中医体质辨识干预在2型糖尿病患者健康管理中的作用分析

Analysis on Role of TCM Constitution Identification Intervention in Health Management of Type 2 Diabetes Mellitus Patients

目的:探讨中医体质辨识干预在2型糖尿病患者健康管理中的作用。方法:选取2021年4月—2022年4月在北京市丰台区西罗园社区卫生服务中心就诊的78例2型糖尿病患者作为研究对象,根据随机数字表法分为对照组与观察组,各39例。对照组实施常规社区健康管理,观察组在对照组基础上施以中医体质辨识干预,比较两组疾病知识认知及糖尿病自我管理行为量表(SDSCA)评分、血糖水平、体重指数、腰臀比、合并症控制情况。结果:干预前,两组疾病知识认知及SDSCA评分比较,差异无统计学意义(P>0.05);干预后,两组疾病知识认知及SDSCA评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组空腹血糖、餐后2 h血糖、糖化血红蛋白、体重指数、腰臀比比较,差异无统计学意义(P>0.05);干预后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白、体重指数、腰臀比均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组高血压、高脂血症控制良好率高于对照组,差异有统计学意义(P<0.05)。结论:2型糖尿病患者健康管理中应用中医体质辨识干预,能够提升其认知水平与自我管理行为,并可有效控制血糖水平,减轻健康风险以及较好地控制合并症。

Objective:To explore the role of TCM constitution identification intervention in the health management of patients with type 2 diabetes mellitus.Methods:A total of 78 patients with type 2 diabetes mellitus admitted to Xiluoyuan Community Health Service Center of Fengtai District of Beijing from April 2021 to April 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 39 cases in each group.The control group implemented routine community health management and the observation group implemented TCM constitution identification intervention on the basis of control group.The cognition of disease knowledge,the score of the Summary of Diabetes Self-Care Activities(SDSCA),blood glucose level,body mass index,waist-hip ratio,and control of complications were compared between the two groups.Results:Before the intervention,there was no significant difference in disease knowledge cognition and SDSCA scores between the two groups(P>0.05).After the intervention,the disease knowledge cognition and SDSCA scores in the two groups were higher than those before the intervention,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in fasting blood glucose,2-h postprandial blood glucose,glycated hemoglobin,body mass index,and waist-hip ratio between the two groups(P>0.05).After the intervention,the fasting blood glucose,2-h postprandial blood glucose,glycated hemoglobin,body mass index,and waist-hip ratio in the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The good control rate of hypertension and hyperlipidemia in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of TCM constitution identification intervention in the health management of patients with type 2 diabetes mellitus can improve their cognitive level and self-management behavior,and can effectively control blood glucose levels,reduce health risks and better control complications.