多维健康教育联合正念干预在2型糖尿病合并肺结核患者中的应用效果  

Application Effect of Multidimensional Health Education Combined with Mindfulness Behavior Intervention in Patients with Type 2 Diabetes Mellitus Complicated with Pulmonary Tuberculosis

作　　者：黄幼花 吴清 张燕燕[1] 郑惠娥 杨秋玲[1] 王如 刘利敏[1] 黄鑫成 HUANG Youhua;WU Qing;ZHANG Yanyan;ZHENG Hui'e;YANG Qiuling;WANG Ru;LIU Limin;HUANG Xincheng(Department of Respiratory Medicine,910 Hospital of the Joint Service Support Force of the People's Liberation Army,Quanzhou 362000,China)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院呼吸内科,泉州362000

出　　处：《中国医药指南》2024年第25期147-149,共3页Guide of China Medicine

摘　　要：目的探讨2型糖尿病合并肺结核采取多维健康教育联合正念干预的应用效果。方法将中国人民解放军联勤保障部队第九一〇医院2021年3月至2023年3月收治的90例2型糖尿病合并肺结核患者按随机数字分为对照组(45例)和观察组(45例),对照组给予单独多维健康教育,观察组给予多维健康教育联合正念干预,两组均干预2个月,统计两组的结核病灶控制有效率、血糖控制达标率、痰培养阴转率,评估营养风险筛查(NRS2002)汇合正念注意觉知量表(MAAS)。结果观察组结核病灶控制有效率、血糖控制达标率、痰培养阴转率分别为86.67%、93.33%、82.22%,均高于对照组的66.67%、73.33%、62.22%(P<0.05)。观察组干预后NRS2002评分为(1.64±0.55)分,低于对照组的(2.46±0.45)分(P<0.05)。观察组干预后MAAS评分为(59.82±6.44)分,高于对照组的(53.06±6.16)分(P<0.05)。结论多维健康教育联合正念干预治疗2型糖尿病合并肺结核疗效确切,有效减轻患者的负性情绪,提高正念水平及免疫功能,改善营养风险。Objective To explore the application effect of multidimensional health education combined with positive thinking intervention in type 2 diabetes mellitus combined with tuberculosis.Methods A total of 90 cases of type 2 diabetes mellitus combined with tuberculosis patients admitted to the Ninth One hundred Hospital of the Joint Logistics Force of the Chinese People's Liberation Army from March 2021 to March 2023 were divided into the control group(45 cases)and the observation group(45 cases)according to the random number,the control group was given separate multidimensional health education,and the observation group was given multidimensional health education combined with positive thinking intervention,both groups were intervened for two months,and the tuberculosis foci of the two groups were counted.Both groups were intervened for 2 months,and the effective rate of tuberculosis foci control,the rate of blood glucose control,the rate of sputum culture negative,and the nutritional risk screening(NRS2002)confluence with the mindful attention awareness scale(MAAS)were evaluated in the two groups.Results The effective rate of tuberculosis foci control,the rate of achieving blood glucose control,and the rate of negative sputum culture in the observation group were 86.67%,93.33%,and 82.22%,respectively,which were higher than those in the control group,which were 66.67%,73.33%,and 62.22%(P<0.05).The post-intervention NRS2002 score of the observation group was(1.64±0.55),which was lower than that of the control group(2.46±0.45)(P<0.05).The MAAS score of the observation group after the intervention was(59.82±6.44)points,which was higher than that of the control group(53.06±6.16)points(P<0.05).Conclusion s Multidimensional health education combined with positive thinking intervention for the treatment of type 2 diabetes mellitus combined with pulmonary tuberculosis has a precise efficacy,effectively reduces the negative emotions of patients,improves the level of positive thinking and immune function,and improves nutrit

关 键 词：2型糖尿病合并肺结核 健康教育 正念行为 

分 类 号：R587.1[医药卫生—内分泌] R521[医药卫生—内科学]