中医体质干预阳虚质非增殖期糖尿病视网膜病变患者的护理研究

发布时间：2018-05-14 16:31

本文选题：非增殖期糖尿病视网膜病变 + 中医体质　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:观察基于中医体质的中医药健康管理干预阳虚质非增殖期糖尿病视网膜病变患者的临床疗效。方法:采用便利抽样法抽取2015年3月~2015年6月山东大学齐鲁医院就诊符合研究标准的NPDR患者作为研究样本源,于2015年7月~2015年12月对其中占比例最大的阳虚质患者随机分为对照组和试验组,对照组给予常规的护理干预,试验组在常规护理干预的基础上实施中医药健康管理干预,在山东大学齐鲁医院眼科门诊及患者所在社区进行干预。于门诊第一天(试验前观察)、干预6个月后2时相点,进行对比。以SF-36量表评分、视力、餐后2h血糖作为观察指标,对比两种干预措施的效果。结果:(1)干预6个月后,试验组与对照组SF-36评分比较,试验组在总体健康、躯体疼痛、精力、社会功能、情感职能、心理健康六个维度的生存质量得分比对照组增高(P0.05),在总体健康、精力维度的生存质量得分比对照组显著增高(P0.01),说明试验组在改善阳虚质非增殖期糖尿病视网膜病变患者的总体健康、躯体疼痛、精力、社会功能、情感职能、心理健康这六个维度方面优于对照组。(2)干预6个月后,对照组干预后与干预前相比,视力下降,差异有统计学意义(P0.05);试验组的视力干预前与干预后相比差异无统计学意义(P0.05);两组干预后相比差异有统计学意义(P0.05)。(3)干预6个月后,两组餐后2小时血糖比较具有统计学差异(P0.05),试验组在改善阳虚质非增殖期糖尿病视网膜病变患者的餐后2小时血糖方面疗效优于对照组。结论:(1)本研究的干预方案风险低,副作用小,患者容易接受,存在可行性。(2)将中医药健康管理运用到阳虚质非增殖期糖尿病视网膜病变的护理中来,将有效的改善患者的生存质量、视力及餐后2小时血糖。
[Abstract]:Objective: to observe the clinical effect of traditional Chinese medicine (TCM) health management on nonproliferative diabetic retinopathy with yang deficiency. Methods: from March 2015 to June 2015, NPDR patients in Qilu Hospital of Shandong University were selected as the source of the study. From July 2015 to December 2015, the patients with yang deficiency were randomly divided into two groups: the control group and the experimental group. The control group was given routine nursing intervention, and the experimental group was given traditional Chinese medicine health management intervention on the basis of routine nursing intervention. To intervene in the Ophthalmology Clinic of Qilu Hospital of Shandong University and the patient's community. On the first day of outpatient treatment (observation before the trial, at 2: 00 after intervention for 6 months), the results were compared. SF-36 scale, visual acuity and 2 h postprandial blood sugar were used as observation indexes to compare the effect of two intervention measures. Results after 6 months of intervention, the SF-36 score of the trial group was compared with that of the control group. The overall health, physical pain, energy, social function and emotional function of the experimental group were compared. The scores of quality of life in the six dimensions of mental health were higher than those in the control group (P 0.05). The QOL score of energy dimension was significantly higher than that of the control group (P 0.01), which indicated that the experimental group could improve the overall health, body pain, energy, social function and emotional function of the patients with non-proliferative diabetic retinopathy due to Yang deficiency. The six dimensions of mental health were superior to those of the control group in terms of visual acuity after 6 months of intervention, and the visual acuity of the control group decreased after 6 months of intervention. The difference was statistically significant (P 0.05); there was no significant difference in visual acuity between the two groups before and after intervention; there was a significant difference between the two groups after intervention (P 0.05); after 6 months of intervention, there was a significant difference between the two groups. Two hours postprandial blood glucose was significantly different between the two groups (P 0.05). The experimental group was better than the control group in improving the blood glucose of 2 hours postprandial in patients with non-proliferative diabetic retinopathy due to Yang deficiency. Conclusion (1) the intervention plan in this study has the advantages of low risk, low side effects, easy acceptance by patients, and the feasibility of applying traditional Chinese medicine health management to the nursing care of non-proliferative diabetic retinopathy with Yang deficiency. Will effectively improve the patient's quality of life, vision and 2 hours postprandial blood sugar.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R248.1

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