Influence of traditional Chinese medicine on quality of life of elderly patients with diabetes
中医辨体调质护理对老年糖尿病患者生存质量的影响

摘要

目的 探讨老年糖尿病中医辨体调质护理对患者生存质量的影响。方法 研究以本院老年糖尿病患者作为研究样本，样本量筛选100例，收集时间点：2022年7月-2024年7月，按照护理方法将患者划分两组，常态化护理组50例，接受常态化护理，中医辨体调质组50例，接受中医辨体调质护理。统计分析两组体重指数、血糖水平、血糖波动情况、胰岛功能、生存质量、临床疗效、不良反应发生率、并发症发生率、护理满意度。结果 中医辨体调质组血糖水平、SDBG、MODD、NGE、MAGE、FINS水平、HOMA-IR、空腹C肽水平、不良反应发生率、并发症发生率均低于常态化护理组（P<0.05），餐后2 h C肽水平、遵医意识、自护能力、饮食控制、运动与沟通评分、总有效率、护理满意度均高于常态化护理组（P<0.05）。结论 老年糖尿病中医辨体调质护理较常态化护理更能将患者生存质量提升。

Abstract

Objective To explore the influence of traditional Chinese medicine (TCM) body differentiation and conditioning nursing on the quality of life of elderly diabetes patients.
Methods 100 cases of elderly diabetic patients in our hospital were selected as research samples, and the collection time was from July 2022 to July 2024. The patients were divided into two groups according to nursing methods: 50 cases in the normal nursing group, receiving normal nursing care, and 50 cases in the traditional Chinese medicine body adjustment and conditioning group, receiving traditional Chinese medicine body adjustment and conditioning care. Body mass index, blood glucose level, blood glucose fluctuation, islet function, quality of life, clinical efficacy, incidence of adverse reactions, incidence of complications and nursing satisfaction of the two groups were statistically analyzed.
Results Blood glucose level, SDBG, MODD, NGE, MAGE, FINS level, HOMA-IR, fasting C-peptide level, incidence of adverse reactions and incidence of complications in TCM body differentiation and conditioning group were lower than those in normal nursing group (P<0.05). 2 h postprandial C-peptide level, compliance awareness, self-care ability, diet control, exercise and communication scores, total effective rate and nursing satisfaction were higher than those of normal nursing group (P<0.05).
Conclusion   Compared with normal nursing, traditional Chinese medicine can improve the quality of life of patients with senile diabetes.