摘要
目的探讨消渴病(2型糖尿病)中医护理方案对2型糖尿病患者衰弱、自我管理水平的影响,为临床中医干预糖尿病衰弱、提高自我管理提供新思路。方法采用类实验研究方法对2021年1—6月在安徽中医药大学第一附属医院住院的100例2型糖尿病患者实施国家中医药管理局下发的消渴病(2型糖尿病)中医护理方案,采用一般资料调查表、Tilburg衰弱量表(TFI)、糖尿病日常生活自我照顾活动量表(SDSCA)、糖尿病管理自我效能量表(C-DMSES)及消渴病(2型糖尿病)中医护理方案效果评分表对患者入院1~2 d、出院时、出院3个月进行评分,采用t检验、方差分析、SNK检验进行比较。结果患者入院1~2 d、出院时、出院3个月,TFI评分分别为(4.90±2.44)、(3.89±1.99)、(3.43±2.22)分,SDSCA评分分别为(41.31±14.30)、(57.90±12.73)、(52.33±12.71)分,C-DMSES评分分别为(128.99±32.18)、(154.69±25.43)、(141.27±27.86)分,消渴病(2型糖尿病)中医护理方案效果评分分别为(13.40±6.02)、(6.98±5.04)、(5.01±3.96)分,不同时段比较差异均有统计学意义(F值为11.14~72.50,均P<0.05);患者入院1~2 d、出院时、出院后3个月,空腹血糖及餐后2 h血糖分别为(9.28±3.51)、(7.16±1.66)、(7.24±1.76)mmol/L及(14.93±4.22)、(10.28±4.83)、(10.30±2.25)mmol/L,不同时段比较差异均有统计学意义(F=21.02、37.55,均P<0.05)。结论实施消渴病(2型糖尿病)中医护理方案能改善2型糖尿病衰弱程度、提高患者自我管理水平、帮助患者控制血糖,具有较好的中医护理效果,值得临床推广使用。
Objective To explore the effects of traditional Chinese medicine nursing protocols for type 2 diabetes mellitus on the level of frailty and self-management in patients with type 2 diabetes mellitus,so as to provide new ideas for intervention of diabetic frailty and improvement of self-management.Methods From January 2021 to June 2021,the 100 patients with type 2 diabetes mellitus in the department of Endocrinology of the First Affiliated Hospital of Anhui University of Chinese Medicine were treated with the traditional Chinese medicine nursing protocols for type 2 diabetes mellitus issued by the State Administration of Traditional Chinese Medicine using the quasi experimental research method.General information questionnaire,Tilburg Frailty Indicator(TFI),Summary of Diabetes Self-Care Activities(SDSCA),Chinese-Diabetes Management Self-Efficacy Scale(C-DMSES)and the effect evaluation scale of traditional Chinese medicine nursing protocols for diabetes mellitus(type 2 diabetes mellitus)were investigated on 1 to 2 days after admission,at discharge,3 months after discharge and were analyzed by t test,analysis of variance,SNK test.Results The TFI scores of patients were(4.90±2.44),(3.89±1.99),(3.43±2.22)points,the SDSCA scores were(41.31±14.30),(57.90±12.73),(52.33±12.71)points,the C-DMSES scores were(128.99±32.18),(154.69±25.43),(141.27±27.86)points,the effect scores of traditional Chinese medicine nursing protocols for type 2 diabetes mellitus were(13.40±6.02),(6.98±5.04),(5.01±3.96)points at 1-2 days after admission,discharge,and 3 months after discharge,there were statistically significant differences among different time periods(F values were 11.14-72.50,all P<0.05).The fasting blood glucose and 2-hour postprandial blood glucose of patients were(9.28±3.51),(7.16±1.66),(7.24±1.76)mmol/L and(14.93±4.22),(10.28±4.83),(10.30±2.25)mmol/L at 1-2 days after admission,discharge and 3 months after discharge,and the differences were statistically significant(F=21.02,37.55,both P<0.05).Conclusions The implementation of traditional Chinese medicine nursing protocols for type 2 diabetes mellitus can delay the degree of frailty of type 2 diabetes mellitus,improve the level of self-management of patients,help patients control blood glucose,with good traditional Chinese medicine nursing effect,worthy of clinical application.
作者
管玉香
张瑛
吴池艳
郑静
许娟
杨国芳
Guan Yuxiang;Zhang Ying;Wu Chiyan;Zheng Jing;Xu Juan;Yang Guofang(Department of Nursing,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;School of Nursing,Anhui University of Chinese Medicine,Hefei 230012,China;Department of Neurology,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)
出处
《中国实用护理杂志》
2023年第8期573-579,共7页
Chinese Journal of Practical Nursing
基金
安徽省卫生健康委科研项目(AHWJ2021b068)。
关键词
糖尿病
2型
中医护理方案
衰弱
自我管理
Diabetes mellitus,type 2
Traditional Chinese medicine nursing protocols
Frailty
Self-management
