中医护理干预对糖尿病失眠患者血糖和睡眠质量的影响

Effect of Traditional Chinese Medicine Nursing Intervention on Blood Glucose and Sleep Quality of Diabetic Patients With Insomnia

目的探讨中医护理干预对2型糖尿病失眠患者血糖水平及睡眠质量的影响。方法选取福建中医药大学附属人民医院2019年8月—2020年8月收治的糖尿病合并失眠患者,有94例。随机分组,各47例。对照组按照常规护理模式进行干预,观察组增加中医护理干预,比较两组血糖、睡眠状况、心理情绪及生活质量的影响。结果护理前两组患者血糖基线资料对比差异无统计学意义(P>0.05);护理后观察组血糖指标低于对照组,差异有统计学意义(P<0.05);护理后观察组PSQI评分低于对照组,差异有统计学意义(P<0.05);护理后观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05);护理后观察组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论中医护理干预能有效改善2型糖尿病失眠患者的血糖水平和睡眠质量,同时使其心理负性情绪得到调节,生活质量提升。

Objective To explore the effect of traditional Chinese medicine nursing intervention on blood glucose level and sleep quality in patients with type 2 diabetes insomnia.Methods A total of 94patients with diabetes and insomnia who were admitted to People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from August 2019 to August 2020 were selected.They were randomly divided into groups,with 47 cases in each group.The control group was intervened according to the routine nursing mode,while the observation group was added with traditional Chinese medicine nursing intervention.The effects of blood sugar,sleep status,psychological mood and quality of life were compared between the two groups.Results Before nursing,there were no significant differences in the baseline data of blood glucose between the two groups(P>0.05);after nursing,the blood glucose indexes of the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05);after nursing,the PSQI score of the observation group was lower compared with the control group,the difference was statistically significant(P<0.05);the HAMA and HAMD scores of the observation group after nursing were lower than those of the control group,and the differences were statistically significant(P<0.05);the SF-36 score of the observation group after nursing was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine nursing intervention can effectively improve the blood sugar level and sleep quality of patients with type 2 diabetes insomnia,and at the same time regulate their psychological negative emotions and improve their quality of life.