中医药预防健康管理指导老年糖尿病健康管理的效果评价

Haibin Wu, Xiaorong Song, Bomin Cheng, Jiwei Lin, Zhuochao Liu, Dongcai Wang
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摘要

目的:评价和分析中医预防健康管理在指导老年糖尿病患者健康管理中的作用。方法:纳入我院2019年5月至2021年6月收治的120例老年糖尿病患者,采用双盲随机法将患者分为实验组和对照组两组(n = 60),对照组患者采用常规治疗方式进行糖尿病管理,在实验组患者的基础上对对照组患者进行“治而不病”健康管理理念指导,进行12个月后的健康管理;评估并比较两组患者血糖控制及自我管理行为的效果。结果:预后管理12例,实验组患者餐后2 h血糖和空腹血糖糖化血红蛋白均低于对照组,差异有统计学意义(P < 0.05),对照组餐后2 h血糖和空腹血糖糖化血红蛋白水平等与管理前比较无统计学差异(P > 0.05),实验组SDSCA量表评分增高,总评分增高。与对照组及治疗前比较,差异均有统计学意义(P < 0.05),对照组SDSCA评分无显著变化。结论:中医药预防性健康管理指导老年糖尿病患者的健康管理,可提高血糖控制效果和自我管理能力。
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Effect Evaluation of TCM Preventive Health Management Guiding the Health Management of Elderly Diabetes
Objective: To evaluate and analyze the effect of TCM preventive health management in guiding the health management of elderly diabetes mellitus. Methods: Included in our hospital in May 2019 to June 2021 treated 120 cases of elderly diabetes patients, double-blind randomized method is divided into the experimental group and control group in the two groups (n = 60) and control group patients with routine treatment for diabetes management, on the basis of the experimental group patients in the control group to carry out the cure not ill health management idea guidance, health management over 12 months later, the effect of blood glucose control and self-management behavior were evaluated and compared between the two groups. Results: Management 12 prognosis, the experimental group, 2 h postprandial blood glucose and fasting glucose in patients with glycosylated hemoglobin were lower than the control group, difference has statistical significance (P < 0.05), the control group, 2 h postprandial blood glucose and fasting glucose glycosylated hemoglobin levels compared with before the management such as no statistical difference (P > 0.05), the experimental group SDSCA scale increases, the total score. Compared with the control group and before management, the differences were statistically significant (P < 0.05), and the SDSCA score of the control group did not change significantly. Conclusion: TCM preventive health management guiding the health management of elderly patients with diabetes can improve the effect of blood glucose control and self-management ability.
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