张鹏霞，王卓亚*

青海大学附属医院，青海 西宁

收稿日期：2022年7月3日；录用日期：2022年8月1日；发布日期：2022年8月8日

摘 要

2型糖尿病(type 2 diabetes mellitus, T2DM)是一种慢性代谢性疾病，随着生活水平的提高，生活方式的改变，T2DM的发病率正在逐年增加，已成为威胁人类健康的主要疾病之一。T2DM患者的人体成分

改变可能会导致许多不良健康后果，如心血管疾病、肌肉减少症和骨质疏松症等，严重影响患者生活质量。通过人体成分分析测量T2DM患者人体成分含量及构成比特点，针对T2DM患者提供个体化诊疗措

施，为防治T2DM以及降低合并症的发生率提供重要依据。本文通过整理国内外相关文献，对T2DM患者人体成分变化的研究进展做一综述。

关键词

2型糖尿病，人体成分，胰岛素抵抗，脂肪质量，瘦体重，肌少症

文章引用: 张鹏霞, 王卓亚. 2 型糖尿病患者人体成分变化的研究进展[J]. 临床医学进展, 2022, 12(8): 7181-7188.

Research Progress of Body Composition Changes in Type 2 Diabetes Patients Pengxia Zhang, Zhuoya Wang*

Affiliated Hospital of Qinghai University, Xining Qinghai Received: Jul. 3rd, 2022; accepted: Aug. 1st, 2022; published: Aug. 8th, 2022

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease, and with the improvement of living standards and changes in lifestyle, the incidence of T2DM is increasing year by year and has

become one of the major diseases threatening human health. Changes in body composition in patients with T2DM may lead to many adverse health consequences, such as cardiovascular disease, sarcopenia and osteoporosis, which seriously affect patients’ quality of life. Body composition analysis was used to measure the body composition content and composition ratio characteristics of T2DM patients, providing individual diagnosis and treatment measures for T2DM patients, providing individual diagnosis and treatment measures for T2DM patients, providing an important basis for the prevention and treatment of T2DM and reducing the incidence of complications. This article reviews the research progress of body composition changes in T2DM patients by reviewing relevant literatures.

Keywords

Type2 Diabetes Mellitus, Body Composition, Insulin Resistance, Fat Mass, Lean Body Mass, Sarcopenia

Copyright © 2022 by author(s) and Hans Publishers Inc.

This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

DOI: 10.12677/acm.2022.1281036

Diana Cecilia Tapia-Pancardo1* , Lucia Velázquez-Hernández2, Rafael Villalobos-Molina1

1 Graduate and Research Division, Biomedicine Unit, Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, Tlalnepantla, Mexico

2 National Autonomous University of Mexico, Tlalnepantla, Mexico

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How to cite this paper: Tapia-Pancardo,D.C., Velázquez-Hernández, L. and Villalobos-Molina, R. (2022) Perception of Losses Experienced by the Diabetic Patient. Open Journal of Nursing, 12, 571-580.

https://doi.org/10.4236/ojn.2022.129039

Received: August 21, 2022

Accepted: September 18, 2022

Published: September 21, 2022

Copyright © 2022 by author(s) and Scientific Research Publishing Inc.This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

Abstract: A person living with diabetes mellitus is conscious that this pathology will not cause its death in the short term, but they face losses and experience grief on multiple occasions along with the chronicity of the disease. In most cases, the partner or close relative also experiences a great impact since they become a family caregiver. The goal of this study was: to analyze the perception of losses experienced by the diabetic patient along with the chronicity of the illness.

Method: This was qualitative research, with a phenomenological method under the philosophical view of Husserl and the theoretical support of Kübler-Ross with a descriptive design. Four diabetic patients aged 18 to 75 years old of both genders participated; they asked for hospital attention due to complications of the disease. Selection of participants was by convenience up to reach saturation. Data were collected through semi-structured interviews, field notes and observation. The setting of the first contact was in a third-level hospital in Mexico City; the second one was through programmed home visits. These occurred by a chronogram agreed upon by the participants, and a room was selected with conditions of privacy to conduct the interviews; respect was always observed. Participants signed informed consent.Data analysis was according to Miles and Huberman, by means of three tasks: information acquisition, data transcription and codification, and conclusions.

Results: After the qualitative analysis four categories emerged, as well as sub-categories, as follows:

Category 1: Self-losses perceived by the patient, sub-categories 1.1 Beginning the mourn step: Negation; 1.2 Silent illness that produces severe damage; 1.3 Complicated/chronic mourn.

Category 2: Emotions along the disease chronicity, sub-categories 2.1 Negation of emotions/distortion of natural emotions; 2.2 Decisions taken based on feelings. 

Category 3: Changes in the diabetic patient’s nutrition, sub-categories 3.1 Culture: positive reinforcement from childhood; 3.2 Constant mourn; 3.3 Pleasure by forbidden foods. Category 4: Benefits in the diabetic patient,sub-categories 4.1 Need to be in a support net; 4.2 Bonding ties and love by relatives.

Conclusion: Self, relational, material, and extensive losses that add to the diabetes mellitus chronicity accompany the patient with long-term negative emotions, but to accomplish the goals of care and limit the damage nourish its positive emotions; the starting point is from the perception of the first news knowing the diagnostic, if this reality is accompanied by thanatology counsel to diminish the negation and anger steps, when realizing the change in health, then a positive perception for this first mourn and more to come along time, will appear in the patient. Thanatology or health counsel will favor the patient to undertake illness control to have a better life quality.

Keywords

Diabetes, Patient Physical and Emotional Losses, Thanatology

冯亚高1* ，惠连旺1 ，杨小冬1 ，刘鸿舒2

1 巴克医院，创面治疗科，河北 唐山 2 鸿舒诊所，河北 唐山

收稿日期：2022年6月10日；录用日期：2022年7月20日；发布日期：2022年7月28日

摘 要

目的：观察应用玉夫膏在足部外伤难愈合创面修复中的临床效果。方法：足部难愈合创面15例，其中足背皮肤缺损肌腱外露6例，足跟部3例，跟腱外露3例，第一跖趾关节外露1例，趾蹼间创面1例，前足外侧创面伴第五跖趾关节外露1例。对15例足部难愈合创面均应用玉夫膏进行局部换药，每日更换1次，直至愈合。结果：15例足部难愈合创面经玉夫膏换药全部愈合，愈合时间最短11天，最长127天。经随访6个月~24个月，平均11个月，所有创面愈合良好，外观平整，不臃肿，局部无明显疼痛和增生性瘢痕，愈合皮肤柔软，有弹性，色素沉着不明显。结论：应用玉夫膏局部换药是修复足部外伤难愈合创面的一种简单、有效的方法。

关键词：足，玉服膏，创面，修复，创伤

Application of Yufu Cream in the Repair of Refractory Wounds of Foot Trauma Yagao Feng1*, Lianwang Hui1, Xiaodong Yang1, Hongshu Liu2

1 Department of Wound Treatment, Barke Hospital, Tangshan Hebei 2 Hongshu Clinic, Tangshan Hebei

Received: Jun. 10th, 2022; accepted: Jul. 20th, 2022; published: Jul. 28th, 2022

Abstract

Objective: To observe the clinical effect of Yufu cream on repair of refractory wounds in foot. Methods: 15 cases with refractory wounds in foot after trauma, including 6 cases of dorsal skin defect tendon exposure, 3 cases of heel tendon exposure, 1 case of first metaltarsal joint exposure, 1 case of interweb wound, 1 case of lateral anterior foot wound with fifth metatarsal joint exposure .all wounds were treated with Yufu cream for local dressing change 1 times every day until they healed.

Results: All 15 cases of wounds were healed. The shortest healing time was 11 days and the longest time was 127 days. After follow-up for 6 months to 24 months (mean 11 months), all the wounds healed well, the appearance was smooth, not bloated, there was no obvious pain and hypertrophic scar, the regenerated skin was soft, elastic and the pigmentation was not evident.

Conclusion: Local dressing change with Yufu cream is a simple and effective method for repairing refractory wound of foot trauma.

Keywords: Foot, Yufu Cream, Wound, Repair, Trauma

张 悦1，王献珍2*

1 青海大学研究生院，青海 西宁 2 青海大学附属医院烧伤整形外科，青海 西宁

收稿日期：2022年6月4日；录用日期：2022年6月28日；发布日期：2022年7月5日

摘 要

感染对伤口愈合的影响是多方面的，导致伤口愈合的每个阶段都受到干扰，伤口感染对患者的后果可能包括住院时间延长、心理压力增加、疼痛、甚至会导致脓毒血症的出现，危及患者的生命安全。本文考虑了伤口愈合的四个阶段，概述了感染对伤口愈合的影响。

关键词

伤口感染，愈合阶段，细菌，影响

Stages and Effects of Infection on Wound Healing

Yue Zhang1, Xianzhen Wang2*

1 Graduate School of Qinghai University, Xining Qinghai

2 Burn and Plastic Surgery, The Affiliated Hospital of Qinghai University, Xining Qinghai Received: Jun. 4th, 2022; accepted: Jun. 28th, 2022; published: Jul. 5th, 2022

Abstract

The impact of infection on wound healing is multifaceted, leading to disruption of each stage of wound healing. The consequences of wound infection for patients may include prolonged hospital stay, increased psychological stress, pain, and even the appearance of sepsis, endanger the lives of patients. This article considers the four stages of wound healing and outlines the impact of infection on wound healing.

文章引用: 张悦, 王献珍. 感染对伤口愈合的阶段和影响[J]. 临床医学进展, 2022, 12(7): 6039-6044. DOI: 10.12677/acm.2022.127872

Keywords

Wound Infection, Healing Stage, Bacteria, Impact

Copyright © 2022 by author(s) and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/