中医护理结合情志干预对糖尿病患者血糖控制情况、生活质量及足部健康行为的影响

Effects of Traditional Chinese Medicine Nursing Combined with Emotional Intervention on Blood Sugar Control, Quality of Life and Foot Health Behavior in Patients with Diabetes

目的探究中医护理结合情志干预对糖尿病患者血糖控制情况、生活质量及足部健康行为的影响.方法选取本院2019年11月—2021年2月收治的124例糖尿病患者为研究对象,按照随机数表法分为对照组(62例)和观察组(62例).观察组采用西医常规护理,观察组采用中医护理结合情志干预,均持续干预3个月.比较两组护理前后血糖控制情况、生活质量及足部健康行为.结果护理前,两组血糖控制情况、生活质量及足部健康行为比较,差异无统计学意义(P>0.05);护理后,与对照组相比,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均更低,糖尿病患者生存质量特异性量表(DSQL)各维度评分均更低,足部健康行为评估量表中正确洗脚、合理足部保健运动、正确选择鞋袜、正确修整指甲评分均更高,差异有统计学意义(P<0.05).结论中医护理结合情志干预可有效调节糖尿病患者的血糖水平,改善其足部健康行为,有利于提高其生活质量.

Objective To explore the effects of traditional Chinese medicine nursing combined with emotional intervention on blood sugar control,quality of life and foot health behaviors in patients with diabetes.Methods A total of 124 diabetic patients admitted to our hospital from November 2019 to February 2021 were selected as the research objects,and divided into the control group(62 cases)and the observation group(62 cases)according to the random number table method.The observation group received routine western medicine nursing,and the observation group received traditional Chinese medicine nursing combined with emotional intervention,both of which continued for 3 months.The blood sugar control,quality of life and foot health behaviors were compared between the two groups before and after nursing.Results Before nursing,there was no statistically significant difference in blood glucose control,quality of life and foot health behavior between the two groups(P>0.05);after nursing,the levels of fasting blood glucose,2 h postprandial blood glucose,and glycated hemoglobin in the observation group were lower than those in the control group,the scores of all dimensions of diabetes specific quality of life scale(DSQL)were lower,the scores of correct foot washing,reasonable foot health exercise,correct choice of shoes and socks,and correct nail trimming in the foot health behavior assessment scale were all higher,and the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine nursing combined with emotional intervention can effectively regulate the blood sugar level of diabetic patients,improve their foot health behavior,and help improve their quality of life.