首页|"三因制宜"中医护理对痛性糖尿病周围神经病变疼痛的缓解作用

"三因制宜"中医护理对痛性糖尿病周围神经病变疼痛的缓解作用

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目的:分析"三因制宜"中医护理对痛性糖尿病周围神经病变(PDPN)患者疼痛的缓解作用.方法:采用前瞻性研究,选取 2023 年 1 月—2024 年 4 月南昌大学第二附属医院收治的PDPN患者 146 例,随机分为参照组和研究组各 73 例.参照组给予常规护理,研究组在参照组基础上给予"三因制宜"中医护理.比较两组干预前后总疼痛缓解率、血糖指标[空腹血糖(FPG)、餐后 2 h血糖(PBG)、糖化血红蛋白(HbA1c)]、负性情绪指标[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、疼痛程度[糖尿病周围神经病变简明疼痛量表(BPI-DPN)评分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]及护理满意度.结果:研究组总疼痛缓解率为 91.78%(67/73),高于参照组的 73.97%(54/73,P<0.05).护理后,研究组FPG、PBG、HbA1c水平均低于参照组(均P<0.05);研究组SAS评分、SDS评分、BPI-DPN评分、PSQI评分均低于参照组(均P<0.05);研究组护理满意度 93.15%(68/73),高于参照组的 80.82%(59/73,P<0.05).结论:"三因制宜"中医护理干预PDPN,可有效缓解患者疼痛,降低血糖水平,改善焦虑抑郁等负性情绪,提高患者睡眠质量及护理满意度.
The role of"three tailored measures"TCM nursing in pain relief in patients with painful diabetic peripheral neuropathy
Objective:To analyze the role of"three tailored measures"traditional Chinese medicine(TCM)nursing in pain relief in patients with painful diabetic peripheral neuropathy(PDPN).Methods:Using the prospective study method,146 PDPN patients admitted to the Second Affiliated Hospital of Nanchang University from January 2023 to April 2024 were selected and divided into the reference group and study group with 73 cases each.The reference group was given routine nursing,and the study group was given"three tailored measures"TCM nursing based on the reference group.Total pain relief rate,blood glucose index[fasting blood glucose(FPG),2 h postprandial blood glucose(PBG),Hemoglobin A1c(HbA1c)],negative mood index[self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score],pain degree[brief pain inventory for diabetic peripheral neuropathy(BPI-DPN)score],sleep quality[Pittsburgh sleep quality index(PSQI)score]and nursing satisfaction were compared before and after intervention.Results:The overall pain relief rate in the study group was 91.78%(67/73),which was higher than 73.97%(54/73)in the reference group(P<0.05).After nursing,the FPG,PBG and HbA1c levels in the study group were lower than those in the reference group(all P<0.05);the SAS scores,SDS,BPI-DPN,and PSQI scores in the study group were lower than those in the reference group(all P<0.05);the nursing satisfaction of patients in the study group was 93.15%(68/73),which was higher than 80.82%(59/73)in the reference group(P<0.05).Conclusion:"Three tailored measures"TCM nursing that intervenes PDPN can effectively relieve pain,reduce blood sugar level,improve negative emotions such as anxiety and depression,and improve the sleep quality and nursing satisfaction of the patients.

painful diabetic peripheral neuropathythree tailored measurestraditional Chinese medicine nursingpainrelief

朱青、彭珍珍、王薇、田佩珊

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南昌大学第二附属医院内分泌代谢科,南昌 330000

痛性糖尿病周围神经病变 三因制宜 中医护理 疼痛 缓解

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(18)
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