2型糖尿病康复护理研究.docVIP

2型糖尿病康复护理研究 　　[摘要] 目的：探讨2型糖尿病患者的康复护理效果。方法：选取2009年11月~2010年12月我院住院治疗的2型糖尿病患者126例，将其随机分为常规组（63例）和康复组（63例）。常规组给予降糖药治疗并进行常规护理；康复组在常规护理的基础上进行康复护理措施。护理前后使用汉密顿抑郁量表（HAMD）和焦虑量表（HAMA）对两组进行评定，并比较两组患者空腹血糖（FBG）、餐后2 h血糖（PBG）及糖化血红蛋白（HbA1c）情况。结果：康复组护理后的HAMD和HAMA值明显低于护理前，护理前后相比差异有统计学意义（P0.05），且明显低于常规组，两组相比差异有统计学意义（P0.05）；护理后，康复组的FBG为（7.2±1.4） mmol/L、PBG为（8.2±1.6） mmol/L及HbA1c为（6.3±1.9）%，显著低于常规组的FBG（8.7±1.6） mmol/L、PBG（10.1±1.9） mmol/L及HbA1c为（8.5±1.5）%（P0.05）。结论：对2型糖尿病患者进行康复护理，能够显著改善患者的抑郁及焦虑等不良心理，有效缓解临床症状和控制血糖，是防止病情发展，促进康复，提高患者生活质量的重要措施。 　　[关键词] 2型糖尿病；康复护理；研究 　　[中图分类号] R587.1[文献标识码]A [文章编号]1673-7210（2011）04（a）-115-02 　　 　　Research on recovery and nursing of type 2 diabetes 　　WEI Qiong 　　TCM Hospital in Hechuan District of Chongqing City, Chongqing 401520, China 　　[Abstract] Objective: To investigate the effect on recovery and nursing of type 2 Diabetes. Methods: Our hospitals 126 patients with type 2 diabetes were randomly divided into normal group and rehabilitation group, 63 cases each group. Normal group was given Hypotensor and normal nursing, rehabilitation group was given rehabilitation nursing based on the normal nursing. Two groups were compared with HAMD and HAMA before and after nursing, FBG, PBG, HbA1c of tow groups were compared. Results: The score of HAMD and HAMA after nursing were significantly lower than the score before nursing, there were significant differences, and the score of HAMD and HAMA in rehabilitation group were significantly lower than those of normal group, there were significant differences in two groups after nursing . After nursing, FBG, PBG and HbA1c of the rehabilitation group were (7.2±1.4) mmol/L, (8.2±1.6) mmol/L, (6.3±1.9)%, those were lower than those of normal group (P0.05). Conclusion: Rehabilitation nursing can significantly improve the patients depression and anxiety and other adverse psychological, and effectively relieve symptoms and control of blood sugar in order to prevent the progression of the disease, and promote recovery a