example, the incidence of diabetes in Beijing is 6%, and the number of diabetic patients exceeds eight hundred thousand. The prevalence, disability, mortality and overall health hazards of diabetes are the third most common chronic non-communicable diseases in Beijing. Diabetes, as a physical and mental disease, is a difficult problem that cannot be cured in modern medicine. Long-term use of hypoglycemic drugs, insulin injection, has achieved the goal of reducing blood sugar and controlling the value. But treatment is not a cure, treatment is merely a reduction in blood sugar. With the development of "bio-psycho-social medical model" in recent years, the psychological intervention of diabetes brings a new thought to the study of diabetes mellitus. In this study, a special psychological counseling technique, image dialogue counseling and treatment technique (Imagery Communication Psychotherapy), was used for psychological intervention and treatment of type 2 diabetes mellitus (DM) patients. The purpose of this study is to visualize the mental state of patients with diabetes mellitus through image dialogue psychological consultation, and then to improve the mental health level of this part through treatment, and to observe the effect of mental intervention on blood sugar by image dialogue psychological intervention. The changes of fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin (HbA1c) were recorded before and after treatment, and the results were tested before and after treatment. The results showed that compared with those before the treatment of image dialogue, all the three blood indexes decreased, but only fasting blood glucose decreased significantly (P < 0.05). The patients' psychology shows two characteristics: excessive strength and lack of love and being loved ability.
【学位授予单位】：北京林业大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R587.1;R395.5

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