Effects of mindfulness therapy on blood glucose control and quality of life in older adult patients with diabetes mellitus and cognitive impairment / 中国基层医药

ABSTRACT

Objective:To investigate the effects of mindfulness therapy on blood glucose control and quality of life in older adult patients with diabetes mellitus and cognitive impairment.Methods:A total of 313 patients with type 2 diabetes mellitus and cognitive impairment aged over 75 years who received treatment in Xinxiang First People's Hospital from August 2018 to July 2020 were included in this study. They were randomly allocated to the intervention group ( n = 157) and control group ( n = 156). All patients underwent treatments for diabetes mellitus and underlying diseases. The intervention group was subject to 8 weeks of mindfulness therapy. The percentage of patients with qualified glycosylated hemoglobin in human whole blood and 36-Item Short Form Health Survey questionnaire score were compared between the two groups. The Pearson correlation was performed. Results:After 8 weeks of treatment, the percentage of patients with qualified glycosylated hemoglobin in human whole blood in the intervention group was 43.95%, which was significantly higher than the level (25.48%) at the recruitment and the level (30.77%) in the control group ( χ2 = 12.17, P = 0.002; χ2 = 5.80, P = 0.016). The quality of life score was significantly higher in the intervention group than in the control group [(72.16 ± 14.08) points vs. (64.37 ± 15.49) points, t = 4.65, P = 0.001]. Conclusion:Mindfulness therapy can regulate blood glucose level and improve quality of life in older adult patients with diabetes mellitus and cognitive impairment.