基于中医体质辨识的调养指导对社区老年2型糖尿病患者血糖水平及生活质量的影响

Effect of Conditioning Guidance Based on TCM Physical Identification on Blood Glucose Levels and Quality of Life of Elderly Patients with Type 2 Diabetes Mellitus in the Community

目的分析基于中医体质辨识的调养指导在社区老年2型糖尿病患者管理中的应用价值。方法收集2021年3月—2022年1月于武义县第一人民医院医共体熟溪院区辖区内确诊的102例老年2型糖尿病患者资料进行回顾性分析,参考实施的干预方式进行分组,实施常规健康指导的51例患者纳入对照组,实施基于中医体质辨识调养指导的51例纳入观察组,比较两组血糖水平、生活质量及满意度。结果干预3个月后,观察组空腹血糖(FPG)、糖化血红蛋白(HbA1c)、餐后2 h血糖(2 hPG)水平低于对照组,差异有统计学意义(P<0.05)。干预3个月后,观察组糖尿病生存质量特异性量表(DSQL)各维度评分及总分低于对照组,差异有统计学意义(P<0.05)。干预3个月后,观察组满意率(94.12%)高于对照组(78.43%),差异有统计学意义(χ^(2)=5.299,P<0.05)。结论基于中医体质辨识的调养指导更有利于社区老年2型糖尿病患者血糖控制,并能改善生活质量,提高满意度。

Objective To analyze the application value of conditioning guidance based on TCM physical identification in the management of elderly type 2 diabetic patients in the community.Methods The data of 102 cases of elderly type 2 diabetic patients diagnosed within the jurisdiction of Wuyi County First People's Hospital Medical Community Shuxi Hospital District from March 2021 to January 2022 were collected for retrospective analysis and grouped with reference to the implemented interventions.51 patients who implemented conventional health guidance were included in the control group,and 51 patients who implemented conditioning guidance based on TCM physical identification were included in the observation group,comparing blood glucose levels,quality of life and satisfaction between the two groups.Results After 3 months of intervention,the levels of fasting plasma glucose(FPG),glycated hemoglobin and 2-hour postprandial blood glucose(2 hPG)in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).After 3 months of intervention,the dimension scores and total scores of the Diabetes Quality of Life Specific Scale(DSQL)in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).After 3 months of intervention,the satisfaction rate of the observation group(94.12%)was higher than that of the control group(78.43%),the difference was statistically sig nificant(χ^(2)=5.299,P<0.05).Conclusion The conditioning guidance based on TCM physical identification is more conducive to the glycemic control of elderly type 2 diabetic patients in the community,and can improve the quality of life and patient satisfaction.