摘要
目的:探讨中医养生护理对体检中心检出糖尿病(DM)患者依从性、生活质量的影响。方法:选取2018年12月~2019年12月我院体检中心检出的130例DM患者为研究对象,采用计算机单盲随机分组分为对照组(n=66)和观察组(n=64)。对照组患者给予常规护理,观察组在其基础上给予中医养生护理。比较两组干预前、干预6个月后的血糖控制水平[空腹血糖(FPG)、糖化血红蛋白(HbA1c)、餐后2h血糖(2hFPG)]、自我管理能力[糖尿病自我管理行为量表(SDSCA)]及生活质量[糖尿病患者生活质量特异性量表(DSQL)]变化,并记录其干预后的服药依从性[Morisky用药依从性问卷(MMAS-8)]。结果:干预6个月后,两组患者FPG、2h-PBG、HbAlc指标水平、DSQL量表(生理、心理、社会关系、治疗)中各维度评分均与干预前比较存在下降趋势(P均<0.05),而SDSCA量表评分与干预前比较存在上升趋势(P均<0.05),且观察组上述指标变化幅度更大(P<0.05);干预6个月后,观察组患者服药总依从率为96.97%,明显高于同期对照组的87.50%(P<0.05),且两组MMAS-8量表分级比较有统计学意义(P<0.05)。结论:中医养生护理可提高DM患者的自我管理能力及服药依从性,从而促进血糖水平的控制及生活质量的改善,值得临床推广应用。
Objective:To explore the effect of traditional Chinese medicine health care on compliance and quality of life for patients with diabetes mellitus(DM)detected in the physical examination center.Methods:A total of 130 patients with DM detected in the physical examination center of our hospital from December 2018 to December 2019 were selected as the research subjects,and they were randomly divided into a controlled group(n=66)and an observation group(n=64)according to the computer single-blind randomized grouping.Patients in the controlled group were given routine nursing,and patients in the observation group were given traditional Chinese medicine health care on this basis.The blood glucose control level[fasting blood glucose(FPG),glycosylated hemoglobin(HbA1 c),2 h postprandial blood glucose(2 hFPG)],self-management ability[Summary of Diabetes Self Care Activities(SDSCA)]and quality of life[Diabetes Specific Quality of Life Scale(DSQL)]were compared between the two groups before intervention and after 6 months of intervention,and the medication compliance[Morisky Medication Adherence Scale(MMAS-8)]was recorded after intervention.Results:After 6 months of intervention,the levels of FPG,2 h-PBG and HbAlc and scores of dimensions of DSQL scale(physiology,psychology,social relations,treatment)of the two groups showed downward trends compared with those before intervention(P<0.05)while the score of SDSCA scale showed an upward trend compared with that before intervention(P<0.05),and the changes of above indicators were greater in the observation group(P<0.05).After 6 months of intervention,the total medication compliance rate in the observation group was significantly higher than that in the controlled group during the same period(96.97%vs 87.50%)(P<0.05),and there was a statistically significant difference in the MMAS-8 scale grading between the two groups(P<0.05).Conclusion:Traditional Chinese medicine health care can improve the self-management ability and medication compliance of patients with DM,thereby promoting the control of blood glucose level and the improvement of quality of life,and it is worthy of clinical promotion and application.
作者
赵倩
缪鑫鑫
焦黛妍
ZHAO Qian;MIU Xinxin;JIAO Daiyan(Department of Rehabilitation,Hai'an Hospital Attached to Nantong University,Hai'an Jiangsu 226600,China)
出处
《四川中医》
2022年第2期215-219,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
江苏省南通市科技计划项目(编号:MSZ18241)
关键词
中医养生护理
体检中心
糖尿病
依从性
生活质量
Traditional Chinese medicine health care
Physical examination center
Diabetes mellitus
Compliance
Quality of life
