中医护理对社区糖尿病患者干预的效果研究

目的探索在社区糖尿病患者中进行中医护理干预的意义，以提高此类患者的生命质量。方法对某社区已明确诊断的非住院的糖尿病患者216例，采用配对设计分为实验组及对照组各108例，实验组除给予药物治疗及健康教育外，还接受中医护理干预等措施，对照组单纯给予医院医嘱药物治疗，随访比较2组患者在干预后第6，12，18，24个月后的体重指数、生化指标及遵医率，以及各项指标随时问变化的关系。结果经2年随访后，2组体重指数、血糖及HbAlc均有下降，且实验组较对照组显著降低；2组患者自我遵医率均明显提高；患者血压改变不明显，2组比较无显著差异。结论长期坚持实施社区中医护理对糖尿病患者有明显效果，值得社区推广使用。

Research in effect of Chinese medicine nursing intervention on community diabetes patients

Objective To investigate the significance of Chinese medicine nursing intervention on community diabetes patients in order to improve their quality of life. Methods 216 non- hospitalized community diabetic patients with clear diagnosis were divided into the experimental group and the control group with 108 eases in each group. The experimental group was given medieation treatment and health education as well as Chinese medicine intervention, the control group was only given medication treatment according to doctors＇ advice, the body weight index, biochemical index, medical compliance rate and their changes with time were compared after 6,12,18,24 months of follow-up. Results after two-year followup, the body mass index, blood glucose and HbAle of both groups declined, the experimental group was lower than the control group, patients compliance of both groups increased, blood pressure change of both groups was not obvious, the difference was not significant. Conclusions Long-term implementation of Chinese medicine nursing on diabetes patients have significant effect, which is worthy of wide application in the community.