ABSTRACT
Objective To investigate the impact of transtheoretical model-based depression management on senile people with type 2 diabetes. Methods A total of 78 senile patients with type 2 diabetes were recruited from the Affiliated Jiangyin Hospital of Southeast University Medical College and the Nantong Tumor Hospital during the period from September 2015 to December 2016.They were randomly divided into the experimental(n=39)and the control groups(n=39).The patients in the experimental group received transtheoretical model-based depression management while those in the control group received traditional health education. The intervention results were evaluated using Demographic Data Recording Form, Self-Rating Depression Scale, and Depression Prevention & Management Survey Items. The main statistical methods included Chi square test,independent sample t test,Mann-Whitney U test,and repeated measures analysis of variance. Results After the intervention of three months, the mean scores of Self-Rating Depression Scale was 50.97 (F=17.814), perceived benefit score was (9.59 ± 2.10) (t=-6.732), perceived barriers score was (5.59 ± 1.30) (t=2.980), cognitive level score was (32.98 ± 4.87) (t=-10.189), the behavior level score was (34.32 ± 5.02) (t=-13.745), and the self-efficacy score was (12.11 ± 2.13)(t=-7.845),all of which significantly improved in the experimental group,more than the control group with its perceived benefit score of(8.31 ± 1.12)(F=32.789),perceived barriers score of(6.99 ± 2.12)(F=18.788), cognitive level score of (29.01 ± 3.34) (F=67.876), behavior level score of (28.03 ± 4.77) (F=43.476), and self-efficacy score of(9.78 ± 2.03)(F=15.543),and the difference was statistically significant(P<0.01).The level of FPG in experimental group was(7.24 ± 1.36)mmol/L,which was significantly lower than the FPG of (7.41 ± 1.34)mmol/L in the control group(t=0.624,P=0.028).Conclusions Transtheoretical model-based depression management can effectively improve senile type 2 diabetes'management of depression,which is valuable in the clinical context.
ABSTRACT
Objective To understand the status and influencing factors of benefit finding in patients with cancer.Methods 350 patients with cancer were collected with convenience sampling method from two Jiangsu hospitals.All patients received a questionnaire survey.Multiple linear regression analysis was used to analyze the influencing factors of benefit finding in patients with cancer.Results (1) The score of benefit finding in patients with cancer was statistically significant in different frequency of physical exercise (F=8.37,P=0.00),different character (F=3.04,P=0.04) and different educational level (F=2.91,P=0.03).(2) There was a positive correlation between benefit finding(78.53± 10.50) and communication with physicians(7.27±2.19),medical coping(43.48±4.50),optimism(17.33±2.24) and social support(44.81±3.91)(r=0.31,0.35,0.29,0.23,all P＜0.05) in patients with cancer.The benefit finding in patients with cancer was negatively correlated with depression(8.59± 1.83) (r=-0.37,P＜0.05).(3) Multiple linear regression analysis results showed that medical coping modes-confrontation,objectively social support and utilization,physical exercise,depression,communication with physicians and character were the factors influencing benefit finding in patients with cancer(△R2 =28％,P＜ 0.05;△R2 =5.5％,P＜ 0.05;△R2 =3.1％,P＜ 0.05;△R2 =1.9％,P＜0.05;△R2 =1.7％,P＜0.05;△R2 =1.0％,P＜0.05;△R2 =1.1％ P＜0.05),which explained 42.0％ of the total variance.Conclusion Medical coping modes-confrontation,objectively social support and utilization,physical exercise,depression,communication with physicians and character are the factors influencing benefit finding in patients with cancer.