中医养生保健理念护理模式联合常规护理干预对糖尿病患者保健康复的影响
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R248;R587.1

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Effect of Intervention of Nursing Model Guided by Theory of Health Preservation in Chinese Medicine Combined with Routine Nursing on Health Care and Recovery in Patients with Diabetes Mellitus
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    摘要:

    目的:探讨中医养生保健理念护理模式联合常规护理干预在糖尿病患者保健康复中的应用价值。方法:将糖尿病患者 200 例按患者的意愿分为接受西医常规护理干预的对照组 78 例和接受中医养生保健理念护理模式联合常规护理干预的观察组122 例,随访 1 年。观察 2 组干预前后的空腹血糖(FBG)、餐后 2 h 血糖 (P2hBG) 和糖化血红蛋白 (HbA1c) 水平,对比2 组 1 年内再次住院率以及并发症的发生情况,采用自我效能感测量表和糖尿病生活质量量表对 2 组自我效能感和生活质量进行评估。结果:2 组 FBG、P2hBG 和 HbA1c 水平均较护理前下降,护理后观察组相关指标均低于对照组 (P<0.05)。干预后,观察组 1 年内的再住院率 9.02%,对照组为 26.92%,2 组比较,差异有统计学意义 (P<0.05)。观察组并发症的发生率为 8.60%,对照组为 34.62%,2 组比较,差异有统计学意义(P<0.05)。2 组护理后自我效能感评分均升高,且观察组自我效能感评分高于对照组(P<0.05)。2 组护理后生活质量评分均下降,观察组生活质量评分改善更为明显(P<0.05)。结论:对糖尿病患者实施中医养生保健理念护理模式联合常规护理干预有助于控制血糖水平,减少并发症的发生,具有良好的保健康复效果。

    Abstract:

    Abstract: Objective: To discuss the application value of intervention of nursing model guided by theory of health preservation in Chinese medicine combined with routine nursing on health care and recovery in patients with diabetes mellitus. Methods:A total of 200 cases of patients with diabetes mellitus were divided into the control group(intervention of routine western medicine nursing) and the observation group(intervention of nursing model guided by theory of health preservation in Chinese medicine combined with routine nursing) according to their willingness,78 and 122 cases in each group respectively. The follow-up lasted for one year. The levels of fasting blood glucose(FBG),2-hour postprandial blood glucose(P2hBG) and glycosylated hemoglobin(HbA1c) before and after intervention in the two groups were observed. The re- hospitalization rate and the incidence of complications during one year were compared between the two groups. The self-efficacy and life quality in the two groups were evaluated by General Self- Efficacy Scale(GSES) and Diabetes Quality of Life(DQOL) respectively. Results: The levels of FBG, P2hBG, and HbA1c in the two groups were decreased when compared with those before nursing,and the related indexes in the observation group after nursing were lower than those in the control group(P<0.05). After intervention, the re- hospitalization rate during one year was 9.02% in the observation group, and 26.92% in the control group,the difference being significant(P<0.05). The incidence of complications was 8.60% in the observation group, and 34.62% in the control group,the difference being significant(P<0.05). After nursing,the scores of self-efficacy in the two groups were increased,and the score in the observation group was higher than that in the control group(P<0.05). After nursing,the scores of life quality in the two groups were decreased,and the improvement of the score in the observation group was more significant(P<0.05). Conclusion: For patients with diabetes mellitus, the intervention of nursing model guided by theory of health preservation in Chinese medicine combined with routine nursing conduces to controlling blood glucose level,and reducing the incidence of complications,with good effect of health preservation and rehabilitation.

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陈晨,潘晓红,李静静.中医养生保健理念护理模式联合常规护理干预对糖尿病患者保健康复的影响[J].新中医,2021,53(1):150-154

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  • 在线发布日期: 2021-01-11
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