Meta Analysis Of The Influence Of The Eight Brocade On The Mental Health Of Diabetic Patients

Objective:According to literature analysis conducted on the clinical research on the influence of the eight trigrams boxing fitness exercise on type 2 diabetes patients promoted by the State Sports General Administration,finding the effective evidence of eight trigrams boxing for the improvement of the mental health status of type 2 diabetes patients,p-roviding scientific basis for the clinical promotion and application of eight trigrams b-oxing and further promoting the internationalization process of traditional culture "qig-ong".Methods:The keywords were searched mainly in the following database:Web of Science datab-ase;Chinese biomedical database(CBMdisc);Cochrane Library database;Tsinghua To-ngfang China National Knowledge Infrastructure database(CNKI);Pubmed database;Wanfang data knowledge service platform(WanFang)EMbase database;Guideline dat-abase,collecting the randomized controlled clinical trials of the impact of eight trigra-ms boxing on the mental health of patients with type 2 diabetes from the library sin-ce establishment of the library to 2017 about the domestic and foreign published data,while searching for references related to the literature.Two researchers independently assessed the literature according to the Cochrane Collaboration's risk assessment met-hod for bias and independent review of the literature was performed.Based on the to pics,abstracts,and keywords,the unqualified literature and republished literature were exclu-ded for initial screening.After that,it has a further reading of the full text and exclude the references that don not meet the inclusion criteria.Standard literature.If there are disagreements between the two researchers during the evaluation process,the third person will be negotiated and resolved.The analyzed data was processed using RevMan 5.3,and heterogeneity test and publication bias detection were performed.Th-e final result was represented by a forest map.Research results:A total of 421 relevant articles were obtained from the database.Through screening,a total of 9 articles and 730 subjects were included.Among them,336 were test subj-ects and 394 were control group,from 30 to 80 years old.Through methodological q-uality assessment,one blinded method was used in the blinded method;in the random allocation,three papers used by the random number table method,two papers used by the sealed envelope method,and the remaining three papers did not specify using the random method or blind method.Of the nine articles,six were rated as B and th-ree were rated as C rank.There was a risk of bias and the reliability of the meta-an-alysis was not high.The meta-analysis of the included studies showed that after the practice of eight trigrams boxing,depression symptoms were improved after exercise[MD=-8.10,95%CI(-10.40,-5.81),P<0.00001],and the anxiety symptoms were im-proved[MD=-10.16,95%Cl(-13.15,-7.16),P<0.00001].The SCL score was reduced[MD=-25.18,95%CI(-32.72,-17.63),P<0.00001],The quality of life was improved,and the score of the Diabetes Quality of Life Scale decreased,including a decrease in the physical dimension score[MD=-6.24,95%CI(-9.36,-3.12),P<0.00001],and d-ecreased mental dimension scores[MD=-1.43,95%CI(-1.51,-1.35),P<0.00001],de-creasing in social relationship dimension score[MD=-3.33,95%CI(-6.24,-0.42),P<0.00001],decreasing in treatment dimension score[MD=-0.81,95%CI(-1.26,-0.35),P<0.00001],anxiety,depression and symptom self-rating scales were all different.Conclusion:According to the principles of evidence-based medicine,using meta analysis,according to the requirements of the Cochron systematic review,it was suggested that eight tri-grams boxing has a positive effect on the mental health status of patients with type 2 diabetes.The patient's depression,anxiety,and quality of life are all improved.Stick-ing to practicing eight trigrams boxing for more than 2 months can play a positive role in the patient's mental state.However,the quality of the literature included in th-is study was not high,and it was biased,which led to a decrease in the credibility of the research results.It is expected that more and more basic research with depth would emerge and provide reliable data for clinical practice.