本文選題：非增殖期糖尿病視網(wǎng)膜病變 + 中醫(yī)體質(zhì)　； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察基于中醫(yī)體質(zhì)的中醫(yī)藥健康管理干預(yù)陽虛質(zhì)非增殖期糖尿病視網(wǎng)膜病變患者的臨床療效。方法:采用便利抽樣法抽取2015年3月~2015年6月山東大學(xué)齊魯醫(yī)院就診符合研究標(biāo)準(zhǔn)的NPDR患者作為研究樣本源,于2015年7月~2015年12月對其中占比例最大的陽虛質(zhì)患者隨機(jī)分為對照組和試驗(yàn)組,對照組給予常規(guī)的護(hù)理干預(yù),試驗(yàn)組在常規(guī)護(hù)理干預(yù)的基礎(chǔ)上實(shí)施中醫(yī)藥健康管理干預(yù),在山東大學(xué)齊魯醫(yī)院眼科門診及患者所在社區(qū)進(jìn)行干預(yù)。于門診第一天(試驗(yàn)前觀察)、干預(yù)6個(gè)月后2時(shí)相點(diǎn),進(jìn)行對比。以SF-36量表評分、視力、餐后2h血糖作為觀察指標(biāo),對比兩種干預(yù)措施的效果。結(jié)果:(1)干預(yù)6個(gè)月后,試驗(yàn)組與對照組SF-36評分比較,試驗(yàn)組在總體健康、軀體疼痛、精力、社會功能、情感職能、心理健康六個(gè)維度的生存質(zhì)量得分比對照組增高(P0.05),在總體健康、精力維度的生存質(zhì)量得分比對照組顯著增高(P0.01),說明試驗(yàn)組在改善陽虛質(zhì)非增殖期糖尿病視網(wǎng)膜病變患者的總體健康、軀體疼痛、精力、社會功能、情感職能、心理健康這六個(gè)維度方面優(yōu)于對照組。(2)干預(yù)6個(gè)月后,對照組干預(yù)后與干預(yù)前相比,視力下降,差異有統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組的視力干預(yù)前與干預(yù)后相比差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組干預(yù)后相比差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(3)干預(yù)6個(gè)月后,兩組餐后2小時(shí)血糖比較具有統(tǒng)計(jì)學(xué)差異(P0.05),試驗(yàn)組在改善陽虛質(zhì)非增殖期糖尿病視網(wǎng)膜病變患者的餐后2小時(shí)血糖方面療效優(yōu)于對照組。結(jié)論:(1)本研究的干預(yù)方案風(fēng)險(xiǎn)低,副作用小,患者容易接受,存在可行性。(2)將中醫(yī)藥健康管理運(yùn)用到陽虛質(zhì)非增殖期糖尿病視網(wǎng)膜病變的護(hù)理中來,將有效的改善患者的生存質(zhì)量、視力及餐后2小時(shí)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.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R248.1

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