中医护理干预及康复指导对肺结核合并糖尿病患者生命质量的影响

Effect of Chinese Medicine Nursing Intervention Combined with Rehabilitation Guidance on Quality of Life of Patients with Tuberculosis Complicated with Diabetes

目的:研究对肺结核合并糖尿病患者实施中医护理干预联合康复指导的效果。方法:将90例肺结核合并糖尿病患者遵循随机原则分为对照组45例和研究组45例,对照组和研究组分别实施常规护理、中医护理干预联合康复指导,评价2组患者的痰菌转阴情况、血糖控制情况以及生命质量改善情况。结果:在痰菌转阴率方面,研究组(84.44%)比对照组(68.89%)更高,差异有统计学意义(χ^2=6.758,P=0.009)。护理前,2组空腹血糖、餐后2 h血糖水平比较,差异无统计学意义(P>0.05);护理后,2组较前改善,研究组空腹及餐后2 h血糖水平较对照组低(P<0.05)。护理前,2组生活质量各维度评分比较,差异无统计学意义(P>0.05)。护理后,2组较前改善,研究组生活质量各维度评分较对照组高(P<0.05)。结论:中医护理干预联合康复指导的实施,可以促进肺结核合并糖尿病患者病情改善,利于患者平稳控制血糖水平及提高生命质量。

Objective:To study the effect of Chinese medicine nursing intervention combined with rehabilitation guidance on patients with tuberculosis complicated with diabetes. Methods: A total of 90 cases of patients with tuberculosis complicated with diabetes were divided into the control group and the study group according to the randomized principle,45 cases in each group. The control group was given routine nursing,and the study group was given Chinese medicine nursing intervention combined with rehabilitation guidance. The sputum negative conversion, blood glucose control and the improvement of quality of life in the two groups were evaluated. Results:The sputum negative conversion rate was 84.44%in the study group, higher than that of 68.89% in the control group, the difference being significant(χ^2=6.758, P=0.009).Before nursing,there was no significant difference being found in the comparison of the levels of fasting blood glucose and2 h-postprandial blood glucose between the two groups(P>0.05). After nursing,the levels of fasting blood glucose and 2 hpostprandial blood glucose in the two groups were improved when compared with those before nursing,and the above levels in the study group were lower than those in the control group(P<0.05). Before nursing,there was no significant difference being found in the comparison of the scores of quality of life in each dimension between the two groups(P>0.05). After nursing,the scores of quality of life in each dimension in the two groups were improved,and the above score in the study group was higher than that in the control group(P<0.05). Conclusion:The therapy of Chinese medicine nursing intervention combined with rehabilitation guidance can promote the improvement of the condition of patients with tuberculosis complicated with diabetes,help smoothly control their blood glucose levels and improve their quality of life.