摘要
目的 观察结构式教育配合开天门对社区2型糖尿病失眠症的疗效影响。方法 选取住院及门诊就诊的77例2型糖尿病失眠症患者,随机分为对照组与治疗组,向对照组发放糖尿病及失眠症的健康教育宣传资料,让其自学糖尿病及失眠症的知识,治疗组在此基础上实施结构式教育配合开天门手法,治疗前及治疗后1个月观察患者临床疗效及睡眠质量评分。结果 治疗后,治疗组总有效率92. 3%,对照组总有效率68. 4%,2组疗效经卡方检验,差异有显著性统计学意义,P <0. 05;治疗组的无效率明显低于对照组,差异有显著性统计学意义,P <0. 05。治疗前,2组患者睡眠质量在睡眠表浅、入睡困难、早醒、总分上比较,无明显差异(P> 0. 05)。与治疗前相比较,治疗后对照组在入睡困难、睡眠表浅、早醒、总分上均无明显差异,而治疗组在早醒与入睡困难、总分上均明显低于治疗前,差异有统计学意义(P <0. 05);在睡眠表浅上亦低于治疗前,但差异无统计学意义(P> 0. 05),结论 结构式教育配合开天门在一定程度上可改善2型糖尿病失眠症患者的临床疗效与睡眠质量。
Objective To observe the effect of structural education combined with massage on Cuanzhu(BL2)on community type 2 diabetic insomnia.Methods Choosing 78 cases of inpatient and outpatient of type 2 diabetes mellitus patients in community,they were randomly divided into control group and treatment group.The control group was given the control issue of diabetes and insomnia health education propaganda material,and they could teach themselves the knowledge of diabetes and insomnia.The treatment group was given massage on Cuanzhu(BL2)on the basis of the implementation of structured education.One month before and after the treatment,the clinical curative effect and sleep quality score were observed.Results After treatment,the total effective rate of the treatment group was 92.3%,and the total effective rate of the control group was 68.4%.The total effective rate of the two groups was tested by chi-square test,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in sleep quality between the two groups in terms of superficial sleep table,difficulty in falling asleep,early awakening and total score(P>0.05).After treatment,comparing with before treatment,the control group had no significant difference in difficulty in falling asleep,shallow sleep,early awakening,and total score,while the treatment group had significantly lower in early awakening,difficulty in falling asleep,and total score than before treatment,and the difference was statistically significant(P<0.05).The superficial sleep table was also lower than that before treatment,but the difference was not statistically significant(P>0.05).Conclusion Structural education combined with kaitianmen can improve the clinical effect and sleep quality of patients with type 2 diabetic insomnia to some extent.
作者
郑崇琦
黎丽娴
闫晓燕
赵辰丹
ZHENG Chongqi;LI Lixian;YAN Xiaoyan;ZHAO Chendan(Department of Traditional Chinese Medicine,Xiancun Street Community Health Service Center of Tianhe District,Guangdong Province,Guangzhou 510655,China;Department of Internal Medicine,Nansha District Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou 511426,China)
出处
《光明中医》
2019年第14期2258-2260,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
广州市天河区科技计划项目(No.201704KW017)
关键词
结构式教育
开天门
2型糖尿病
失眠症
structural education
massage on Cuanzhu(BL2)
type 2 diabetes
insomnia
