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自我穴位按摩对老年2型糖尿病患者血糖水平及生活质量的影响:一项随机对照试验

Effect of Self-Acupoint Massage on Blood Glucose Level and Quality of Life in Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial.

作者信息

Lyu Wei-Bo, Gao Yuan, Cheng Kang-Yao, Wu Rong, Zhou Wen-Qin

出版信息

J Gerontol Nurs. 2019 Aug 1;45(8):43-48. doi: 10.3928/00989134-20190709-05.

Abstract

The current study aimed to explore the effect of self-acupoint massage (SEAM) on blood glucose level and quality of life in community-dwelling older adults with type 2 diabetes mellitus (T2DM). Sixty-six older adults with T2DM were enrolled and randomly divided into observation and control groups. Participants in the control group received routine nursing interventions, whereas participants in the observation group received a SEAM intervention in addition to routine nursing interventions. After 12 weeks of SEAM, glycosylated hemoglobin (HbA1c) levels in the observation group decreased from 8.35% (SD = 1.84%) at baseline to 7.29% (SD = 1.38%) (p < 0.01). Total score of the Diabetes-Specific Quality of Life Scale (DSQLS) in the observation group improved from 45.96 (SD = 4.29) at baseline to 41.3 (SD = 3.89) (p < 0.01). The physiological dimension of the DSQLS in the observation group improved from 49.65 (SD = 7.33) at baseline to 38.54 (SD = 4.68) (p < 0.01). As SEAM effectively decreased older adults' HbA1c level and improved their quality of life, it can be used as a complementary approach to routine nursing interventions for community-dwelling older adults with T2DM. [Journal of Gerontological Nursing, 45(8), 43-48.].

摘要

本研究旨在探讨自我穴位按摩(SEAM)对社区居住的2型糖尿病(T2DM)老年患者血糖水平及生活质量的影响。66例T2DM老年患者被纳入研究并随机分为观察组和对照组。对照组患者接受常规护理干预,而观察组患者在常规护理干预基础上接受SEAM干预。经过12周的SEAM干预后,观察组糖化血红蛋白(HbA1c)水平从基线时的8.35%(标准差=1.84%)降至7.29%(标准差=1.38%)(p<0.01)。观察组糖尿病特异性生活质量量表(DSQLS)总分从基线时的45.96(标准差=4.29)提高至41.3(标准差=3.89)(p<0.01)。观察组DSQLS的生理维度从基线时的49.65(标准差=7.33)提高至38.54(标准差=4.68)(p<0.01)。由于SEAM能有效降低老年患者的HbA1c水平并改善其生活质量,因此可作为社区居住的T2DM老年患者常规护理干预的补充方法。[《老年护理杂志》,45(8),43 - 48。]

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