摘要
目的 观察基于情志、饮食、足浴、艾灸的中医特色护理干预在糖尿病肾病(DN)患者中的应用效果。方法 选取2022年1~12月郑州大学第一附属医院收治的110例DN患者作为研究对象,按随机数表法分为常规组和中医特色组,每组55例。常规组患者行常规护理干预,中医特色组患者在常规护理的同时行基于情志、饮食、足浴、艾灸的中医特色护理干预。干预6个月后,比较两组患者干预前后的肾功能[血肌酐(Scr)、尿素氮(BUN)、24 h尿蛋白定量(24 hUP)]、血糖水平[空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)]、营养状况[血红蛋白(Hb)、白蛋白(Alb)、肱三头肌皮褶厚度(TSF)]及生活质量(WHOQOL-BREF评分)。结果 干预后,两组患者的BUN、Scr、24 hUP、FPG、Hb A1c、2 h PG水平均较干预前明显降低,且中医特色组患者BUN、Scr、24 hUP、FPG、HbA1c、2 hPG水平分别为(15.69±1.52) mmol/L、(759.19±37.24)μmol/L、(1.15±0.24) g、(6.82±0.81) mmol/L、(6.65±0.75)%、(8.46±1.13) mmol/L,明显低于常规组的(18.64±1.78) mmol/L、(821.32±43.39)μmol/L、(1.41±0.33) g、(7.44±0.94) mmol/L、(7.31±0.70)%、(9.90±1.21) mmol/L,差异均有统计学意义(P<0.05);干预后,两组患者的TSF、Alb、Hb水平均较干预前明显升高,且中医特色组患者的TSF、Alb、Hb水平分别为(15.68±4.47) mm、(36.39±6.42) g/L、(92.52±10.32) g/L,明显高于常规组的(13.02±4.21) mm、(32.87±5.59) g/L、(84.21±9.28) g/L,差异均有统计学意义(P<0.05);干预后,两组患者WHOQOL-BREF量表中的生理、心理、社会关系评分均较干预前明显升高,且中医特色组患者的生理、心理、社会关系评分分别为(25.72±2.85)分、(22.30±3.63)分、(11.60±2.06)分,明显高于常规组的(21.20±3.24)分、(16.55±4.48)分、(8.76±1.63)分,差异均有统计学意义(P<0.05)。结论 基于情志、饮食、足浴、艾灸的中医特色护理干预有助于改善DN患者的肾功能和机体营养状况、有效控制血糖水平,提升生活质量。
Objective To observe the application effect of traditional Chinese medicine(TCM) characteristic nursing intervention based on emotion,diet,foot bath,and moxibustion in patients with diabetic nephropathy(DN).Methods A total of 110 patients with DN in First Affiliated Hospital of Zhengzhou University from January to December 2022 were selected.They were divided into a conventional group and a TCM characteristic group according to random number table method,with 55 patients in each group.The conventional group received routine nursing,while the TCM characteristic group received TCM characteristic nursing intervention based on emotion,diet,foot bath,and moxibustion.After 6 months of intervention,renal function [serum creatinine(Scr),urea nitrogen(BUN),24 h urinary protein quantification(24 hUP)],blood glucose levels [fasting blood glucose(FPG),2 h postmeal blood glucose(2 h PG),glycosylated hemoglobin(HbA1c)],nutritional status [hemoglobin(Hb),albumin(Alb),triceps skin fold thickness(TSF)],and the World Health Organization Quality of Life-BREF(WHOQOL-BREF) were compared between the two groups.Results After intervention,the levels of BUN,Scr,24 hUP,FPG,HbA1c,and 2 hPG in two groups of patients were significantly reduced compared to those before intervention,and the levels in the TCM characteristic group were(15.69±1.52) mmol/L,(759.19±37.24) μmol/L,(1.15±0.24) g,(6.82±0.81) mmol/L,(6.65±0.75)%,and(8.46±1.13) mmol/L,which were significantly lower than(18.64±1.78) mmol/L,(821.32±43.39) μmol/L,(1.41±0.33) g,(7.44±0.94) mmol/L,(7.31±0.70)%,(9.90±1.21) mmol/L in the conventional group(P<0.05).After intervention,the levels of TSF,Alb,and Hb in two groups of patients were significantly increased compared to those before intervention,and the levels in the TCM characteristic group were(15.68±4.47) mm,(36.39±6.42) g/L,and(92.52±10.32) g/L,respectively,which were significantly higher than(13.02±4.21) mm,(32.87±5.59) g/L,and(84.21±9.28) g/L in the conventional group(P<0.05).After intervention,the physiological,psychological,and social relationship scores in the WHOQOL-BREF scale in two groups of patients were significantly higher than those before intervention,and the scores in the TCM characteristic group were(25.72±2.85) points,(22.30±3.63) points,and(11.60±2.06) points,respectively,which were significantly higher than(21.20±3.24) points,(16.55±4.48) points,and(8.76±1.63) points in the conventional group(P<0.05).Conclusion The TCM characteristic nursing intervention based on emotion,diet,foot bath,and moxibustion is helpful to improve the renal function and nutritional status of DN patients,effectively control the blood glucose level and improve the quality of life.
作者
郭廷娜
常甜
赵倩倩
刘凤勋
GUO Ting-na;CHANG Tian;ZHAO Qian-qian;LIU Feng-xun(Department of Integrated Traditional Chinese and Western Medicine Nephrology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)
出处
《海南医学》
CAS
2024年第5期731-735,共5页
Hainan Medical Journal
基金
河南省医学科技攻关计划联合共建项目(编号:LHGJ20190247)。
关键词
中医特色护理
糖尿病肾病
血糖
肾功能
生活质量
Traditional Chinese medicine characteristic nursing
Diabetic nephropathy
Blood Sugar
Renal function
Quality of life
