中医延续性护理在弥可保治疗糖尿病周围神经病变患者中的应用  

Application of TCM Continuing Nursing in the Treatment of Patients with Diabetic Peripheral Neuropathy by Mecobalamin

作　　者：苏雪清 胡玥 SU Xueqing;HU Yue(Department of Endocrinology and Diabetes,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院内分泌糖尿病科,福建厦门361000

出　　处：《糖尿病新世界》2022年第3期105-108,共4页Diabetes New World Magazine

摘　　要：目的探讨弥可保足三里穴位注射治疗糖尿病周围神经病变患者给予中医延续性护理对负性情绪、心理痛苦程度、心理韧性及生存质量的影响。方法选取2019年6月—2020年6月该院收治的糖尿病周围神经病变患者100例,利用随机数表法将患者分成观察组(50例)与对照组(50例),两组均采用弥可保足三里穴位注射治疗,对照组给予常规护理干预,观察组给予中医延续性护理干预,比较两组负性情绪、心理痛苦程度、心理韧性及生存质量。结果与护理前比较,两组护理后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均有明显降低,观察组SDS、SAS评分明显低于对照组,差异有统计学意义(P<0.05);与护理前比较,两组护理后糖尿病痛苦量表(DDS)评分均有明显降低,观察组DDS评分明显低于对照组,差异有统计学意义(P<0.05);与护理前比较,两组护理后中文心理韧性量表(CD-RISC)评分均有明显提高,观察组CD-RISC评分相较于对照组明显更高,差异有统计学意义(P<0.05);与护理前比较,两组护理后糖尿病患者生存质量特异性量表(DSQL)评分均有明显降低,观察组DSQL评分明显低于对照组,差异有统计学意义(P<0.05)。结论弥可保足三里穴位注射治疗糖尿病周围神经病变患者给予中医延续性护理干预效果较好,能明显消除负性情绪,减轻患者心理痛苦程度并增强其心理韧性,对生存质量有显著提升作用。Objective To investigate the effect of continuation nursing of traditional Chinese medicine for patients with diabetic peripheral neuropathy treated by Micobao Zusanli acupoint injection on negative emotions,psychological pain,mental toughness and quality of life.Methods A total of 100 patients with diabetic peripheral neuropathy admitted to the hospital from June 2019 to June 2020 were selected,and the patients were divided into an observation group(50 cases)and a control group(50 cases)using a random number table method.Both groups were treated with Micobalazu Sanli acupoint injection,the control group was given conventional nursing intervention,and the observation group was given continuous nursing intervention of traditional Chinese medicine.Compared the two groups of negative emotions,the degree of psychological pain,mental toughness and quality of life.Results Compared with the before nursing,the scores of the self-rating depression scale(SDS)and self-rating anxiety scale(SAS)of the two groups were significantly reduced after nursing,and the SDS scores and SAS scores of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Compared with before nursing,the diabetes distress scale(DDS)scores of the two groups were significantly reduced after nursing,and the DDS scores of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Compared with before nursing,the scores of the chinese psychological resilience scale(CD-RISC)after the nursing of the two groups were significantly improved,and the CD-RISC score of the observation group was significantly higher than that of the control group,the difference was statistically significant (P<0.05). Compared with beffore nursing, the scores of the diabetic quality of life specific scale (DSQL) in the two groups were significantly reduced after nursing, and the DSQL score of the observation group was significantly lower th

关 键 词：糖尿病周围神经病变 中医延续性护理 弥可保穴位注射 负性情绪 心理痛苦程度 心理韧性 

分 类 号：R473[医药卫生—护理学]