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目的通过对糖尿病患者负性情绪的研究,探索中医临床护理中治未病理论在糖尿病患者负性情绪护理中的应用效果。方法选择经亳州市人民医院内分泌科2016年1月1日—2016年12月31日临床检查确诊的90例糖尿病患者纳入临床研究,均给予常规治疗及护理,采用单盲、随机法将其分作2组,其中对照组45例予常规护理,而观察组45例于常规护理基础上采用中医治未病理论护理措施。对患者均进行6个月以上的随访,分析糖尿病负性情绪患者干预前及干预6个月时负性情绪变化及糖尿病酮症、低血糖、肾脏病变、眼底病变、神经病变等相关并发症发生情况。结果观察组糖尿病患者干预后并发症发生率(13.33%)较对照组(55.56%)显著降低(P<0.05)。观察组糖尿病患者干预后SAS评分[(41.36±3.34)分]、SDS评分[(40.56±4.43)分]均较干预前和对照组干预后显著减少(P<0.05)。结论糖尿病患者中采用“治病防变、癒后防复”治未病理论能够显著改善糖尿病患者负性情绪,且在降低糖尿病并发症方面有显著效果,提升护理满意度,极具临床应用价值。糖尿病患者负性情绪防治之路任重道远,需要全社会的觉醒认识和共同参与,中医治未病理论在此方面具有的重要实际价值有待进一步发掘探讨。
Objective To explore the negative effect of diabetes treatment in patients with diabetes mellitus and to explore the application of the theory of non-disease in clinical nursing in patients with negative emotion in patients with diabetes mellitus. Methods Ninety patients with diabetes diagnosed by Department of Endocrinology of People’s Hospital of Bozhou City from January 1, 2016 to December 31, 2016 were enrolled in the clinical study. All patients were given routine treatment and nursing. For 2 groups, 45 cases in the control group were given routine care, while 45 cases in the observation group were treated by traditional Chinese medicine on the basis of routine nursing. Patients were followed up for more than 6 months to analyze the negative emotion changes of diabetic patients with negative emotions before intervention and at 6 months of intervention and related complications such as diabetic ketosis, hypoglycemia, renal disease, retinopathy, neuropathy and so on Happening. Results The incidence of complications after treatment in diabetic group (13.33%) was significantly lower than that in control group (55.56%) (P <0.05). SAS score [(41.36 ± 3.34)] and SDS score [(40.56 ± 4.43) points] in observation group were significantly lower than those before intervention and control group after intervention (P <0.05). Conclusion The treatment of diabetes in patients with “anti-change prevention, healing after treatment,” the theory of the disease can significantly improve the negative emotions of diabetic patients, and in reducing the complications of diabetes have a significant effect to improve nursing satisfaction, very clinical Value. The road to negative emotions prevention and treatment of diabetic patients has a long way to go and needs the awakening awareness and participation of the whole society. The important practical value of TCM treatment of unhealthy diseases remains to be further explored and explored.