Study On The Influencing Factors And Baduanjin Intervention Of Diabetes Fatigue Symptom In Elderly Patients With Type 2 Diabetes Mellitus In The Community

Objective: To investigate the incidence of fatigue symptom in elderly patients with type 2 diabetes in the community and explore its influencing factors;To evaluate the intervention effect of Baduanjin in elderly patients with type 2 diabetes fatigue in the community.Methods: There were two phases in this study.In the first phase,A questionnaire consisted of the general data scale,the clinical data scale,the fatigue severity scale(FSS),the Short Physical Performance Battery(SPPB),the Pittsburgh sleep quality index(PSQI)and the Diabetes Distress Scale(DDS)were used.A convenient sampling method was used to investigate 275 elderly patients with type 2 diabetes in five jurisdictions of the community of the Nanmian Community Health Service Center in Nanning City,and analyze their fatigue symptom status and its influencing factors.In the second phase,patients in the first phase who met the inclusion and exclusion criteria in the intervention study and were willing to continue to participate in the second phase of the study were selected and divided into the intervention group(n=30)and the control group(n=30)according to the principle of random data table.The control group received walking training on the basis of conventional health education,and the intervention group received Baduanjin intervention on the basis of conventional health education,for a period of 3 months.After 1,2and 3 months intervention,the change of FSS score,BMI,hand grip strength,SPPB scores,DDS scores,PSQI scores,FBG,and 2h PBG were used to evaluate the effect of intervention.2.The SPSS22.0 software was used for data analysis.The statistical methods used included descriptive statistics,t-test,chi-square test,Fisher's exact probability test,Pearson correlation analysis,binary logistic regression analysis,repeated measurement analysis of variance,etc.The difference was statistically significant at P <0.05.Results:1.Among the 263 elderly patients with type 2 diabetes in the community,137 were screened for fatigue,and the incidence of fatigue symptom was 52.09%.2.Binary logistic regression analysis results showed that no exercise [OR = 3.490,95% CI(1.618 ~ 7.530),P <0.05],course of disease ? 20 years [OR = 5.072,95% CI(1.299 ~ 19.805),P <0.05 ],Use of ?2 drugs [OR = 7.044,95% CI(1.276 ~ 38.869),P <0.05],combined with ?3 complications [OR = 8.101,95% CI(1.301-50.438),P <0.05] Poor sleep quality [OR = 1.253,95% CI(1.150 ~ 1.365),P <0.05] and diabetes distress [OR = 1.820,95% CI(1.283 ~ 2.581),P <0.05] were risk factors of fatigue symptom in the elderly patients with type 2 diabetes in the community.3.The results of repeated measures anova showed that the FSS scores,PSQI scores,DDS scores,BMI,FBG and 2h PBG of the two groups all showed a decreasing trend with the change of time(P < 0.05),while the hand grip strength and SPPB scores showed an increasing trend with the change of time(P < 0.05).After 1 month of intervention,PSQI scores,DDS scores and FBG of patients in the intervention group were significantly lower than those in the control group,with statistically significant differences(P<0.05).After 2 months of intervention,FSS scores,PSQI scores,DDS scores and FBG of the intervention group were significantly lower than those of the control group with statistical differences(P < 0.05).After 3 months of intervention,the FSS scores,PSQI scores,DDS scores,BMI,FBG,and 2h PBG of the patients in the intervention group were significantly lower than those in the control group,and the grip strength and SPPB scores were significantly higher than those in the control group,with statistically significant differences(P < 0.05).Conclusion(s):1.The incidence of fatigue symptom in elderly patients with type 2 diabetes in the community is high.2.Inactivity,long course of disease,large amount of medication used,large number of complications,poor sleep quality and diabetes distress are risk factors for the occurrence of fatigue symptom in elderly type 2 diabetes patients in the community.3.Compared with walking exercise,Baduanjin intervention can better reduce the fatigue,diabetes distress and blood glucose level,better improve sleep quality and physical function of elderly diabetic patients in the community,which is worthy of community promotion and application.