Psychosocial and quality of life correlates of glycemic control during intensive treatment of type 1 diabetes
Psychosocial and quality of life correlates of glycemic control during intensive treatment of type 1 diabetes
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DOI：
10.1016/s0738-3991(00)00098-7
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发表时间：
2001-02-01
影响因子：
3.5
通讯作者：
Jacobson, AM
中科院分区：
文献类型：
--
作者：
Weinger, K;Jacobson, AM
为了确定强化糖尿病治疗期间改善血糖控制（HbA（1c））的情感和态度障碍，对55名参加4-5个月强化糖尿病医疗/教育诊所的患者进行了随访。受试者完成了一系列心理调查，测量了HbA（1c）和体重指数，并评估了他们对体重增加的态度以及医疗干预前后特定自我管理行为的问题程度。虽然HbA（1c）平均有所改善，但29%的患者仅略有改善，16%的患者无改善。与糖尿病相关的并发症、对低血糖的担忧以及与糖尿病相关的情绪困扰减少了。只有糖尿病生活质量调查的满意度分量表、糖尿病相关的情绪困扰和自我管理行为问题与HbA（1c）相关。治疗相关的挫折和情绪困扰最初可能会成为改善抑郁的动力，但后来可能会成为实现这一目标的障碍。旨在帮助患者克服态度障碍的干预措施应纳入旨在改善抑郁症的医疗计划。(C)2001爱思唯尔科学爱尔兰有限公司保留所有权利。
To identify emotional and attitudinal barriers to improved glycemic control (HbA(1c)) during intensive diabetes treatment, 55 patients attending a 4-5 month intensive diabetes medical/education clinic were followed. Subjects completed a battery of psychological surveys, had HbA(1c) and body mass index measured, and rated their attitude toward weight gain and the extent of problems with specific self-management behaviors before and after the medical intervention. Although HbA(1c) improved on average, 29% had only modest improvement and 16% showed no improvement. The number of diabetes-related annoyances, worry about hypoglycemia, and diabetes-related emotional distress diminished. Only the satisfaction subscale of the Diabetes Quality of Life survey, diabetes-related emotional distress, and problems with self-management behaviors correlated with HbA(1c). Treatment-related frustration and emotional distress may initially act as motivators to improve glycemia but can later become barriers to that goal. Interventions designed to help patients overcome attitudinal barriers should be incorporated into medical programs geared toward improving glycemia. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.