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IMB模型在社区2型糖尿病中医虚性体质患者健康教育中的应用

Application of IMB model in community health education of type 2 diabetic patients with TCM deficiency constitution

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【作者】 周典李明辉李敏胡凡王宾刘晰娟施榕

【Author】 ZHOU Dian;LI Ming-hui;LI Min;HU Fan;WANG Bin;LIU Xi-juan;SHI Rong;School of Public Health, Shanghai University of Traditional Chinese Medicine;Sports Department,Shanghai University of Traditional Chinese Medicine;

【通讯作者】 施榕;

【机构】 上海中医药大学公共健康学院上海中医药大学体育部

【摘要】 目的:探讨运用中医理论和方法的IMB模型在社区2型糖尿病健康教育中的应用。方法:将97例中医虚性体质2型糖尿病患者随机分为干预组(48例)和对照组(49例)。干预组接受为期6个月的IMB模型健康教育,包括虚性体质与糖尿病关系的知识讲座、健身功法八段锦的讲授与练习;对照组接受糖尿病知识讲座。干预前后对患者IMB模型指标、空腹血糖、糖化血红蛋白以及中医症候特征等指标进行比较。结果:干预后,干预组患者糖尿病相关知识得分、运动时间和规律性均高于对照组(P<0.05),空腹血糖和甘油三酯低于对照组(P<0.05),皮肤干燥、视物模糊等中医症候改善优于对照组。结论:应用中医理论和运动方法设计的IMB模型能促进2型糖尿病患者健康行为习惯的养成,有利于患者控制血糖。

【Abstract】 Objective: To explore the application effect of IMB model designed with TCM theory and method in community patients with type 2 diabetes. Methods: Ninety-seven patients with type 2 diabetes who were deficiency constitution were divided into intervention group(48 cases) and control group(49 cases) by random allocation. The patients of the intervention group received the health education designed with IMB model for 6 months, including lectures of deficiency constitution and diabetes knowledge, lectures and practices of Baduanjin exercise; the patients of the control group received lectures of diabetes knowledge. Before and after intervention, the patients were compared with IMB model indicators, glycated hemoglobin, fasting blood glucose and syndrome of TCM. Results: The mean score of diabetes-related knowledge, exercise time and exercise regularity in the intervention group was higher than those in the control group(P<0.05). Fasting blood glucose of intervention group was lower than that of the control group(P<0.05). Syndromes of TCM of patients in the intervention group, such as dry skin, blurred vision and so on, were superior to those of the control group. Conclusion: The IMB model designed with TCM theory and method of exercise can promote the development of healthy behavior habits of type 2 diabetic patients, and help them to control their blood glucose.

【基金】 上海市卫健委科研项目(面上项目)(No.201640113)~~
  • 【文献出处】 中华中医药杂志 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,2020年08期
  • 【分类号】R259
  • 【被引频次】8
  • 【下载频次】354
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