中医体质辨识护理干预对糖尿病前期患者血糖控制效果分析

Analysis of the Effect of Traditional Chinese Medicine Physique Identification Nursing Intervention on Blood Glucose Control in Patients with Prediabetes

目的对比传统护理与中医体质辨识护理干预对糖尿病前期患者血糖控制效果。方法随机选取该院2017年4月-2019年4月收治的糖尿病前期患者130例,以"入院顺序奇偶性"平均分为两组,对照组65例患者采纳传统护理,试验组65例患者采纳中医体质辨识护理干预,两组均护理1月,对比两组护理前、护理1月后血糖指标、血糖达标时间,随访3月,对比护理前、护理3月后生存质量评分。结果试验组护理1月后FPG、2 hPG、HbAlc水平[(5.32±0.11)mmol/L、(7.16±0.16)mmol/L、(5.62±0.12)%]明显比对照组[(5.98±0.16)mmol/L、(8.06±0.15)mmol/L、(6.38±0.31)%]低,差异有统计学意义(t=27.405、33.085、18.433,P<0.05)。试验组血糖达标时间[(5.16±0.25)d]明显比对照组[(8.66±0.38)d]短,差异有统计学意义(t=62.036,P<0.05)。试验组护理3月后生存质量六维度评分[(4.06±0.21)分、(4.95±0.33)分、(60.52±5.62)分、(79.62±4.52)分、(73.58±5.88)分、(84.52±5.62)分]均明显比对照组[(3.41±0.19)分、(4.25±0.28)分、(52.62±4.14)分、(65.25±3.62)分、(65.25±4.02)分、(70.06±2.87)分]高,差异有统计学意义(t=18.505、13.040、9.125、20.006、9.429、18.474,P<0.05)。结论中医体质辨识护理干预可有效调控血糖,促进血糖达标,改善患者生存质量,取得令人满意的护理效果。

Objective To compare the effects of traditional nursing and traditional Chinese medicine physique identification nursing intervention on blood glucose control in patients with prediabetes. Methods A total of 130 patients with prediabetes admitted to the hospital from April 2017 to April 2019 were randomly selected. They were divided into 2 groups on the basis of "hospital order parity". 65 patients in the control group received traditional care, and 65 patients in the experimental group received traditional Chinese medicine physique identification nursing intervention. Both groups were nursing for 1 month. The blood glucose index and blood glucose reaching time were compared between the two groups before nursing and 1 month after nursing. The follow-up was 3 months, and the quality of life scores before nursing and 3 months after nursing were compared. Results FPG, 2 hPG, HbAlc levels [(5.32±0.11)mmol/L,(7.16±0.16)mmol/L,(5.62±0.12)%]of the experimental group after 1 month of nursing were significantly higher than those of the control group [(5.98 ±0.16)mmol/L,(8.06±0.15)mmol/L,(6.38±0.31)%] were low, the difference was statistically significant(t=27.405, 33.085, 18.433,P<0.05). The blood glucose reaching target time in the test group [(5.16±0.25)d] was significantly shorter than that of the control group [(8.66±0.38)d],the difference was statistically significant(t=62.036, P<0.05). The six-dimensional scores of quality of life in the trial group after 3 months of nursing care [(4.06±0.21)points,(4.95±0.33)points,(60.52±5.62)points,(79.62±4.52) points,(73.58 ±5.88)points,(84.52± 5.62)points] were significantly better than the control group [(3.41 ±0.19)points,(4.25 ±0.28)points,(52.62 ±4.14)points,(65.25 ±3.62)points,(65.25 ±4.02)points,(70.06 ±2.87)points] higher,the difference was statistically significant(t=18.505,13.040, 9.125, 20.006, 9.429, 18.474,P<0.05). Conclusion TCM physique identification nursing intervention can effectively regulate blood glucose, promote blood glucose to reach the standard,improve the quality of life of patients, and achieve satisfactory nursing results.