| The method of this study are based on quasi-experimental research method, Author want to explore the effectiveness of the Bladder Meridian of Foot-Taiyang acupuncture points massage on back to the Diabetes,the concentration of insulin resistance(OGTT),OGTT at each time point the concentration of glucose,OGTT curve of insulin area under,OGTT glucose area under the curve,blood sugar control(fasting blood glucose,glycosylated hemoglobin),serum lipids(total cholesterol,triglycerides,low density lipoprotein,high density lipoprotein) and other physiological indicators, and the quality of life of patients the effectiveness of the improvement. Specific objectives are:(1) to discuss the impact of the Bladder Meridian of Foot-Taiyang acupuncture points massage on back to physiological indicators in 12 weeks.(2) to discuss the impact of the Bladder Meridian of Foot-Taiyang acupuncture points massage on back to quality of life in 12 weeks.(3) by the time increased,to discuss the change of the Bladder Meridian of Foot-Taiyang acupuncture points massage on back to physiological indicators.(4) by the time increased,to discuss the change of the Bladder Meridian of Foot-Taiyang acupuncture points massage on back to quality of life.By the above study, the establishment of adequate the Bladder Meridian of Foot-Taiyang acupuncture points massage on back in physiology of diabetes quality of life indicators and empirical research related information.Research object of this study in Taiwan tothe northern part of the diabetic patient in a hospital suffering from an object to study.In this study,the method is purposive sampling.Their inclusion criteria are(1) diagnosis of diabetes;(2) age between 20 to 60 years old;(3) a clear sense,ignoring the hearing-impaired,and can use Chinese,Taiwaness to communicate;(4) is currently in stable condition,glucose in the 90-250 mg / dL between,and the use of oral hypoglycemic control of medicine;(5) no serious impact on physical function of a major disease,stroke,such as Parkinson's;non-diabetic nephropathy,heart rate is not the whole,heart failure,emphysema,and other hyper parathyroid disease,and blood pressure less than 200/110 mmHg (systolic blood pressure less than before exercise 160/100mmHg);(6),giving the purpose of the study and agreed to participate in the research.Rubbing to refer to the way the implementation of pressure,force case you can feel pain in the back,repeatedly Rubbing top-down,each time for 30 minutes massage, three times a week(Mon,Wed,Fri or Tue,Thr,Sat),12 weeks continuous; operation time for lunch after the 1 ~ 2 hours before the massage on the blood glucose test cases.This study used interviews and structured questionnaire and blood tests to collect information,physiological information,including:OGTT at each time point of blood glucose and insulin concentration,glycated hemoglobin, cholesterol,triglycerides,low density lipoprotein,high density lipoprotein and so on.Questionnaire containing two parts,(1) personal attributes questionnaire;(2) SF-36 quality of life scale.Collected information, including pre-test(Meridian massage before),post-test 1(Meridian massage around).Post-test 2(8 weeks after Meridian Massage),and post-test 3(after 12 weeks Meridian Massage) The experimental values are consistent with the questionnaire,prior to decoding and software-page Excel file materials after the production of Sigmapiot/2001 charts,and SPSS 11.0/Win98 and statistical software package SAS Y8.2/Win98 description and inference analysis.Data analysis mainly frequency,percentage,mean,standard deviation and treatment of longitudinal data of the general linear model of the generalized estimating equation(GEE) approach to analyze the data.Actual participation in and completion of acupoint massage for 33 patients, of whom 17 were male(51.5%),16 were women(48.5%),the average age of 49.6 (SE = 4.03) years old.Massage on patients in the acupuncture points of the effectiveness of physiological indicators:(1) Acupoint massage of insulin resistance on the effectiveness of:Although there is no difference in the statistical test,but can see that the average insulin AUC after acupoint massage in an average reduction of 244.2 to 496.4 min.μU /mL.When acupuncture points massage for the continuous variables of time,when the fasting insulin as an example,the results showed that each additional four weeks of massage,patients with insulin may be reduced by about an average of 1.49μU / mL;OGTT insulin after 120 minutes of massage for each additional four weeks with an average of can be reduced by about 1.15μU/mL.(2) Acupoint Massage on the effectiveness of blood sugar control:Acupoint massage after an average reduction of around 0.26,but less than significant level(p = 0.1812) acupoint massage eight weeks after the average reduction of 0.83(p <.05), continued to point massage to 12 weeks later,HgbAlc average reduction of 0.87 (p <.01).Acupoint Massage When time is continuous variable,the second type of glycosylated hemoglobin in diabetic patients has gradually decreased(p <.001) the results can be observed that each additional point massage around the patient to reduce the estimated average of 0.32,In addition,as time changes acupoint massage,and "treatment(THERAPY)" no interaction.(3) acupoint massage on the effectiveness of serum lipids:TG only in the acupoint massage after 12 weeks there was a significant reduction(p <.0001),acupoint massage TG after 8 weeks also decreased,but only a marginal significance level (p = 0.056),other serum lipids,such as TC,LDL,although the massage points lower on average,did not reach statistical significance.Acupoint Massage When time is continuous variable,the four points for each additional massage, triglycerides,there have been a decreasing trend(p =.0005),In addition, although the time point massage with the increase in total cholesterol and low density lipoprotein protein are reduced,but did not reach significant significance.Massage on patients in the acupuncture points of the effectiveness of the quality of life:(1) the time when the acupoint massage variables for categories:analysis of point massage on the quality of life of patients with diabetes indicators,including:PF,RP,BP,GH,VT,SF,RE test scores and the MH point massage of the eight sub-scale scores of the improved results showed that because of all the eight point massage and a significant improvement.(2) When the time for acupoint massage variables:Analysis of "massage time points(TIME)" eight times on the quality of life dimensions, including:PF,RP,BP,GH,VT,SF,RE and MH scores,found the scoring eight points as the massage can be when asked to upgrade gradually increase(p <.05). "As a result of physical role limitations(RP)" of the improvements,found: Acupoint massage time(TIME) "and" treatment(THERAPY) "There was a significant interaction of significance,that is,with the increase in the time point massage no imminent improvement in patients taking the drug than in patients with average to low.In the "lead role due to emotional problems restricted(RE)" to improve on and found that "massage time points(TIME)" and "gender(SEX)" there is interaction,which refers to the time point massage with the continuation of female patients in the RE The average improvement rate than men.Conclusion:in the control of the basic demographic information such as possible interference factors,the diabetic patients 12 weeks after the physiological indicators point massage and more massage and acupuncture points were significantly different before,including the nature of insulin resistance(area under the curve of blood glucose,fasting plasma glucose, OGTT of 60,90,120 minutes of OGTT plasma glucose concentration and insulin concentration 120 minutes),blood sugar control(HgbAlc,FBG),serum lipids have significantly improved,but the area under the curve of insulin,fasting insulin concentrations,OGTT 30,60,90 minutes of insulin,total cholesterol, low-density lipoprotein,and high-density lipoprotein and so on,although it improvement but not showing significant.Control of the basic demographic information such as the interference factor may be after 12 weeks in diabetic patients before and after massage of acupuncture points showed significant differences in quality of life, bodily pain(BP),physical health component(PCS),physical function(PF), by physical lead to restrictions on the issue of the role(RP),bodily pain (BP),the overall state of health(GH),vitality(VT),social functioning(SF). due to emotional problems led to the role of restricted(RE),and mental health (MH),etc.ten times with the dimensions of mental health component(MCS)all show significant improvement.In the control of the basic demographic information such as possible interference factor,as the time point massage of the increase in diabetes in addition to the physiological indicators of the area under the curve of insulin,OGTT at each time point of insulin concentrations,OGTT of 30-minute blood glucose concentration,total cholesterol,low-density lipoprotein,and high-density lipoprotein,the trends have gradually improved and reached significant.In the control of the basic demographic information such as possible interference factor,as the time point massage increases,the quality of life of diabetic patients in the bodily pain(BP),physical health component(PCS), physical function(PF),due to physical problems lead role limitations(RP), bodily pain(BP),the overall state of health(GH),vitality(VT),social functioning(SF),due to emotional problems led to the role of restrictions (J),and mental health(MH),etc.sub-dimensions and mental health component (MCS) such as the acupuncture points can increase the massage time(around 8 weeks,12 weeks) and a trend of gradual improvement. |
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