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杨慧青, 何超, 沈妙莉, 王菲, 孔勇. 精神障碍患者代谢综合征的团体治疗效果研究[J]. 实用临床医药杂志, 2021, 25(3): 47-50. DOI: 10.7619/jcmp.20201599
引用本文: 杨慧青, 何超, 沈妙莉, 王菲, 孔勇. 精神障碍患者代谢综合征的团体治疗效果研究[J]. 实用临床医药杂志, 2021, 25(3): 47-50. DOI: 10.7619/jcmp.20201599
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YANG Huiqing, HE Chao, SHEN Miaoli, WANG Fei, KONG Yong. Effect of group therapy in treatment of mental disorders patients with metabolic syndrome[J]. Journal of Clinical Medicine in Practice, 2021, 25(3): 47-50. DOI: 10.7619/jcmp.20201599
Citation: YANG Huiqing, HE Chao, SHEN Miaoli, WANG Fei, KONG Yong. Effect of group therapy in treatment of mental disorders patients with metabolic syndrome[J]. Journal of Clinical Medicine in Practice, 2021, 25(3): 47-50. DOI: 10.7619/jcmp.20201599
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精神障碍患者代谢综合征的团体治疗效果研究

Effect of group therapy in treatment of mental disorders patients with metabolic syndrome

    摘要
  • 摘要:
      目的  探讨团体治疗对精神障碍患者代谢综合征(MS)的影响。
      方法  选择精神障碍MS患者62例为研究对象，随机分为对照组和观察组，每组31例。对照组给予常规治疗和健康教育，观察组在对照组基础上给予团体治疗。观察2组患者入组时(干预前)和第8周后(干预后)体质量指数(BMI)、空腹血糖(FBG)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、胰岛素抵抗指数(HOMA-IR)水平，比较2组观察期间遵医嘱服药、饮食控制、体育锻炼等依从性。
      结果  干预后观察组BMI、收缩压、舒张压指数均显著低于对照组(P＜0.05), 干预后观察组FBG、HOMA-IR水平均低于对照组(P＜0.05), 观察组干预后TG、TC、LDL-C水平低于对照组, HDL-C水平高于对照组，差异均有统计学意义(P＜0.05)。观察组遵医嘱服药、饮食控制、体育锻炼依从性均显著高于对照组，差异均有统计学意义(P＜0.05)。
      结论  团体治疗用于精神障碍MS患者有助于提高患者的服药依从性，有利于健康生活方式的建立。

     

    Abstract:
      Objective  To investigate the influence of group therapy on mental disorders patients with metabolic syndrome (MS).
      Methods  Totally 62 mental disorders patients with MS were selected and randomly divided into control group and observation group, with 31 cases in each group. The control group was treated with routine therapy and health education, and the observation group was treated with group therapy on the basis of the control group. The body mass index (BMI), fasting blood glucose (FBG), total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and insulin resistance index (HOMA-IR) in both groups were observed before intervention and 8 weeks after intervention, and the compliance of medication, diet control and physical exercise were compared between the two groups.
      Results  After the intervention, BMI, systolic blood pressure and diastolic blood pressure of the observation group were significantly lower than those of the control group (P < 0.05), FBG and HOMA-IR levels of the observation group were significantly lower than those of the control group (P < 0.05), TG, TC and LDL-C levels of the observation group were significantly lower than those of the control group, while HDL-C level of the observation group was significantly higher than that of the control group (P < 0.05). The compliance rates of medication, diet control and physical exercise in the observation group were significantly higher than those in the control group (P < 0.05).
      Conclusion  Implementation of group therapy for mental disorders patients with MS is helpful to improve the medication compliance and establish a healthy way of life.

     

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