| ObjectDiabetes is a common endocrine metabolic disease. Diabetic patients usually have depression, anxiety, etc. Diabetes patients have more probability to commit depression, anxiety and other mental or psychological disease than the general population.Therefore, in a sense diabetes belongs to psychosomatic diseases, and it is also acknowledged as the most easily one of the chronic disease with mental diseases. Drugs are currently dominantly used in the therapy of diabetes.Beyond of that, we also correct actively the complications and improve psychological disorders and emotional state when using drugs.According to the five principles for the treatment of diabetes from the International Diabetes Federation(IDF), diabetes education, diet therapy, exercise therapy, drug therapy and blood glucose monitoring, we choose the Ba Duan Jin combining with relaxation Qigong as a special exercise therapy to treat type2diabetes patients with depression and anxiety.MethodWe designed a randomized and controlled study and chose type2diabetes with depression or anxiety patients as our objects. All the participants met inclusion criteria were randomly divided into treatment group(60cases)and control group(30cases). Patients in the treatment group accepted Ba Duan Jin combing Relaxation Qigong on the basis of the original treatment of diabetes treatment. Whereas The control group maintained the original treatment. We treat for12months, and18months follow-up. We observed the fasting blood glucose, glycosylated hemoglobin, insulin, C-peptide, lipids and other biochemical indexes, the Minnesota Multiphasic Personality Tests(MMPI), Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), Montgomery-Asberg Depression Rating Scale(MARDS) and other psychological indicators, Dermatologic Specific Quality of Life(DSQL) before and after treatment to explore TCM behavioral and psychological therapy for patients with type2diabetes psychological and physiological effects. We mainly observe the physiological and psychological short-term and long-term efficacy of type2diabetes with depression and anxiety treated by Ba Duan Jin combining relaxation Qigong.Result1. Ba Duan Jin combining relaxation Qigong can reduce the SAS, SDS, MARDS,HAMA scores (p<0.01). They can improve the depression and anxiety of type2diabetic patients with depression or anxiety in patients;2. Ba Duan Jin combining relaxation Qigong can reduce the SCL-90score and somatization, depression, anxiety factor (p<0.01), obsessive-compulsive, hostility factor (p<0.05), have no effect on terror, paranoia and other factors.They can ameliorate the patient’s symptoms of type2diabetes with depression or anxiety;3. Ba Duan Jin combining relaxation Qigong can reduce the DSQL score and improve the survival quality, physiological function, psychological quality and treatment effect of patients with type2diabetes with depression or anxiety (p<0.01);4. Ba Duan Jin combining relaxation Qigong can reduce the patients of type2diabetes with depression or anxiety with glycosylated hemoglobin (p<0.01), triglycerides, fasting glucose, low-density lipoprotein (p<0.05) and other biochemical markers;5. Ba Duan Jin combining relaxation Qigong have effect on depression (p<0.05), mental exhaustion (p<0.01), and other influence factors of MMPI in type2diabetes patients with depression or anxiety. TCM Behavioral therapy not only affect external symptoms,but also play a role on the inner personality;6. We study the psychological and physiological effects of Ba Duan Jin combining relaxation Qigong have one-year intervention in patients of type2diabetes with depression or anxiety. And we concluded preliminarily the psychological effective rate was82.00%, the total effective rate was74.00%.We preliminarily confirm that the TCM behavior therapy should be included into five principles of comprehensive management of diabetes. It has a certain degree of psychological and physiological improvement of long-term intervention in patients with type2diabetes associated with depression or anxiety. This treatment model should be further popularized and applied in clinic.Conclusion1. Ba Duan Jin combining relaxation Qigong can improve type2diabetes in patients with depression or anxiety associated with depression, anxiety and other psychological indicators. This improvement not only stay in symptom level, causing depression, anxiety, personality shift state, the character flaws (internal) point of view also has a certain degree of improvement, so this effect may be more durable and stable. In addition, it further proves that the therapy can have an impact on part of Chinese personality behavior, but need to be achieve for long-term interventions.2. Ba Duan Jin combining relaxation Qigong can reduce type2diabetes in patients with depression or anxiety glycosylated hemoglobin, triglycerides and other biochemical parameters. The intervention time for1year, combined with the results of previous short-term studies, preliminary validates that indexes on biochemical of Chinese behavior therapy may be a long process.3. Ba Duan Jin combining relaxation Qigong can improve type2diabetes in patients with depression or anxiety the quality of life. Combined with the findings of previous short-term, we consider the Chinese behavior therapy can not only quickly improve survival quality in patients with type2diabetes in the short term, the quality of long-term interventions will also have a similar effect. Therefore, it can be infer that Chinese behavior therapy in patients with type2diabetes lasting effect of quality of life stably.4. Initially confirms the efficiency of Chinese behavior therapy into five principles for integrated management of diabetes scope for long-term intervention in type2diabetes patients with depression or anxiety having a certain degree of psychological and physiological improvements, which can be applied to clinical treatment mode to further promotion. |
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