The influence of family doctor's psychological counseling on the psychological status of type 2 diabetes mellitus with 1+1+1 contracted service in the community

Objective To understand the psychological status of patients with type 2 diabetes in Weifang community, and to analyze the changes of mental state of diabetic patients after psychological counseling. Methods A total of 476 patients who live in Weifang community from 2010 till now and have already enrolled in "1+1+1" contracted service were surveyed by systematic sampling method and health questionnaire of Symptom Checklist 90 (SCL-90) and social support revalued scale. At the same time, the psychological status and social support condition of contracted type 2 diabetes were analyzed. The General Practitioner was engaged in a 3-month psychological counseling and healthy education, and compared the psychological status changes, social support condition changes and blood glucose control of contracted type 2 diabetes before and after psychological counseling and healthy education. Results In this study, all the factorial scores of patients with type 2 diabetes mellitus in contracting community health service were higher than the national norm. The glycosylated hemoglobin of patients before psychological counseling was (7.99±2.08)% and (6.95±0.84)% after psychological counseling, with a statistical difference. After psychological counseling, the total scores of SCL-90 and the scores of each factor were lower than that before psychological counseling, and the social support score was higher than that before psychological counseling. The difference was statistically significant. Conclusion The psychological health of the contracted patients with type 2 diabetes mellitus is not optimistic. The General Practitioner's psychological counseling on "1+1+1" contracted service for Type 2 diabetes patients is helpful to improve their blood glucose control, psychological status and social support. It can improve the quality of life of patients.