家庭干预对老年糖尿病患者饮食控制及血糖的影响  

Influences of Family Care on Food Control and Blood Sugar of Old Patients with Diabetes

作　　者：李明珠[1] 孟丽莉[2] 战海艳[3] 

机构地区：[1]牡丹江医学院影像系,黑龙江牡丹江157011 [2]牡丹江医学院临床系,黑龙江牡丹江157011 [3]牡丹江医学院附属红旗医院肾内科,黑龙江牡丹江157011

出　　处：《医学综述》2009年第2期314-315,共2页Medical Recapitulate

摘　　要：目的探讨家庭干预对老年糖尿病患者饮食控制及血糖的影响。方法选择60例老年2型糖尿病患者作为研究对象，分为干预组与对照组，各30例。两组患者均给予常规健康教育、饮食、运动、药物、血糖监测等综合治疗，同时对干预组家属进行相关知识教育，要求其对患者饮食方案的实施给予支持并进行督促。对照组仅对患者本人进行干预，对其家属无任何干预措施及要求。结果干预12个月后干预组患者空腹及餐后2h血糖、糖化血红蛋白、总胆固醇和三酰甘油水平较对照组显著下降，差异有统计学意义（P〈0．05），而两组患者体质指数间差异无统计学意义（P〉0．05）。结论家庭干预能够提高老年糖尿病患者的饮食及血糖控制，延缓并发症的发生、发展。Objective To observe the effcet of family interventi on food control and blood sugar of old patients with diabetes. Methods 60 old patients with type 2 diabetes were choosed as research objects. They were divided into an intervention and control group with 30 patients in each of them. Normal conventional health education,food,sport,medicine and blood sugar monitor were given to patients in two groups. At the same time ,the intervention of related knowledge education was given to the family member. They were requested to supervise patient food plan implement. Control group only were interposed to the patients them- selves and there was no any intervention to their families. Results After 12 months ,the food control behavior of intervention group was better obviously than that of control group. The empty stomach and blood sugar after meal 2 hours, sugar hemoglobin, cholesterol and glycerin were obviously descend compared with control group （P 〈 0. 05 ）. Even though the body mass index in intervention group were descend compared with control group, there was no significant difference between two groups （ P 〉 0.05 ）. Conclusion Family intervention can promote the old diabetes patients＇ food and blood sugar control, as well as delay the occurrence development of complications.

关 键 词：家庭干预 糖尿病 饮食控制 血糖 

分 类 号：R587.1[医药卫生—内分泌]