目的：被动肢体运动对长期卧床2型糖尿病(T2DM)患者血糖、心理痛苦状态及睡眠质量的影响。方法：连续性纳入2019年11月~2020年6月在我院住院的T2DM患者80例，按照随机数字表法分为观察组与对照组，每组40例。对照组患者给予常规护理干预，观察组在常规护理的基础上实施被动肢体运动措施。比较2组的空腹血糖(FPG)、餐后2 h血糖(P2hPG)及糖化血红蛋白(HbA1c)水平；采用糖尿病痛苦量表(DDS)、匹兹堡睡眠质量指数量表(PSQI)对2组患者的心理痛苦状态、睡眠质量进行评估。结果：干预后，观察组的FPG、P2hPG及HbA1c水平均明显低于对照组(P < 0.05)；观察组的情感相关痛苦DDS评分、生活规律相关痛苦DDS评分及DDS总评分均明显低于对照组(P < 0.05)；观察组的PSQI评分均明显低于对照组(P < 0.05)。结论：被动肢体运动能够有效控制长期卧床T2DM患者的血糖水平，改善理痛苦状态及睡眠质量。
Objective: To discuss the effects of passive body movement on blood glucose, psychological distress status and sleep quality in type 2 diabetes mellitus (T2DM) with chronically bedridden. Methods: 80 T2DM patients were successively included in our hospital from November 2019 to June 2020. According to random number table method, they were randomly divided into observation group and control group, with 40 cases in each group. The control group was given routine nursing intervention, and the observation group was given passive body movement measures on the basis of routine nursing. The fasting plasma glucose (FPG), postprandial-2 h plasma glucose (P2hPG) and glycosylated hemoglobin (HbA1c) levels were compared between two groups. The Diabetes Pain Scale (DDS) and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the psychological distress and sleep quality of the two groups of patients. Results: After intervention, the levels of FPG, P2hPG and HbA1c in observation group were significantly lower than those in control group (P < 0.05). The DDS scores of affection-related pain, lifestyle-related pain and total DDS scores in observation group was significantly lower than those in control group (P < 0.05). The PSQI scores in observation group were significantly lower than that in control group (P < 0.05). Conclusion: The passive body movement could effectively control the blood glucose level of chronically bedridden T2DM patients, improve the psychological distress state and sleep quality.