| Diabetes Mellitus (DM) is a western medicine term of disease or symptom, and corresponds to "xiao ke" in Traditional Chinese medicine (TCM). Now there are nearly 92,400,000 people suffered from DM in China, which is first rank country with those patients in the world. According to proposal of the World Health Organization, DM can be mainly divided into many different types. In those types, T2DM is the most common form of this disease (over 90%), and it hurts the diabetics'mental health as well as body health, and also brings heavy economic burden to the T2DM patients. Therefore, this study takes the T2DM sufferers as the research object. Many factors can potentially beget T2DM. So the control and prevention measures for T2DM should be contained multiple methods, including medicine treatment and non-medicine intervention. This research explores the non-medicine intervention measures for T2DM from the viewpoint of TCM healthy psychology. Though the healthy psychology thought of TCM (HPTCM) has already existed for several thousand years, TCM theory did not constitute the theory system for healthy psychology, and those thought spark spread in many ancient works of TCM.Objectives①The research neatens the theory of TCM healthy psychology firstly for the next study of exploring the psychological, behavioral and social characteristics of T2DM Patients, and then makes the questionnaire based on the theory of health psychology of TCM.②The research analyzes the psychological characteristics, life style and behaviors before suffering DM, and the impacts of their social support and social network characteristics on body-mental health of T2DM Patients.③The research puts forward some prevention and control interventions for the diabetics based on the HPTCM, and gives some advices for patients to improve their life quality.Methods①Literature analysis:Through this method, the paper searches the study literature about T2DM from whole world, and designs the questionnaire.②Consultation with expert:The researcher consults with specialists of DM and health statistics when the study begins to design the questionnaire and investigates patients.③Questionnaire:Based on other correlative questionnaire scale, the paper designs its own questionnaire for probing the psychological, behavioral and social characteristics of type 2 diabetic patients.④Statistics analysis:Including factor analysis (Exploratory Factor Analysis, EFA; Confirmatory Factor Analysis, CFA), Structural Equation Model (SEM) and Multiple Regression, and so on.Results①Among of all samples,54.7% of the T2DM patients have different mental handicaps. Among all 21 research indicator, those most popular syndromes include:being afraid of illness-exacerbation (91.4%), sleep loss (90.3%), being worry about their complication (89.2%), depression (80.2%), and cognitive handicap, and so on.②Through the statistical method of exploratory factor analysis (EFA) for the 21 indicators, the study gets six latent factors, including "sadness", "sorrow", "rage", "self guilt", "cognitive handicap", and "abandonment". Among 21 indicators, there are 18 indicators with loading greater than 0.5, and all factors cumulative proportion in ANOVA is 65.71%.③Through the statistical method of Confirmatory Factor Analysis (CFA), this result shows that there is a significant relationship between body health and mental health of T2DM patients, and its correlation coefficient is 0.472.④Among of all patients,41.0% of them love sweet foods; 38.5% love salty foods; 22.6% don't like eating fruits or vegetables; 28.4% sock; 20.1% overeat usually; 8.6% are ruleless in meals everyday; 19.8% repast in restaurant usually; 19.5% of them over-smoke; 13.6% drink alcohol heavily; 24.1% don't do some homework; 34.2% of them have no physical exercise; 41.7% have little laboring-activity; 37.0% have ruleless in rest; and 44.2% have sleep handicap.⑤Through the statistical method of Structural Equation Model (SEM), this result shows that there is a significant relationship between exogenous latent variable (repasting immoderation, bad life habit, sport loss and unsuitable life behavior styles) and DM (endogenous latent variable). The SEM has passed the Goodness of Fit test, and indicates this model has a significant meaning. In this model, most loadings of the 15 measurable exogenous indicators are more than 0.5 (only 3 indicators'are less than 0.5), and the loading of 4 measurable endogenous indicators are more than 0.5. All those results show that there is a significant causality relationship between life behaviors and the onset of DM.⑥This study gets some patients'social support data. T2DM patients' subjective social support average grade is 22.54 (70.4% of total grade); their objective social support is 15.55 (70.7% of all); the usage degree of social support is 8.10 (67.5% of all).Compared with the common model of social support in our country, there have no statistical differences in general social support (p=0.09) and subjective social support (p=0.07), but there have statistical differences in objective social support and the usage degree of social support (p=0.00)⑦About sample'social network, their average social network size is 16.85. When graded in four points, their network relation density is 2.65; the heterogeneity of job in their network is 1.75, the relative status of research object is 1.75; communication and intercourse of network member is 2.11; the grade of member trust is 3.14. Applying the multiple regression analysis, this results show that social network has a statistical impact on T2DM patients'body-mental health (P<0.05), and their regression models'R2 are 0.117 and 0.186 respectively. Those data illuminate that social network can improve T2DM patients'body-mental health.Discussion①There are six types of psychological handicap in T2DM patients. Therefore, psychological interventions should pay more attentions to those people, and increase the control and treat efficacy.②There is a close relationship between body health and mental health of T2DM patients, and they can influence each other. So, treating body and mental diseases should be simultaneous, and it can improve the efficacy.③There is a close relationship between bad life behaviors and the onset of T2DM. Therefore, many measures should be taken, such as broadcasting the healthy life behaviors through many channels, to improve people's health knowledge, alter their bad lifestyle and behaviors, and promote the health and harmony for individuals and his families.④The high risk people should increase their health knowledge for preventing DM. they must manage their health by themselves and go to hospital for medical check regularly, even though without any obvious symptom. So, DM could be discovered early, diagnosed early, and cured early. Therefore, the effective treat will alleviate the body-mental pain for the patients.⑤The correlative organization and society should consummate the social support network, ameliorate the patients'experiences of social support, heighten the usage degree of social support, and improve the life quality for the DM patients.⑥Social network has an active impact on body-mental health for the T2DM patients. |
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