磁珠耳穴疗法联合常规医护措施对2型糖尿病患者生活质量的影响
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R587.1

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舟山医院院级科研项目(2019YB031)


Effect of Auricular Point Pressing with Magnetic Beads Therapy Combined with Routine Nursing Measures on Quality of Life in Patients with Type 2 Diabetes Mellitus
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    摘要:

    目的:观察磁珠耳穴疗法联合常规医护措施对 2 型糖尿病(T2DM)患者生活质量的影响。方法:将 120 例气阴两虚证 T2DM 患者随机分成观察组和对照组各 60 例。2 组均采用胰岛素或口服降糖药控制血糖;以辛伐他汀分散片、苯磺酸氨氯地平分散片控制血压和血脂,以阿司匹林肠溶片改善血液高凝状态,并给予健康教育、饮食指导和运动指导等综合护理干预措施。观察组加予磁珠耳穴疗法。2 组均连续治疗 3 个月。每个月监测空腹血糖(FBG)、糖化血红蛋白(HbA1c)水平,记录 2 组患者FBG、HbA1c 的达标情况,治疗前后评定中国糖尿病患者特异性生存质量量表 (DSQL) 评分,记录患者的遵医行为,评价护理满意度。结果:治疗 1 个月、2 个月,2 组 FBG 达标率比较,差异均无统计学意义(P>0.05);治疗 3 个月,观察组 FBG 达标率为 81.67%,高于对照组的 63.33%,差异有统计学意义(P<0.05)。治疗 1 个月,2 组 HbA1c 达标率比较,差异无统计学意义(P>0.05);治疗 2 个月,观察组 HbA1c 达标率 68.33%,高于对照组的 50.00%,差异有统计学意义(P<0.05);治疗 3 个月,观察组 HbA1c达标率 75.00%,高于对照组的 56.67%,差异有统计学意义 (P<0.05)。治疗后,2 组 DSQL 生理功能、心理/精神、社会关系、治疗 4 个维度的得分及总分与治疗前比较均下降(P<0.01),观察组各个维度的得分及总分均低于对照组(P<0.01)。观察组的遵医行为优于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:在西药治疗及常规护理的基础上加用磁珠耳穴疗法干预 T2DM 患者,可进一步提高 FBG、HbA1c 达标率,增强患者的遵医行为,改善其生活质量。

    Abstract:

    Abstract: Objective: To observe the effect of auricular point pressing with magnetic beads therapy combined with routine nursing measures on quality of life in patients with type 2 diabetes mellitus(T2DM). Methods:A total of 120 cases of T2DM patients with qi-yin deficiency syndrome were randomly divided into the observation group and the control group,60 cases in each group. Both groups were given insulin or the oral administration of hypoglycemic medicine for controlling blood glucose;simvastatin dispersible tablets and amlodipine besylate dispersible tablets for controlling blood pressure and blood lipid;aspirin enteric-coated tablets for improving hypercoagulabale state of blood. Besides,both groups were given health education,diet guidance,exercise instruction,and other comprehensive nursing intervention measures. The observation group was additionally given auricular point pressing with magnetic beads therapy. Both groups were continuously treated for three months. The levels of fasting blood glucose(FBG) and glycosylated hemoglobin A1c(HbA1c) were detected per month. The standard-reaching rate of FBG and HbA1c was recorded in the two groups. The score of Diabetes Specific Quality of Life Scale(DSQL) was evaluated before and after treatment. The compliance behavior was recorded. The nursing satisfaction was evaluated. Results:After one month and two months of treatment,there was no significance in differences being found in the comparison of the standard- reaching rate of FBG between the two groups(P>0.05). After three months of treatment, the standard- reaching rate of FBG was 81.67% in the observation group,higher than that of 63.33% in the control group, the difference being significant(P<0.05). After one month of treatment,there was no significance in the difference being found in the comparison of the standard- reaching rate of HbA1c between the two groups(P>0.05). After two months of treatment,the standard- reaching rate of HbA1c was 68.33% in the observation group,higher than that of 50.00% in the control group, the difference being significant(P<0.05). After three months of treatment, the standard- reaching rate of HbA1c was 75.00% in the observation group,higher than that of 56.67% in the control group,the difference being significant (P<0.05). After treatment, the DSQL scores of physiological function dimension, psychological or spiritual dimension, social relationship dimension,and treatment as well as the total score in the two groups were decreased when compared with those before treatment(P<0.01);the score of each dimension and the total score in the observation group were lower than those in the control group(P<0.01). The compliance behavior in the observation group was better than that in the control group, and the nursing satisfaction was higher than that in the control group, differences being significant(P<0.05). Conclusion: Based on western medicine and routine nursing, the additional intervention of auricular point pressing with magnetic beads therapy on T2DM patients,can further improve the standard-reaching rate of FBG and HbA1c,strengthen their compliance behavior,and improve their quality of life.

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傅燕辉,陈宜,夏惠芬,张丽萍.磁珠耳穴疗法联合常规医护措施对2型糖尿病患者生活质量的影响[J].新中医,2020,52(23):145-148

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  • 在线发布日期: 2020-12-09
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