摘要
目的探讨中药穴位贴敷联合心理护理干预对复发性流产(RSA)合并糖尿病患者血糖控制及焦虑情绪、生活质量的影响。方法选取该院2017年6月—2020年6月收治的90例RSA合并糖尿病患者纳入研究,按照患者的护理干预方式差异分为两组,各45例。两组均接受中药穴位贴敷治疗,对照组行常规护理干预,观察组在对照组基础上增加心理护理,比较各组患者的血糖控制、焦虑情绪变化、睡眠质量和生活质量变化。结果干预前两组患者空腹血糖、餐后2 h血糖对比差异无统计学意义(P>0.05);干预后,观察组空腹血糖、餐后2 h血糖降至(5.05±0.95)、(8.51±0.82)mmol/L,低于对照组的(5.95±1.13)、(9.01±1.28)mmol/L,差异有统计学意义(P<0.05)。干预前,两组患者SAS评分为(60.75±8.29)分、(61.49±8.94)分,对比差异无统计学意义(P>0.05);干预后,观察组SAS评分降至(49.49±5.19)分,低于对照组的(55.11±5.89)分,差异有统计学意义(P<0.001);且观察组难入睡、再入睡困难、早醒评分为(0.95±0.25)分、(0.87±0.21)分、(0.62±0.15)分,低于对照组的(1.19±0.31)分、(1.14±0.25)分、(0.81±0.19)分,差异有统计学意义(P<0.001)。干预前,两组患者DMQLS评分为(283.14±35.35)分、(290.67±36.74)分,对比差异无统计学意义(P>0.05);干预后,观察组DMQLS评分降至(158.39±18.69)分,低于对照组的(248.67±20.72)分,差异有统计学意义(P<0.001);同时,观察组满意度达93.33%,高于对照组的77.78%,差异有统计学意义(P<0.05)。结论中药穴位贴敷联合心理护理能促进RSA合并糖尿病患者血糖控制效果的提升,并改善患者的心理状态,提高睡眠质量和生活质量,提升护理满意度。
Objective To explore the effect of acupoint application of traditional Chinese medicine combined with psychological nursing intervention on blood glucose control,anxiety and quality of life in patients with recurrent miscarriage(RSA) combined with diabetes.Methods A total of 90 patients with RSA and diabetes who were admitted to the hospital from June 2017 to June 2020 were selected for inclusion in the study,and were divided into two groups according to the differences in the nursing intervention methods of the patients,with 45 cases in each group.Both groups received traditional Chinese medicine acupoint application treatment,the control group received routine nursing intervention,and the observation group added psychological care to the control group.The blood glucose control,changes in anxiety,sleep quality and quality of life of the patients in each group were compared.Results Before the intervention,there was no significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups of patients(P>0.05);after intervention,the fasting blood glucose and 2 h postprandial blood glucose of the observation group decreased to(5.05±0.95)mmol/L,(8.51±0.82)mmol/L,which was lower than(5.95±1.13)mmol/L and(9.01±1.28)mmol/L of the control group,the difference was statistically significant(P<0.05).Before the intervention,the SAS scores of the two groups of patients were(60.75±8.29)points and(61.49±8.94)points,and there was no statistically significant difference(P>0.05);after the intervention,the SAS score of the observation group dropped to(49.49±5.19)points,which was lower than the control group(55.11±5.89)points,the difference was statistically significant(P<0.001);and the observation group had difficulty falling asleep,falling asleep again,and early awakening scores of(0.95±0.25)points,(0.87±0.21)points,(0.62±0.15)points,lower than the control group(1.19±0.31)points,(1.14±0.25)points,(0.81±0.19)points,the difference was statistically significant(P<0.001).Before the inter
作者
张迪
姜丹
ZHANG Di;JIANG Dan(Department of Traditional Chinese Medicine,Hubei Maternal and Child Health Hospital,Wuhan,Hubei Province,430064China)
出处
《糖尿病新世界》
2021年第19期123-127,共5页
Diabetes New World Magazine
关键词
复发性流产
糖尿病
中药穴位贴敷
心理护理
干预效果
Recurrent miscarriage
Diabetes
Acupoint application of traditional Chinese medicine
Psychological care
Intervention effect
