中医“治未病”理念在老年2型糖尿病患者延续护理中应用研究  

Application of TCM Preventive Treatment of Disease Concept in Continued Nursing of Elderly Patients with Type 2 Diabetes Mellitus

作　　者：王小华[1] 王开兰[1] 

机构地区：[1]湖北医药学院附属人民医院,湖北十堰442000

出　　处：《辽宁中医药大学学报》2017年第8期217-219,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:分析中医"治未病"理念在老年2型糖尿病患者延续护理中的应用价值。方法:选取84例2型糖尿病患者,随机均分为对照组与观察组,对照组给予常规延续护理,观察组在对照组基础上加用中医"治未病"理论指导,测定两组患者空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(Hb A1c)的变化,比较护理前后两组患者自护能力及生活质量的改善情况,统计两组干预6个月内并发症发生率及再住院率。结果:(1)干预后,两组FBG、2 h PG均上升,与同组治疗前对比差异有统计学意义(P<0.05),但观察组FBG、2 h PG、Hb A1c上升幅度低于对照组(P<0.05);(2)干预后,两组自护能力量表及生活质量量表各维度评分均上升(P<0.05),观察组评分上升幅度高于对照组(P<0.05);(3)观察组并发症发生率略低于对照组,但对比差异无统计学意义(P>0.05),但其再住院率低于对照组(P<0.05)。结论:在老年2型糖尿病患者延续护理中应用中医"治未病"理论,可提高患者血糖水平控制率,优化其自护能力,提高患者生活质量。Objective ： To analyze the application value of traditional Chinese medicine （ TCM ） preventive treatment of disease concept in continued nursing of elderly patients with type 2 diabetes mellitus. Methods： Eighty-four patients with type 2 diabetes mellitus who discharged from the endocrinology department in our hospital were randomized into control group and observation group. The control group received routine nursing. On the basis, the observation group was given TCM preventive treatment of disease theoretical guidance. The changes of fasting blood glucose （FBG）, postprandial 2 h plasma glucose （ 2 h PG ） and glycosylated hemoglobin （ HbAlc ） in the two groups were determined. The improvement of self-care ability and quality of life was compared between the two groups before and after nursing. The incidence rate of complications and rate of re-hospitalization in two groups in 6 months of intervention were analyzed statistically. Results ： After the intervention, FBG and 2 h PG of both groups were higher than those before treatment （P〈0.05）, but FBG,2 h PG and HbAlc in the observation group were lower than those in control group （ P〈0.05 ）; after intervention, the scores of self-care ability scale and quality of life scale were increased （ P〈0.05 ）, and the scores in observation group were significantly higher than those in control group （ P〈0.05 ）; The incidence of complications in the observation group was slightly lower than that in the control group （ P〉0.05 ） and rate of re-hospitalization was lower than that in control group （ P〈0.05 ）. Conclusion ： The application of TCM preventive treatment of disease concept in continued nursing of elderly patients with type 2 diabetes mellitus can improve the control rate of blood glucose level, optimize their self-care ability, and improve the quality of life of patients.

关 键 词：2型糖尿病 治未病 延续护理 

分 类 号：R587.1[医药卫生—内分泌]