摘要
目的观察基于中医学的综合辨证护理干预对2型糖尿病老年患者血糖水平及施护满意度的影响。方法120例2型糖尿病老年患者,以是否接受中医综合辨证护理干预为暴露因素,分为暴露组和非暴露组,各60例。非暴露组采用常规护理,暴露组在常规护理基础上加入中医综合辨证护理干预。比较两组护理前、护理后2周、出院后2周的血糖指标及护理后2周的护理满意度。结果护理前,两组空腹血糖、餐后2 h血糖水平比较差异无统计学意义(P>0.05)。护理后2周、出院后2周,暴露组餐后2 h血糖水平分别为(9.21±1.54)、(10.00±1.88)mmol/L,均低于非暴露组的(11.7±2.47)、(13.38±2.06)mmol/L,差异均有统计学意义(P<0.05)。护理后2周、出院后2周,暴露组空腹血糖、餐后2 h血糖水平分别为均低于护理前,差异均有统计学意义(P<0.05)。护理后2周,暴露组护理满意度评分(8.56±1.09)分高于非暴露组的(7.34±1.21)分,差异具有统计学意义(P<0.05)。结论中医综合辨证护理方案可进一步改善2型糖尿病老年患者的血糖水平,提高护理满意度,值得进一步研究以早日应用于基层养老服务中。
Objective To observe the influence of comprehensive syndrome differentiation nursing intervention based on traditional Chinese medicine on blood glucose control level and nursing satisfaction of elderly patients with type 2 diabetes mellitus.Methods A total of 120 elderly patients with type 2 diabetes mellitus were divided into exposure group and non-exposure group,with whether they received comprehensive syndrome differentiation nursing intervention of traditional Chinese medicine as exposure factors,with 60 cases in each group.Non-exposure group received conventional nursing,and exposure group received comprehensive syndrome differentiation nursing intervention of traditional Chinese medicine on the basis of conventional nursing.The blood glucose indexes before nursing,2 weeks after nursing and 2 weeks after discharge,and nursing satisfaction 2 weeks after nursing were compared between the two groups.Results Before nursing,there was no statistically significant difference in fasting blood glucose,2 h postprandial blood glucose level between the two groups(P>0.05).2 weeks after nursing and 2 weeks after discharge,the levels of 2 h postprandial blood glucose were(9.21±1.54)and(10.00±1.88)mmol/L,which were all lower than those of non-exposure group(11.7±2.47)and(13.38±2.06)mmol/L,and the difference was statistically significant(P<0.05).2 weeks after nursing and 2 weeks after discharge,the levels of fasting blood glucose and 2 h postprandial blood glucose of exposure group were lower than those before nursing,and the difference was statistically significant(P<0.05).2 weeks after nursing,the nursing satisfaction score(8.56±1.09)points of exposure group was higher than that of non-exposure group(7.34±1.21)points,and the difference was statistically significant(P<0.05).Conclusion Comprehensive syndrome differentiation nursing intervention of traditional Chinese medicine can improve the blood glucose level of elderly patients with type 2 diabetes mellitus,which was worthy of early application in grassroots welfare.
作者
高旻
胡可馨
崔述生
刘殿龙
刘铁钢
GAO Min;HU Ke-xin;CUI Shu-sheng(Beijing First Social Welfare Institute,Beijing 100029,China)
出处
《中国实用医药》
2020年第17期150-153,共4页
China Practical Medicine
基金
北京市科技新星项目(项目编号:Z181100006218083)
国家自然科学基金项目(项目编号:81973724)。
关键词
中医学综合辨证护理
2型糖尿病
老年
血糖控制水平
护理满意度
Comprehensive syndrome differentiation nursing intervention of traditional Chinese medicine
Type 2 diabetes mellitus
Elderly
Blood glucose control level
Nursing satisfaction
