热敷联合眼周穴位按摩对早期糖尿病视网膜病变护理效果观察

发布时间：2018-03-18 07:39

本文选题：热敷法　切入点：眼周穴位按摩　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:本研究以常规治疗及护理为基础进行临床对照试验,研究热敷法、眼周穴位按摩法及热敷法联合眼周穴位按摩法三种护理方法对早期糖尿病视网膜病变患者的治疗效果,以探索临床工作中针对早期视网膜病变患者的更为有效、科学的治疗和护理方法,延缓或阻止视网膜病变进展,提高患者生存质量。研究方法:选取2016年1月至2017年2月收入江苏省苏北人民医院内分泌科124例住院的视网膜早期病变患者,以入院顺序采用信封法将其分为四组:对照组(30例)、试验组1(30例)、试验组2(31例)、试验组3(33例)。对照组进行常规治疗和糖尿病健康教育,试验组1在对照组的基础之上予眼部热敷、试验组2予眼周穴位按摩、试验组3予眼部热敷联合眼周穴位按摩。选用眼科检查指标、全身指标及《视功能损害患者生存质量》量表等指标进行评价,所得数据用SPSS软件(16.0)进行统计与分析。研究结果:1.干预前四组患者的一般资料、眼部检查指标、全身指标及《视功能损害患者生存质量》量表评分比较无统计学差异(p0.05),具可比性;2.干预后四组患者在眼部检查、《视功能损害患者生存质量》量表评分比较有统计学差异(p0.05),在全身指标方面比较无统计学意义(p0.05);3.干预后3个月、6个月,试验组3在视力提高方面优于对照组、试验组1和试验组2,其中试验组2的治疗效果稍优于试验组1,差异有统计学意义(p0.05);4.干预后试验组3与试验组1、试验组3与试验组2患者的眼部检查、生存质量量表评分有统计学差异(p0.05)。研究结论:1.在常规治疗及护理的基础上,热敷法、眼周穴位按摩法及热敷联合眼周穴位按摩法对早期DR患者的护理均有效果;2.热敷联合眼周穴位按摩对早期DR患者的护理效果比单独进行热敷或者眼周穴位按摩更好,且能提高DR患者的临床有效率;3.热敷法、眼周穴位按摩法及热敷联合眼周穴位按摩法在改善患者全身指标方面无统计学意义。
[Abstract]:Objective: to study the method of hot compress on the basis of routine treatment and nursing. The therapeutic effect of three nursing methods on early diabetic retinopathy was explored in order to explore the more effective treatment for early retinopathy patients in clinical work by using three nursing methods: periocular acupoint massage and hot compress combined with periocular acupoint massage, in order to explore the therapeutic effect of these three nursing methods on patients with early diabetic retinopathy. Scientific treatment and nursing methods to delay or prevent the progression of retinopathy, Methods: from January 2016 to February 2017, 124 patients with early retinopathy admitted to the Department of Endocrinology, Subei people's Hospital of Jiangsu Province were selected. The patients were divided into four groups by envelope method: control group (n = 30), experimental group (n = 130), experimental group (n = 231) and control group (n = 33). Experimental group 1 was given eye hot compress on the basis of control group, test group 2 was given eye periocular acupoint massage, test group 3 was given eye hot compress combined with ocular periocular acupoint massage. The whole body index and quality of life of visual impairment patients were evaluated, and the data were analyzed by SPSS software (16.0). The results were as follows: 1. General data of the four groups of patients before intervention, ocular examination index, and so on. There was no statistical difference between the whole body index and the quality of life (QOL) score of the patients with visual function impairment (P 0.05). 2.After the intervention, the patients in the four groups were examined in the eye, and the scores of the quality of life of the patients with visual impairment were compared with those of the patients with visual impairment. There was no significant difference in systemic index between two groups (P 0.05). 3 months after intervention, 6 months after intervention, there was no significant difference in systemic indexes. The visual acuity of experimental group 3 was better than that of control group. The therapeutic effect of test group 2 was slightly better than that of test group 1, and the difference was statistically significant (p 0.05). After intervention, the eye examination of patients in test group 3 and trial group 1, test group 3 and test group 2 were performed. The quality of life scale score was significantly different (p 0.05). Conclusion: 1. On the basis of routine treatment and nursing, hot compress method, The methods of acupoint massage and hot compress combined with acupoint massage have good effect on the nursing of early Dr patients. 2. The nursing effect of hot compress combined with acupoint massage on early Dr patients is better than that of hot compress or periocular acupoint massage alone. And it can improve the clinical effective rate of Dr patients. There is no statistical significance in improving the whole body index of patients by hot compress method, periocular acupoint massage method and hot compress combined with periocular acupoint massage method.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.77

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