亚兹德省 II 型糖尿病患者接受和承诺团体疗法与伊斯兰疗法对控制糖尿病和提高自我护理行为的效果。

Mohammad Mehdi Hakimian, N. Sedrpoushan, F. A. Shahreza
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摘要

研究目的本研究旨在探讨亚兹德糖尿病研究中心的 II 型糖尿病(T2DM)患者在接受和承诺团体疗法(ACT)的基础上采用伊斯兰方法控制糖尿病、提高自我护理行为的有效性。 材料与方法:研究方法为半实验加对照组。为此,40 名糖尿病患者被随机分为实验组和对照组。研究地点在亚兹德糖尿病研究中心。采用有目的的抽样方法。因此,所有患者都做了 A1C 血红蛋白检测,并填写了糖尿病患者自我护理问卷(SDSCA)。然后,实验组接受为期 16 周的伊斯兰方法 ACT 治疗。两组人群在执行指导计划后再次进行 A1C 血红蛋白检测并填写自我护理问卷。本研究采用协方差分析法对结果进行分析。 结果:研究结果表明,采用伊斯兰方法的 ACT 团体疗法对 T2DM 患者的 HbA1c 下降(P: 0.001)和自我护理行为改善(P: 0.001)有显著效果。 结论本研究表明,基于承诺的治疗小组使 T2DM 患者的 HbA1 明显降低,自我护理活动明显增加。
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Effectiveness of Acceptance and Commitment Based Group Therapy with the Islamic Approach on Diabetes Control and Increasing Self-Care Behaviors in Patients with Type II Diabetes in Yazd province.
Objective: The purpose of this study was to investigate the effectiveness of acceptance and commitment based group therapy (ACT) with the Islamic approach to diabetes control, increasing self-care behaviors in patients with type II diabetes mellitus (T2DM) referent to the Yazd Diabetes Research Center. Materials and Methods: The study method was semi experimental with control group. For this purpose, 40 diabetic patients were randomly divided into two experimental and control groups. The study was in Yazd diabetes research center. The purposeful sampling method was done. So, all of the patients did the A1C hemoglobin test, and completed the self-care questionnaire for diabetic patients (SDSCA). Then, the experimental group received ACT with an Islamic approach during 16 weeks. The population of both groups performed the A1C Hemoglobin test and completed the self-care questionnaire again after performing the instructional plan. In this research, the covariance analysis test was done to analyze the results. Results: The findings of the research showed that ACT group therapy with an Islamic approach effects on HbA1c decreasing (P: 0.001) and self-care behaviors improvement (P: 0.001) in T2DM patients. Conclusion: This study showed that the treatment group based on commitment resulted in a significant reduction of HbA1 and a significant increase in self-care activities in patients with T2DM.
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