正念训练联合空气波压力治疗对糖尿病周围神经病变病人痛苦体验的影响

於丽红; 邱静静; 李彩格; 葛艳红; 田晓晓; 王艺璇

doi:10.13898/j.cnki.issn.1000-2200.2020.12.031

正念训练联合空气波压力治疗对糖尿病周围神经病变病人痛苦体验的影响

Effect of mindfulness training combined with intermittent pneumatic compression on the painful experience and curative effect in patients with diabetic peripheral neuropathy

摘要

摘要:
目的探讨基于“元觉知”为基础的正念训练联合空气波压力治疗（IPC）对糖尿病周围神经病变（DPN）病人痛苦体验及疗效的影响。
方法将100例符合纳入标准的DPN病人按照随机数字表分为观察组（50例）和对照组（50例），2组均给予降糖、降压、降脂，营养神经，改善循环，IPC等措施及常规健康教育，观察组在此基础上采用基于“元觉知”为基础的正念训练联合IPC治疗，评价2组病人干预2周后的疗效及12周后心理痛苦评分。
结果干预前2组病人的一般资料、心理痛苦评分及相关指标比较，差异均无统计学意义（P>0.05）。观察组病人干预2周后的疗效和12周后痛苦评分的改善均优于对照组（P < 0.05）。
结论基于“元觉知”为基础的正念训练联合IPC可有效引导DPN病人进入正念训练，改变行为模式，提高DPN病人下肢神经传导速度，改善不适症状，减轻痛苦体验。

Abstract:
ObjectiveTo explore the effects of mindfulness training based on the "meta-awareness" combined with Intermittent pneumatic compression(IPC)on the painful experience and curative effect in patients with diabetic peripheral neuropathy(DPN).
MethodsOne hundred patients met with DPN criteria were divided into the observation group(50 cases)and control group(50 cases)according to random number table.Two groups were treated with glucose-lowering, pressure-lowering, neutritionalizing nerve, improving circulation, IPC and routine health education, and the observation group was additionally treated with mindfulness training based on the "meta-awareness" combined with IPC.The curative effects after 2 weeks of intervention, and psychological pain score after 12 weeks of intervention in two groups were evaluated.
ResultsThe differences of the general data, psychological pain score and related indicators between two groups before intervention were not statistically significant(P>0.05).The curative effects after 2 weeks of intervention, and psychological pain score improvement after 12 weeks of intervention between two groups were statistically significant(P < 0.05).
ConclusionsThe mindfulness training based on "meta-awareness" combined with IPC can effectively guide DPN patients to enter the mindfulness training, change the behavior pattern, improve the nerve conduction velocity of the lower extremity of DPN patients, improve the uncomfortable symptoms, and reduce the painful experience.

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