中医体质辨识在慢性糖尿病患者健康管理中的应用
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摘要
目的探讨中医体质辨识在慢性糖尿病患者健康管理中的应用价值。方法选取126例慢性糖尿病患者作为观察对象,参照随机数表法分成对照组、干预组,各63例。对照组患者接受常规健康管理,干预组在对照组基础上开展中医体质辨识干预。对比2组患者干预前后血糖水平、自我管理行为、生存质量变化。结果干预后,2组患者的空腹血糖(FPG)、糖化血红蛋白(Hb A1c)水平显著低于干预前,且干预组显著低于对照组(P <0. 05);干预后,2组患者的自我管理行为、生存质量相较干预前均显著改善,且干预组的改善效果显著优于对照组(P <0. 05)。结论中医体质辨识在慢性糖尿病患者健康管理中的应用价值高,能控制患者血糖水平稳定,改善患者的自我管理行为及生存质量。
Objective To study application value of traditional Chinese medicine(TCM)constitution recognition in the health management of chronic diabetes patients. Methods A total of126 cases of patients with chronic diabetes who were treated in our hospital were enrolled in this study. All the patients were divided into control group and intervention group according to the principle of random number table,with 63 cases in each group. The patients in the control group received routine health management,and those in the intervention group underwent TCM constitutional identification intervention. The blood glucose levels,self-management behaviors,and quality of life changes were compared between the two groups before and after intervention. Results The levels of fasting plasma glucose(FPG) and glycosylated hemoglobin(HbA1 c) in the two groups were lower than that in the intervention group,and the intervention group was lower than the control group(P < 0. 05). After intervention,the self-management behaviors and quality of life of the two groups were significantly improved compared with the intervention before,and the improvement efficacy of the intervention group was better than that of the control group(P < 0. 05). Conclusion TCM constitution identification has higher application value in the health management of chronic diabetes patients. It can control the patient's blood sugar level and improve the patient's self-management behavior and quality of life.
Objective To study application value of traditional Chinese medicine(TCM)constitution recognition in the health management of chronic diabetes patients. Methods A total of126 cases of patients with chronic diabetes who were treated in our hospital were enrolled in this study. All the patients were divided into control group and intervention group according to the principle of random number table,with 63 cases in each group. The patients in the control group received routine health management,and those in the intervention group underwent TCM constitutional identification intervention. The blood glucose levels,self-management behaviors,and quality of life changes were compared between the two groups before and after intervention. Results The levels of fasting plasma glucose(FPG) and glycosylated hemoglobin(HbA1 c) in the two groups were lower than that in the intervention group,and the intervention group was lower than the control group(P < 0. 05). After intervention,the self-management behaviors and quality of life of the two groups were significantly improved compared with the intervention before,and the improvement efficacy of the intervention group was better than that of the control group(P < 0. 05). Conclusion TCM constitution identification has higher application value in the health management of chronic diabetes patients. It can control the patient's blood sugar level and improve the patient's self-management behavior and quality of life.
引文
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[18]马小琴.中医护理技术在糖尿病护理中的应用现状及思考[J].中华现代护理杂志,2017,23(35):4547-4549.
[19]朱传美,开宏,兰英.糖尿病患者健康管理模式的研究进展[J].中国卫生事业管理,2017,34(5):392-394.
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[21]张彦琦,张玲,易东,等.重庆市高血压和糖尿病患者社区健康管理现状及影响因素研究[J].中国全科医学,2015,18(28):3473-3477.
[22]牛倩敏,李敏,徐丽.健康管理对老年2型糖尿病患者并发症的干预研究[J].实用临床医药杂志,2014,18(12):5-7.
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[24]刘向玲,吕晓春.基于循证基础的自我健康行为管理对早期糖尿病肾病的影响[J].实用临床医药杂志,2017,21(18):130-132.
[25]刘桂圆,张开金,杨菊,等.中医元素健康管理在高血压糖尿病的管理中的效果[J].中国老年学杂志,2016,36(9):2095-2097.
[26]赵蒙,高云.中医体质辨识在2型糖尿病患者健康管理中应用效果研究[J].中国中医药信息杂志,2016,23(6):31-34.
[27]金晓薇,梅克文,盛小梅,等.个体化阶梯式疾病管理模式在2型糖尿病中的应用[J].实用临床医药杂志,2014,18(22):5-8.
[28]刘向玲,吕晓春.自我健康行为管理配合循证基础对早期糖尿病肾病的影响观察[J].实用临床医药杂志,2017,21(20):136-138.
[2]石燕萍,韩俊阁,曾双辉,等.自拟养阴降浊汤联合耳穴贴压疗法治疗糖尿病合并高脂血症的临床研究[J].中医药学报,2016,44(6):119-121.
[3]景良洪,曾艳丽,宋凤平.综合护理干预对2型糖尿病患者血糖血脂水平及心脑血管事件的影响[J].检验医学与临床,2016,13(12):1712-1714.
[4]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(9):2116-2117.
[5]伊利亚尔·买买提力,邹田田,俞瑾,等. SD大鼠2型糖尿病心肌损伤模型病理生理学特征分析[J].中华糖尿病杂志,2017,9(3):184-189.
[6]雷芳,陈渊青,罗红,等.基于达标理论的老年高血压糖尿病患者家庭访视效果观察[J].护理学报,2016,23(3):19-22.
[7]梁雪,陈康,王安平,等.胰岛素泵治疗糖尿病患者血糖控制及影响因素分析[J].中国医药导报,2016,13(15):72-76.
[8]李晓璐.延续性护理在2型糖尿病患者中的应用效果探讨[J].医药前沿,2016,6(19):278.
[9]张玲,木亚斯沙尔,蓓里·加帕尔,等. 2型糖尿病血糖控制水平及其相关因素与维族老年人认知功能障碍的关系[J].中华老年心脑血管病杂志,2017,19(4):353-357.
[10]钟建英,李莉,郭琴,等.全程护理干预对提高糖尿病患者生活质量的研究[J].西部医学,2012,24(9):1801-1803.
[11]高燕.综合护理干预对2型糖尿病患者遵医行为及血糖控制的影响[J].实用临床医药杂志,2016,20(18):58-60.
[12]朱兰英,温俊茂,苏广,等.中医护理对2型糖尿病患者的临床干预研究[J].国际呼吸杂志,2016,35(7):929-931.
[13]刘芳.综合护理干预对社区老年2型糖尿病患者血糖水平、遵医行为及生活质量的影响[J].检验医学与临床,2016,13(23):3356-3358.
[14]刘瑞凤.延续性护理对空巢老人2型糖尿病患者生活质量和心理状态的影响[J].世界临床医学,2016,10(24):211,213.
[15]王春梅,胡志伟,李洵,等.消渴的中医辨证护理对策及健康指导[J].中国实用医药,2015,10(14):245-246.
[16]叶海波,胡春慧.延续性护理干预对老年2型糖尿病合并高血压患者生活质量的影响[J].现代中西医结合杂志,2016,25(17):1922-1924.
[17]武全莹,杨鹏.延续性护理在糖尿病患者中的实践现状及进展[J].中华现代护理杂志,2014,20(22):2733-2737.
[18]马小琴.中医护理技术在糖尿病护理中的应用现状及思考[J].中华现代护理杂志,2017,23(35):4547-4549.
[19]朱传美,开宏,兰英.糖尿病患者健康管理模式的研究进展[J].中国卫生事业管理,2017,34(5):392-394.
[20]许月梅.中医体质辨识对社区糖尿病患者自我管理及病情控制的影响[J].社区医学杂志,2018,16(11):75-77.
[21]张彦琦,张玲,易东,等.重庆市高血压和糖尿病患者社区健康管理现状及影响因素研究[J].中国全科医学,2015,18(28):3473-3477.
[22]牛倩敏,李敏,徐丽.健康管理对老年2型糖尿病患者并发症的干预研究[J].实用临床医药杂志,2014,18(12):5-7.
[23]林盛强,王金明.综合健康管理模式对社区高血压合并糖尿病患者控制血压、血糖及服药依从性的影响[J].广西医学,2017,39(3):400-402.
[24]刘向玲,吕晓春.基于循证基础的自我健康行为管理对早期糖尿病肾病的影响[J].实用临床医药杂志,2017,21(18):130-132.
[25]刘桂圆,张开金,杨菊,等.中医元素健康管理在高血压糖尿病的管理中的效果[J].中国老年学杂志,2016,36(9):2095-2097.
[26]赵蒙,高云.中医体质辨识在2型糖尿病患者健康管理中应用效果研究[J].中国中医药信息杂志,2016,23(6):31-34.
[27]金晓薇,梅克文,盛小梅,等.个体化阶梯式疾病管理模式在2型糖尿病中的应用[J].实用临床医药杂志,2014,18(22):5-8.
[28]刘向玲,吕晓春.自我健康行为管理配合循证基础对早期糖尿病肾病的影响观察[J].实用临床医药杂志,2017,21(20):136-138.