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中医护理技术在2型糖尿病失眠患者中的应用范围综述

A Scoping Review of the Application of Traditional Chinese Medicine Nursing Techniques in Patients with Type 2 Diabetes Mellitus and Insomnia

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【作者】 韦曼; 傅桂芬; 张艳萍; 黄叶兰; 应瞾迪; 代珂珂; 窦翠翠;

【Author】 WEI Man;FU Guifen;ZHANG Yanping;HUANG Yelan;YING Zhaodi;DAI Keke;DOU Cuicui;School of Nursing, Guangxi University of Chinese Medicine;Guangxi Zhuang Autonomous Region People′s Hospital/Guangxi Academy of Medical Sciences;School of Nursing, Youjiang Medical University for Nationalities;

【通讯作者】 傅桂芬;

【机构】 广西中医药大学护理学院; 广西壮族自治区人民医院/广西医学科学院; 右江民族医学院护理学院;

【摘要】 目的:对中医护理技术在2型糖尿病(T2DM)失眠患者中的应用研究开展范围综述,明确其干预类型、干预内容、结局指标等,为改善T2DM失眠患者的睡眠质量提供参考。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、PubMed、Web of Science、Medline等数据库,检索时限为建库至2025年4月1日,并对纳入文献进行分析。结果:共纳入41篇文献。干预内容主要涵盖耳穴压豆、中药沐足、足底按摩、情志护理、穴位贴敷等。中医护理技术包含单一使用和联合使用2种方式。结局指标主要有:空腹血糖、餐后2 h血糖、糖化血红蛋白、睡眠质量(PSQI)、生命质量(QOL)、治疗效果等。结论:中医护理技术用于治疗T2DM失眠患者的内容及种类丰富多样,在改善T2DM失眠患者的睡眠质量、失眠症状以及血糖水平方面效果显著。然而,其内容要素与结局指标差异较大,存在一定局限性。今后应深入开展相关研究,推动出台有关中医护理技术的权威性指南。

【Abstract】 Objective:To conduct a scoping review of studies on the application of Traditional Chinese Medicine(TCM) nursing techniques in patients with type 2 diabetes mellitus(T2DM) and insomnia, identifying types of interventions, intervention contents, and outcome indicators, so as to provide a reference for improving sleep quality in this patient population.Methods:Relevant studies were retrieved from CNKI,CBM,Wanfang, VIP,PubMed, Web of Science, and Medline databases from inception to April 1,2025.Eligible studies were analyzed and summarized.Results:A total of 41 studies were included.The intervention contents mainly involved auricular acupressure, Chinese herbal foot bathing, foot massage, emotional nursing, and acupoint application.TCM nursing interventions were applied either alone or in combination.Outcome indicators primarily included fasting blood glucose, 2-hour postprandial blood glucose, glycated hemoglobin, sleep quality(PSQI),quality of life(QOL),and overall treatment efficacy.Conclusion:TCM nursing techniques for patients with T2DM and insomnia are diverse and rich in content, showing significant effects in improving sleep quality, alleviating insomnia symptoms, and regulating blood glucose levels.However, heterogeneity in intervention components and outcome measures limits the consistency of results.Future research should focus on standardized intervention protocols and the development of authoritative clinical guidelines for TCM nursing practice.

【基金】 广西壮族自治区重点研发计划项目(桂科AB21220025)
  • 【文献出处】 世界睡眠医学杂志 ,World Journal of Sleep Medicine , 编辑部邮箱 ,2025年09期
  • 【分类号】R248.1
  • 【下载频次】89
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