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. 2022 Jun 15;14(6):3946-3954.
eCollection 2022.

Positive effect of cognitive-behavioral intervention combined with integrated health care on patients with type 2 diabetes

Wei Jin  1 , Qiumin Wu  2 , Zhiwei He  3 , Yilan Fu  1
Affiliations

Positive effect of cognitive-behavioral intervention combined with integrated health care on patients with type 2 diabetes

Wei Jin et al. Am J Transl Res. .

Abstract

Objective: This study was designed to investigate the effects of cognitive-behavioral intervention (CBI) combined with integrated health care (IHC) on glycemic control, adverse mood, health knowledge and self-efficacy in patients with type 2 diabetes mellitus.

Methods: The clinical data of 115 patients with type 2 diabetes mellitus were retrospectively collected and divided into two groups according to the intervention methods, with 57 patients in group A receiving conventional care and 58 patients in group B receiving CBI combined with IHC. The blood glucose, scores of Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), health knowledge, self-efficacy, quality of life, and nursing satisfaction were compared between the two groups before and after intervention.

Results: Compared with group A, group B had lower glycated hemoglobin (HbAlc), 2-h postprandial glucose (2 hPG), and fasting plasma glucose (FPG) levels (P < 0.05), lower HAMD and HAMA scores (P < 0.05), higher health knowledge and self-efficacy scores (P < 0.05), and higher quality of life after intervention (P < 0.05). Group B exhibited a nursing satisfaction rate of 94.83%, higher than that of 70.18% in group A (P < 0.05).

Conclusion: The effects of CBI combined with IHC can effectively control blood glucose and improve dysphoria, health knowledge, self-efficacy, and quality of life in patients with type 2 diabetes.

Keywords: Type 2 diabetes mellitus; cognitive-behavioral intervention; dysphoria; glycemic control; health knowledge; integrated health care; self-efficacy.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Comparison of glycemic control between the two groups. A: HbAlc; B: 2 hPG; C: FPG. *indicated P < 0.05 compared with group A (independent-samples t test), #indicated P < 0.05 compared with before intervention (paired t test).
Figure 2
Figure 2
Comparison of adverse mood. A: HAMD score; B: HAMA score. *indicated P < 0.05 compared with group A (independent-samples t test), #indicated P < 0.05 compared with before intervention (paired t test).
Figure 3
Figure 3
Comparison of health knowledge and self-efficacy. A: Health knowledge scores; B: Self-efficacy scores. *indicated P < 0.05 compared with group A (independent-samples t test); #indicated P < 0.05 compared with before intervention (paired t test).
Figure 4
Figure 4
Comparison of quality of life. A: Social scores; B: Environmental scores; C: Physiological scores; D: Psychological scores. *indicated P < 0.05 compared with group A (independent-samples t test), #indicated P < 0.05 compared with before intervention (paired t test).
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