棋牌大全下载安装

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                                1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 不同情绪调节策略及应对方式对糖尿病心理痛苦的影响

                                  不同情绪调节策略及应对方式对糖尿病心理痛苦的影响

                                  时间:2019-03-20 11:54作者:刘安诺 蒋燕 潘政雯
                                  本文导读:这是一篇关于不同情绪调节策略及应对方式对糖尿病心理痛苦的影响的文章,糖尿病心理痛苦是糖尿病患者所特有的、在面对糖尿病生活(如疾病管理、疾病支持、情感负担、治疗途径等方面)时产生的一系列负性情绪反应。

                                    摘    要: 目的 调查糖尿病患者心理痛苦现状,并分析情绪调节策略、应对方式对糖尿病患者心理痛苦的影响。方法 采用便利抽样法,运用情绪调节问卷、医学应对方式问卷和糖尿病心理痛苦量表对2017年8月—2018年2月在安徽医科大学第一附属医院内分泌科住院的202例糖尿病患者进行调查,采用单因素分析、Pearson相关分析和多元线性回归分析探讨糖尿病患者心理痛苦的影响因素。结果 糖尿病患者心理痛苦总得分为(32.82±1.54)分,40.10%的患者存在中度及以上糖尿病心理痛苦。单因素分析结果显示,病程小于等于5年和不规律体育锻炼的患者糖尿病心理痛苦得分更高(P<0.05)。相关分析结果显示,糖尿病心理痛苦与认知重评、面对、回避呈负相关(r=-0.386、-0.443、-0.140,P<0.05),与表达抑制、屈服呈正相关(r=0.500、0.522,P<0.05)。多元线性回归分析显示,认知重评、面对、回避能负向预测糖尿病心理痛苦程度(P<0.05),表达抑制、屈服能正向预测糖尿病心理痛苦程度(P<0.05)。结论 糖尿病患者的心理痛苦水平有待改善,情绪调节策略和应对方式是影响糖尿病心理痛苦的重要因素。医务人员在临床进行健康宣教时,应重点关注短病程及不能做到规律锻炼的糖尿病患者的心理状况,并重点给予心理辅导,同时鼓励患者增加情感表露,改变对疾病的认知,增加疾病应对的积极性,以减少疾病给患者带来的心理困扰。

                                    关键词: 糖尿病; 心理痛苦; 情绪调节策略; 应对方式;

                                    Abstract: objective To investigate the situation of diabetic patients with psychological distress, thus to analyze the effects of emotion regulation strategies and coping modes on their psychological distress. Methods A total of 202 diabetic patients hospitalized in the Endocrinology Department of the First Affiliated Hospital of Anhui Medical University from August 2017 to February 2018 were investigated with the Emotion Regulation Questionnaire, Medical Coping Mode Questionnaire and Diabetes Distress Scale by convenience sampling;then univariate analysis, Pearson correlation analysis and multiple linear regression analysis were performed to investigate the influence factors of psychological distress in diabetic patients. Results The total score of psychological distress in diabetic patients was(32.82 ± 1.54) points, and 40.10% of diabetic patients had psychological distress in moderate degree and above. According to the univariate analysis, the patients suffered from diabetes not more than 5 years and irregular in physical exercise had a higher score of psychological distress(P<0.05). According to the correlation analysis, the psychological distress in diabetic patients was negatively correlated with cognitive reappraisal, confrontation, and avoidance(r=-0.386,-0.443,-0.140, P<0.05) and positively correlated with expression inhibition and yield(r=0.500, 0.522, P<0.05). According to the multiple linear regression analysis,cognitive reappraisal, confrontation and avoidance could negatively predict the degree of psychological distress in diabetic patients(P<0.05), while expression inhibition and yield could positively predict the degree of psychological distress in diabetic patients(P<0.05). Conclusion The level of psychological distress in diabetic patients needs to be improved; emotion regulation strategies and coping modes are important factors affecting psychological distress in diabetic patients. Therefore, medical workers should focus on the psychological status of diabetic patients with short course of disease and irregular in physical exercise and provide psychological guidance when carrying out health education in clinical practice. Meanwhile, they should encourage patients to express more feelings, change their cognition of the disease, and motivate patients to fight the disease, so as to reduce the psychological distress caused by the disease to patients.

                                    Keyword: 棋牌大全下载安装Diabetes; Psychological distress; Emotion regulation strategies; Coping modes;

                                    糖尿病心理痛苦是糖尿病患者所特有的、在面对糖尿病生活(如疾病管理、疾病支持、情感负担、治疗途径等方面)时产生的一系列负性情绪反应[1]。国外研究发现,约18%~45%的糖尿病患者存在糖尿病心理痛苦[2]。我国研究发现,糖尿病心理痛苦的发生率为42.15%~83.50%[3,4]。糖尿病心理痛苦严重影响糖尿病患者的自我管理行为、血糖控制水平和生存质量[5]。为了降低糖尿病心理痛苦的发生率,找出糖尿病心理痛苦发生、发展环节中的可控因素极为关键。有研究发现,负性情绪的产生与情绪调节功能有着密切关系[6]。情绪调节是指个体对情绪发生、表达以及体验施加影响的过程,是影响个体心理调适结局的重要应对方式,主要包含认知重评及表达抑制两种策略。采用认知重评的患者会产生更多的积极情绪,较少体验到消极情绪。表达抑制则是通过抑制情绪产生行为而减少对情绪的体验,然而,抑制负性情绪的表达会加重负性情绪体验,产生更严重的心理问题[7]。研究表明,个人应对方式对糖尿病患者心理健康水平有着重大影响[8]。积极的应对方式会使患者产生乐观等正性情绪,从而有利于克服疾病所带来的各种困难,而患者采取消极的应对方式则使得问题依旧无法解决,始终困扰患者身心健康[9]。因此,本研究通过调查糖尿病患者心理痛苦、应对方式及情绪调节策略的现状,并分析不同情绪调节策略及应对方式对糖尿病心理痛苦的影响,为临床医护人员促进糖尿病患者心理健康提供实证依据。
                                   

                                  不同情绪调节策略及应对方式对糖尿病心理痛苦的影响
                                   

                                    1、对象与方法

                                    1.1 、对象

                                    CAIQUBIANLICHOUYANGFA,XUANQU2017NIAN8YUE—2018NIAN2YUEZAIANHUIYIKEDAXUEDIYIFUSHUYIYUANNEIFENMIKEZHUYUANDETANGNIAOBINGHUANZHEWEIYANJIUDUIXIANG。NARUBIAOZHUN:GENJU1999NIANWHOZHENDUANBIAOZHUN,QUEZHENWEITANGNIAOBING;NIANLING18SUIYISHANG;ZHIQINGTONGYIBINGZIYUANCANJIAYANJIU。PAICHUBIAOZHUN:YOUJIXINGTANGNIAOBINGBINGFAZHENG;CHIDAIJIJINGSHENJIBING;HEBINGQITAYANZHONGJIBING;RENSHENTANGNIAOBING。

                                    1.2、 方法

                                    1.2.1、 研究工具

                                    1.2.1. 1、 一般资料问卷

                                    CAIYONGYOUYANJIUZHEZIXINGSHEJIDEYIBANZILIAOWENJUAN,BAOKUONIANLING、XINGBIE、WENHUACHENGDU、HUNYINZHUANGKUANG、TIYUDUANLIAN、BINGCHENG、ZHILIAOFANGSHI、KONGFUXUETANGJITANGHUAXUEHONGDANBAIDENG。

                                    1.2.1.2、糖尿病痛苦量表

                                    CAIYONGYOUMEIGUOXINLIXUEJIAPolonskDENG[10]ZAI2005NIANYANZHIDETANGNIAOBINGHUANZHEXINLITONGKULIANGBIAO(diabetes distress scale,DDS)。LIANGBIAOGONGYOU4GEWEIDU、17GETIAOMU,FENBIEWEIQINGGANFUDAN(5GETIAOMU)、YISHIXIANGGUANTONGKU(4GETIAOMU)、SHENGHUOGUILVXIANGGUANTONGKU(5GETIAOMU)JIRENJIGUANXIXIANGGUANTONGKU(3GETIAOMU);MEIGETIAOMUCAIYONGLikert 6JIJIFENFA,CONGMEIYOUWENTIDAOFEICHANGYANZHONGDEWENTIYICIFUZHI1~6FEN,ZONGFENWEI17~102FEN,FENSHUYUEGAODAIBIAOHUANZHEXIANGGUANDEXINLIKUNRAOYUEYANZHONG。CANZHAOFisherDENG[11]ZHIDINGDEPINGFENBIAOZHUN,JIANGTIAOMUPINGJUNFEN2.0ZUOWEIFENGEDIAN,<2.0FENJIWEIWUTONGKU,2.0~3.0FENJIWEIZHONGDENGTONGKU,>3.0FENJIWEIZHONGDUTONGKU。BENYANJIUZHONGGAILIANGBIAODECronbach'sαXISHUWEI0.815。

                                    1.2.1. 3、 医学应对问卷

                                  棋牌大全下载安装   CAIYONGYOUFeifelDENG[12]BIANZHI、JIANGQIANJINDENG[13]XIUDINGDEYIXUEYINGDUIWENJUAN。WENJUANGONGYOU3GEWEIDU、20GETIAOMU,FENBIEWEIMIANDUI(8GETIAOMU)、HUIBI(7GETIAOMU)JIQUFU(5GETIAOMU);3GEWEIDUDANDUJIFEN,WEIDUDEFENYUEGAO,DAIBIAOGAIHUANZHEYUEQINGXIANGYUCAIYONGGAIZHONGFANGSHIYINGDUIJIBING。BENYANJIUZHONG3GEFENLIANGBIAODECronbach'sαXISHUFENBIEWEI0.747、0.801、0.783。

                                    1.2.1. 4 、情绪调节问卷

                                  棋牌大全下载安装   CAIYONGLoannidisDENG[14]ZAI2003NIANBIANZHIDEQINGXUDIAOJIEWENJUAN,GAIWENJUANYOU10GETIAOMUGOUCHENG,ZHUYAOCELIANGGETISHIYONGRENZHIZHONGPINGHEBIAODAYIZHILIANGZHONGQINGXUDIAOJIECELVEDEPINLV。QINGXUDIAOJIEWENJUANBAOKUORENZHIZHONGPING(6GETIAOMU)HEBIAODAYIZHI(4GETIAOMU)2GEWEIDU,MEIGETIAOMUCAIYONGLikert 7JIJIFENFA,CONGFEICHANGBUTONGYIDAOFEICHANGTONGYIYICIFUZHI1~7FEN,DEFENYUEGAO,BIAOMINGSHIYONGGAIZHONGQINGXUDIAOJIECELVEDEPINLVYUEGAO。BENYANJIUZHONG2GEFENLIANGBIAODECronbach'sαXISHUWEI0.811、0.856。

                                    1.2.2、资料收集方法

                                    XIANGHUANZHEJIESHIYANJIUMUDE、YIYIHOU,YOUDIAOCHAYUANCAIYONGTONGYIDEZHIDAOYUXIANGHUANZHESHUOMINGWENJUANTIANXIEFANGFAHEZHUYISHIXIANG,YOUHUANZHEZIXINGTIANXIE。HUANZHETIANXIEWANCHENGHOUDANGCHANGSHOUHUI,DIAOCHAYUANJISHIJIANCHA、HEDUI。DUIYUYINWENHUACHENGDUJIAODIDENGWUFAZIXINGTIANXIEZHE,YOUDIAOCHAZHECAIYONGXIANGTONGDEHUAYUXUNWENHOUDAIWEITIANXIE。BENYANJIUGONGFAFANGWENJUAN210FEN,HUISHOU208FEN,HUISHOUDEWENJUANZHONGTICHUWUXIAOWENJUAN6FEN,HUISHOUYOUXIAOWENJUAN202FEN,YOUXIAOHUISHOULVWEI96.1%。

                                    1.2.3、 统计学方法

                                  棋牌大全下载安装   CAIYONGEpiData 3.1JINXINGZILIAOLURU,CAIYONGSPSS 21.0JINXINGSHUJUFENXI,JILIANGZILIAOZHONGFUHEZHENGTAIFENBUDECAIYONGJUNSHU±BIAOZHUNCHAJINXINGMIAOSHU,JISHUZILIAOCAIYONGPINSHU、GOUCHENGBIJINXINGMIAOSHU;FUCONGZHENGTAIFENBU、FANGCHAQIXINGDEJILIANGZILIAOBIJIAOCAIYONGDULIYANGBENtJIANYANHUOFANGCHAFENXI;FUCONGSHUANGBIANLIANGZHENGTAIFENBUDEDINGLIANGZILIAODEXIANGGUANXINGFENXI,CAIYONGPearsonXIANGGUANFENXI;YONGDUOYUANXIANXINGHUIGUIFENXIQINGXUDIAOJIECELVE、YINGDUIFANGSHIDUITANGNIAOBINGXINLITONGKUDEYUCEXIAOYING。YANJIUCAIYONGSHUANGCEJIANYAN,YIP<0.05BIAOSHIYOUTONGJIXUEYIYI。

                                    2 、结果

                                    2.1、 研究对象的一般资料

                                    NARUFENXIDE202LIHUANZHEZHONG,NAN126LI(62.38%),NV76LI(37.62%);NIANLING20~85SUI,PINGJUNNIANLINGWEI(51.87±12.68)SUI;BINGCHENG1~33NIAN;XIAOXUEJIYIXIAWENHUACHENGDU59LI(29.21%),CHUZHONG49LI(24.25%),GAOZHONGJIZHONGZHUAN47LI(23.27%),DAZHUANJIYISHANG47LI(23.27%);YIHUN176LI(87.13%),WEIHUNHUOLIYI26LI(12.87%);GUILVCANJIATIYUDUANLIAN93LI(46.04%),BUGUILVCANJIATIYUDUANLIAN109LI(53.96%)。

                                    2.2 、糖尿病患者心理痛苦、情绪调节策略及应对方式现状

                                    TANGNIAOBINGHUANZHEXINLITONGKUZONGDEFENWEI(32.82±7.54)FEN,40.10%DEHUANZHECUNZAIZHONGDUJIYISHANGTANGNIAOBINGXINLITONGKU。QIZHONG,54.95%DEHUANZHECUNZAIZHONGZHONGDUDEQINGGANFUDAN,62.87%DEHUANZHECUNZAIZHONGZHONGDUDEYISHIXIANGGUANTONGKU,18.81%DEHUANZHECUNZAIZHONGZHONGDUDESHENGHUOGUILVTONGKU,23.76%DEHUANZHECUNZAIZHONGZHONGDUDERENJIGUANXITONGKU,XIANGJIANBIAO1。YINGDUIFANGSHIZHONG,YINGDUIWEIDUZONGDEFENWEI(18.03±3.47)FEN,TIAOMUJUNFENWEI(2.25±0.43)FEN;QUFUWEIDUZONGDEFENWEI(9.92±2.02)FEN,TIAOMUJUNFENWEI(1.98±0.41)FEN;HUIBIWEIDUZONGDEFENWEI(16.39±2.53)FEN,TIAOMUJUNFENWEI(2.34±0.36)FEN。QINGXUDIAOJIECELVEZHONG,RENZHIZHONGPINGWEIDUZONGDEFENWEI(29.40±6.89)FEN,TIAOMUJUNFENWEI(4.90±1.14)FEN;BIAODAYIZHIWEIDUZONGDEFENWEI(13.63±5.33)FEN,TIAOMUJUNFENWEI(3.41±1.33)FEN。

                                    2.3、 不同人口学特征患者的糖尿病心理痛苦得分比较   ,见表2。

                                    2.4 、情绪调节策略、应对方式与糖尿病心理痛苦的相关性分析, 见表3。

                                    2.5、 糖尿病心理痛苦的多元线性回归分析

                                  棋牌大全下载安装   YITANGNIAOBINGXINLITONGKUWEIYINBIANLIANG,JIANGBINGCHENG、TIYUDUANLIAN、RENZHIZHONGPING、BIAODAYIZHI、MIANDUI、HUIBI、QUFUSHEWEIYUCEBIANLIANGNARUHUIGUIFANGCHENGJINXINGDUOYUANXIANXINGHUIGUIFENXI,JIEGUOXIANSHI,RENZHIZHONGPING、MIANDUI、HUIBINENGGOUFUXIANGYUCETANGNIAOBINGHUANZHEDEXINLITONGKUCHENGDU,BIAODAYIZHI、QUFUNENGGOUZHENGXIANGYUCETANGNIAOBINGHUANZHEDEXINLITONGKUCHENGDU,XIANGJIANBIAO4。

                                    3 、讨论

                                    3.1、 糖尿病患者心理应对策略现状

                                  棋牌大全下载安装   BENYANJIUJIEGUOXIANSHI,TANGNIAOBINGHUANZHEDEYINGDUIFANGSHIZHONGHUIBIWEIDUDEDEFENGAOYUGUONEICHANGMOSHUIPING[13]。DUIYUTANGNIAOBINGDENGMANXINGBING,HUANZHEZHONGSHENCHUYUDAIBINGZHUANGTAI,QIEXUYAOZHANGQIHUAFEIDALIANGDEJINGLIHEWULI,YINCI,HENDUOTANGNIAOBINGHUANZHEDOUHUIYOUHUIBIDEBINGDEXIANGFAHEZUOFA,CONGERHUIBIYINGDUIFANGSHIDEFENJIAOGAO。QINGXUDIAOJIECELVEZHONG,RENZHIZHONGPINGDEDEFENGAOYUQITAJIBING,BIAODAYIZHIDEFENDIYUQITAJIBINGXIANGGUANBAODAO[6],SHUOMINGXIANGJIAOYUQITAJIBINGERYAN,TANGNIAOBINGHUANZHEZAISHIYONGQINGXUDIAOJIECELVESHIGENGYUANYISHIYONGRENZHIZHONGPINGERBUSHIBIAODAYIZHI。YUANYINKENENGWEIDADUOSHUTANGNIAOBINGHUANZHEDOUNENGGOUYUJIBINGHEPINGGONGCHU,QIETANGNIAOBINGBENSHENDUIZHENGCHANGSHENGHUOYINGXIANGBUDA,DANGHUANZHECONGRENZHISHANGJIESHOULEDEBINGZHEIYISHIJIANHOU,JIUHUICAIYONGJIJIDESHIJIAOLAIKANDAIJIBING。YANJIUJIEGUOHAIXIANSHI,40.10%DEHUANZHECUNZAIZHONGDUJIYISHANGTANGNIAOBINGXINLITONGKU,DIYUXUHUIWENDENG[15]DEYANJIUJIEGUO,FENXIYUANYINKENENGWEIBENYANJIUDIAOCHADUIXIANGWEIZHUYUANHUANZHE,ZHUYUANGUOCHENGZHONGYIHURENYUANHUIGUANZHUHUANZHEDEXINLIJIANKANG,NENGGOUJISHIFAXIANBINGJIEJUEJIBINGSUODAILAIDEXIANGGUANXINLIWENTI,QIEZHUYUANSHITONGYIBINGFANGHUANZHE,NENGGOUXIANGHUTAOLUNJIBINGJIBIAODAZIJIDEQINGGAN,YINCI,DUOSHUHUANZHEDEXINLITONGKUCHENGDUJIAODI。YANJIUFAXIAN,YISHIXIANGGUANTONGKUHEQINGGANFUDANSUOZHANBILIJIAOGAO,FENBIEWEI62.87%、54.95%。DIAOCHAGUOCHENGZHONGFAXIAN,DADUOSHUHUANZHEBIAOSHIMEIYOUYIGENENGGOUZHANGSHIJIANDINGQISUIFANGDEYISHI,YIFANGMIANYINWEIMUQIANGUONEIYIHURENYUANDUANQUE、YILIAOZIYUANYOUXIAN;LINGYIFANGMIANYEYUHUANZHEMENZHENSUIFANGDEYICONGXINGJIAOCHAYOUGUAN。YOUYUTANGNIAOBINGSHIYIZHONGMANXINGZHONGSHENXINGJIBING,XUYAOHUANZHEZHANGSHIJIANHUAFEIJINGLIHECAILI,DUIHUANZHEDAILAILEJUDADEJINGSHENHEJINGJIFUDAN,YINCI,DUOSHUHUANZHEHUICHUXIANQINGGANFUDANJIAOZHONGXIANXIANG。YANJIUJIEGUOBIAOMING,ZAITANGNIAOBINGRENQUNZHONGCAIQUXIAOJIDEYINGDUICELVEJIAOWEIPUBIAN,DUOSHUHUANZHECUNZAIBUTONGCHENGDUDEXINLIJIANKANGWENTI,ZHEITISHIYIHURENYUANXUZHONGSHIZHEIXIEXIANXIANG,TONGSHIJIJIXUNZHAOJIEJUECELVEYIZUIDAHUADIJIANQINGTANGNIAOBINGHUANZHEDEBULIANGXINLIWENTI。

                                      BIAO1 TANGNIAOBINGXINLITONGKUDEFENJIFENBUQINGKUANG

                                    表1 糖尿病心理痛苦得分及分布情况

                                    表2 不同人口学特征患者糖尿病心理痛苦及各维度得分比较
                                  表2 不同人口学特征患者糖尿病心理痛苦及各维度得分比较

                                    BIAO3 QINGXUDIAOJIECELVE、YINGDUIFANGSHIYUTANGNIAOBINGXINLITONGKUDEXIANGGUANFENXI

                                    表3 情绪调节策略、应对方式与糖尿病心理痛苦的相关分析

                                    表4 糖尿病心理痛苦的多元线性回归分析
                                  表4 糖尿病心理痛苦的多元线性回归分析

                                  棋牌大全下载安装   ZHU:R2=0.521,XIAOZHENGR2=0.503,F=30.111,P<0.001

                                    3.2、 病程短及不规律体育锻炼的糖尿病患者心理痛苦程度高

                                    YANJIUJIEGUOXIANSHI,BINGCHENGDUANHEBUNENGZUODAOGUILVTIYUDUANLIANDEHUANZHETANGNIAOBINGXINLITONGKUCHENGDUJIAOGAO(P<0.05)。BINGCHENGJIAODUANDEHUANZHEDUIJIBINGDEFASHENG、FAZHANJIZHILIAODENGQINGKUANGRENZHIBUZU,RONGYICHANSHENGJIAOLV、TONGKUDENGFUXINGQINGXU。BENYANJIUZHONGTIYUDUANLIANDUITANGNIAOBINGHUANZHEDEYINGXIANGYUHAOSHUJIEDENG[3]DEYANJIUJIEGUOYIZHI。FENXIYUANYINKENENGSHIYINWEIJIJICANYUTIYUDUANLIANYIFANGMIANZENGJIASHEHUIJIAOWANG,GAISHANHUANZHEDERENJIGUANXI,JIANQINGLEQINGGANFUDAN;TONGSHIYUNDONGYEYOULIYUTANGNIAOBINGBENSHENDEGUANLI,CUJINHUANZHEYIGENGJIAJIJIDEFANGSHISHENGHUO,JIANGDILEHUANZHESHENGHUOGUILVXIANGGUANDEKUNRAO。YANJIUJIEGUOTISHI,LINCHUANGYIHURENYUANYINGZHONGDIANGUANZHUBINGCHENGDUANHUANZHEDEXINLIZHUANGKUANG,JIAQIANGXINLIFUDAO,TONGSHIGULIHUANZHEJIEBANYUNDONG,BINGJIAOSHOUHUANZHEZHENGQUEDETIYUDUANLIANFANGSHI。

                                    3.3、 认知重评、面对及回避能负向预测糖尿病心理痛苦程度

                                  棋牌大全下载安装   YANJIUJIEGUOXIANSHI,RENZHIZHONGPING、MIANDUI、HUIBINENGFUXIANGYUCETANGNIAOBINGXINLITONGKUCHENGDU(P<0.05)。KENENGYUANYINWEIRENZHIZHONGPINGSHIYIZHONGXIANXINGGUANZHUDEDIAOJIECELVE,DANGHUANZHESHIYONGCIZHONGQINGXUDIAOJIECELVESHI,GETIHUIJIJIZHUDONGDIGAIBIANDUIQINGXUSHIJIANDELIJIE,BINGZAIXIEBINGSHENGCUNGUOCHENGZHONG,CAINAJIAODUODEJIJIGUANDIAN,WANSHANZISHENDUIHUANBINGZHEIYISHISHIDERENSHIHELIJIE,CONGERJIANGDIFUXINGQINGXUDEFASHENG[16]。YINGDUIFANGSHIBENJIUSHIYALIQINGJINGXIABAOCHISHENXINJIANKANGDEYIZHONGSHOUDUAN[17]。YINCI,JIJIDEYINGDUIFANGSHIHUIJIANGDIFUXINGQINGXUDECHANSHENG。BENYANJIUJIEGUOXIANSHI,HUIBIXINGYINGDUIFANGSHIDEHUANZHEKENENGCHANSHENGGENGDIDEXINLITONGKU,ZHEIYIJIEGUOYUIturraldeDENG[18]DEYANJIUJIEGUOXIANGFAN,KENENGYUANYINSHIDUIQINGSHAONIANERYANHUIBIXINGDEYINGDUIFANGSHISHITONGGUOTUOYANQUJIEJUEWENTI,BAITUOYUWENTIXIANGGUANDEQINGXUHEXIANGFA,HUOZHEDANHUAWENTISUODAILAIDEZHIJIEXIAOYINGYUYANZHONGHOUGUO;DUICHENGRENERYAN,HUIBIXINGYINGDUIFANGSHIKEYIBANGZHUCHENGRENZANSHIWANGDIAOJIBINGSUODAILAIDETONGKU,BIMIANJINGSHENBENGKUI,DANGWEICHIQINGXUWENDINGHOUZAIXUNQIUJIEJUEWENTIDEXINTUJING。YINCI,HULIGONGZUOZHEZAITANGNIAOBINGJIANKANGJIAOYUGUOCHENGZHONG,KEYISHIYONGTONGBANZHICHICELVE、JIANGSHUYOUXIUBANGYANG,RANGHUANZHEZHENGQUERENSHITANGNIAOBING,BINGZAIHUANBINGZHEIYISHISHIZHONGXUNZHAOJIJIDEYINGXIANG,BINGCAIQUJIJIDECUOSHIYINGDUIJIBINGDAILAIDEYIXILIESHENGLIJIXINLIWENTI,CONGERTIGAOHUANZHEDEXINLIJIANKANGSHUIPING。3.4BIAODAYIZHIHEQUFUNENGZHENGXIANGYUCETANGNIAOBINGXINLITONGKUCHENGDUYANJIUJIEGUOXIANSHI,BIAODAYIZHIYUQUFUNENGZHENGXIANGYUCETANGNIAOBINGXINLITONGKUCHENGDU(P<0.05)。YIFANGMIANDANGHUANZHEDEZHIZIJIHUANYOUZHONGSHENBUKEZHIYUDEJIBINGSHI,ANZHAOZHONGGUOCHUANTONGSIXIANG,WEILEZIWOBAOHUHUIYIZHIZISHENDEQINGXUBIAODAHELIULU,DANZHEIBINGBUHUIJIANSHAOHUANZHEBEISHANG、TONGKUDEQINGXU,FANERHUIJIAZHONGZHEIXIEFUXINGQINGXUTIYAN;LINGYIFANGMIAN,DANGGETICAIQUBIAODAYIZHIZHEIYICELVESHI,XIAOJIQINGXUWUFABIAODACHULAI,ERXIAOJIQINGXUXIANZHILEGETIDESIWEIXINGDONGZIYUAN,SHIGETIJUXIANZAIDANGQIANDEKUNJINGZHONGBUNENGKANDAOJIJIDEZHUANBIAN,ZAOCHENGFUXINGQINGXUSHIZHONGKUNRAOZHEHUANZHE;TONGSHI,QUFUZUOWEIXIAOJIDEYINGDUIFANGSHISUIRANNENGDUANZANHUANJIEHUANZHETULINDEYALI,DANYOUJIBINGSUODAILAIDEBULIANGHOUGUOBINGMEIYOUDEDAOJIEJUE,BANSUIZHEJIBINGERLAIDESHENGHUOFANGSHI、RENJIGUANXIJIQINGGANFANGMIANDEKUNRAOYIJIUHUICUNZAI[19],DAOZHICHUXIANJIAOGAODEXINLITONGKU。YINCI,HULIGONGZUOZHEYINGGAIZHONGSHIQINGGANBIAOLUJIAOSHAO、JIBINGGUANLICANYUDUJIAODIDEHUANZHE,CAIYONGSHOUQUANGUANLIDENGCUOSHI,GULIQIJIJIBIAODAZIJIDEFUXINGQINGXU,ZHUDONGCANYUDAOZISHENDEJIBINGGUANLIZHONG,YIJIANSHAOXINLITONGKUDEFASHENG。

                                    4 、小结

                                    BINGCHENGDUANJIBUNENGZUODAOGUILVDUANLIANDETANGNIAOBINGHUANZHEXINLITONGKUCHENGDUJIAOGAO,TANGNIAOBINGHUANZHEDEQINGXUDIAOJIECELVE、YINGDUIFANGSHIDUITANGNIAOBINGXINLITONGKUJUYOUYIDINGDEYINGXIANG。ZHEITISHIYIHURENYUANZAIRICHANGGONGZUOZHONGDUIDUANBINGCHENG、BUNENGGUILVDUANLIANDETANGNIAOBINGHUANZHEYUYIZHONGDIANGUANZHU,YINDAOHUANZHEDUOCAIYONGRENZHIZHONGPINGCELVEQUKANDAIWENTI,GULIQIJISHIBIAODAHUOXUANXIEXIAOJIQINGXU,YIHUANJIEXIAOJIQINGXUDUIXINLIJIANKANGDEBULIANGYINGXIANG,ZHIDAOQICAIQUJIJIDEFANGSHIQUYINGDUIJIBINGSUODAILAIDEBULIANGHOUGUO。LINCHUANGHUSHIHAIKEYICAIQUTONGBANZHICHI、SHOUQUANGUANLIDENGGANYUFANGSHI,TONGGUOGAIBIANHUANZHEDUIJIBINGDERENZHI,CUJINHUANZHEJINXINGQINGGANBIAOLU,ZENGJIAQIJIBINGYINGDUIDEJIJIXING,CONGERJIANGDIHUANZHEDEXINLIKUNRAOCHENGDU,GAISHANXINLIJIANKANGSHUIPING。

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