中医路径化护理管理措施在肥胖型2型糖尿病患者应用的统计分析

Use of traditional Chinese medicine pathway-nursing management in patients with obese type 2 diabetes: a statistical analysis

目的分析中医路径化护理管理措施对肥胖型2型糖尿病患者的影响效果。方法选取2014年4月至2015年3月在我院接受治疗的肥胖型2型糖尿病患者92例,采用随机数表法将患者分为2组,试验组46例,给予中医路径化护理管理措施干预,对照组46例,给予常规护理干预。观察患者护理后血压、血糖、胆固醇以及甘油三酯变化情况,记录2组患者护理后糖尿病健康知识掌握情况和满意度,并进行对比。结果护理干预后,患者的血糖、血压均有下降,试验组[(6.1±2.1)mmol/L、(92±13)mm Hg]低于对照组[(7.6±2.4)mmol/L、(98±12)mm Hg),2组比较差异有统计学意义(P<0.05);护理干预后,2组患者的胆固醇、甘油三酯均有所降低,但是试验组[(6.4±2.0)mmol/L、(1.02±0.23)mmol/L]低于对照组[(8.3±1.9)mmol/L、(2.12±0.45)mmol/L)],2组比较差异有统计学意义(P<0.05);将2组患者护理后的糖尿病认知、运动功能锻炼、血糖监测方法、自我管理能力、调节能力、胰岛素使用方法、糖尿病认知以及合理饮食知识评分进行对比,试验组高于对照组,2组比较差异有统计学意义(P<0.05);护理后,试验组患者的满意度为91%,对照组满意率为72%,2组对比,差异有统计学意义(P<0.05)。结论中医路径化护理干预措施能够有效改善肥胖型2型糖尿病患者的血压、血糖,降低患者的胆固醇和甘油三酯,提高患者对糖尿病健康知识掌握和满意度,效果显著。

Objective To determine the effect of traditional Chinese medicine（TCM） pathway-nursing management in the patients with obese type 2 diabetes. Methods Ninety-two patients with obese type 2 diabetes, who were hospitalized in our hospital between April 2014 and March 2015, were included in the study and randomly di-vided into two groups. The study group（n=46） was given the intervention by TCM pathway-nursing management, and the control group（n =46） was given the routine nursing intervention. The changes of blood pressure, blood glucose,blood lipid, cholesterol and glycerin in the two groups after nursing were determined. The knowledge of diabetes and health and satisfaction in the two groups were recorded and compared after the nursing. Results After the nursing intervention, the levels of blood glucose, blood pressure in the study group were lower than those in the control group[（6.1 ±2.1）mmol/L vs（7.6 ±2.5）mmol/L,（92 ±13）mmHg vs（98 ±12）mmHg], which were all decreased. There were significant differences between the two groups（P 〈0.05）. After the nursing intervention, the levels of cholesterol and triglyceride in the study group were lower than those in the control group [（6.4 ±2.0）mmol/L vs（8.3 ±1.9）mmol/L,（1.02 ±0.23）mmol/L vs（2.12 ±0.45）mmol/L], which were all decreased. There were significant differences between the two groups（P〈0.05）. The parameters in the cognition of diabetes, exercise of motor function, blood glucose moni-toring methods, self-management ability, regulatory capacity, insulin use, scores of diabetic cognition and reasonable diet knowledge after the nursing were compared between the two groups. The parameters in the study group were high-er than those in the control group, and there were significant differences between the two groups（P〈0.05）. After the nursing, the satisfaction rate was 91% in the study group, and 72% in the control group, and there was significant dif-ference between the two groups（P〈0.05）. Conclusion The TCM pathway-nursing management may effectively improve blood pressure, blood glucose, and reduce cholesterol and triglyceride in the patients with obese type 2 dia-betes. It can improve their knowledge of diabetes and health and satisfaction, which shows significant effect.