CAJ | 학술논문

目的：探讨影响糖尿病性膝关节炎患者疼痛的护理干预方法。方法选取来我院疗养的52例糖尿病性膝关节炎疼痛患者，随机分成两组，对照组26例采用常规药物治疗，实验组26例则在常规药物治疗的基础上给予健康教育、饮食护理、运动护理、心理护理、按摩、疼痛护理等干预方法，15 d后对比两组疗养员的疼痛程度、血糖控制水平。结果实验组疗养后疼痛程度降低明显优于对照组，差异具有统计学意义(P＜0.05)。且疗养后对照组与实验组空腹血糖、餐后2 h血糖平均值均下降，其中对照组疗养前后空腹血糖、餐后2 h血糖平均值无显著差异，但实验组疗养后空腹血糖、餐后2 h血糖平均值显著低于疗养前(P＜0.05)。结论护理干预能有效降低糖尿病性膝关节炎疼痛程度，其作用机制可能与降低患者血糖、改善胰岛素敏感性有关。
목적：탐토영향당뇨병성슬관절염환자동통적호리간예방법。방법선취래아원요양적52례당뇨병성슬관절염동통환자，수궤분성량조，대조조26례채용상규약물치료，실험조26례칙재상규약물치료적기출상급여건강교육、음식호리、운동호리、심리호리、안마、동통호리등간예방법，15 d후대비량조요양원적동통정도、혈당공제수평。결과실험조요양후동통정도강저명현우우대조조，차이구유통계학의의(P＜0.05)。차요양후대조조여실험조공복혈당、찬후2 h혈당평균치균하강，기중대조조요양전후공복혈당、찬후2 h혈당평균치무현저차이，단실험조요양후공복혈당、찬후2 h혈당평균치현저저우요양전(P＜0.05)。결론호리간예능유효강저당뇨병성슬관절염동통정도，기작용궤제가능여강저환자혈당、개선이도소민감성유관。
Objective To investigate the nursing intervention m ethods that influence the pain in diabetic gonitis sufferers.Methods 52 diabetic gonitis sufferers adm itted to our sanatorium for convalescence w ere selected and random ly divided into tw o groups.26 cases in the control group w ere given conventional drug treatm ent,w hile 26 cases in the experim ental group ,on the basis of the conventional drug treat-m ent,w ere given intervention techniques such as health education,diet nursing,exercise nursing,psychological nursing,m assage,and pain nursing.After 15 days of convalescence,the pain level and blood glucose control level of the tw o groups w ere com pared.Results After convalescence,the pain degree decrease in the experim ental group w as superior to the control group w ith differences of statistical signifi-cance(P<0.05).After convalescence,the fasting blood glucose and blood glucose of postprandial 2 hours in the control group and the ex-perim ental group declined ,am ong w hich the fasting blood glucose and blood glucose of postprandial 2 hours in the control group show ed no clear difference before and after convalescence,w hile the fasting blood glucose and blood glucose of postprandial 2 hours in the experi-m ental group after convalescence w ere clearly low er than those before convalescence(P<0.05).Conclusion N ursing intervention can effec-tively reduce the pain degree of diabetic gonitis,and its m echanism of action m ay be related to blood glucose reduction and insulin resis-tance im provem ent.