2型糖尿病患者强化运动指导的效果评价  被引量:41

Evaluation on intensive instruction toward the exercise of outpatients with type 2 diabetic

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作  者:沈犁[1] 郝京菁[2] 解晨颖[2] 孙晨[2] 

机构地区:[1]北京大学第一医院内科,100034 [2]北京大学第一医院内分泌科,100034

出  处:《中华护理杂志》2009年第5期456-459,共4页Chinese Journal of Nursing

基  金:国家"十五"科技攻关计划立项课题--"2型糖尿病及其并发症预警;干预的研究"

摘  要:目的探讨更好的糖尿病运动指导和管理方法,使运动治疗能在2型糖尿病综合治疗中充分发挥作用。方法2型糖尿病患者60例,在医院内分泌门诊接受糖尿病治疗,未使用胰岛素。按照随机序列表法将研究对象分为干预组和对照组,每组30例。对照组患者给予常规运动指导,即小组授课、发放相关学习资料、电话咨询。干预组患者除给予常规运动指导外,为每位患者提供快速血糖检测仪,进行自我监测和记录并每月反馈。对两组患者进行为期1年的随访,比较体重、血压、血糖(糖化血红蛋白、空腹血糖、餐后血糖)和血脂的变化。结果1年后,两组患者的体重、糖化血红蛋白、空腹及餐后血糖、血脂均较治疗前有所下降,干预组较对照组下降更为显著。其中,空腹血糖和低密度脂蛋白下降非常明显,在两组间的差异具有统计学意义(P<0.01)。结论对于糖尿病患者的运动采取强化指导的方式进行干预,更能使运动治疗在2型糖尿病的综合治疗中显示出其重要意义。Objective The purpose of this study was to present strategies to improve the effectiveness of physical activity counseling for patients with type 2 diabetes and explore the importance of physical activity for diabetic treatment. Methods In the out-patient department, sixty patients with type 2 diabetes were randomly divided into intervention group and control group. The control group was given conventional exercise guidance, such as group instruction, information dissemination, telephone counseling;the intervention group was given intensive instructions including conventional exercise guidance,and rapid blood glucose tester for each patient to carry out self-monitoring, records and feedback were taken monthly. Two groups of patients were followed up for one year. The indicators such as weight, blood pressure, HbA1c,fasting glucose and postprandial glucose and lipid profile of the two groups were compared. Results The decrease of weight, HbA1c, fasting glucose, post-prandial glucose and lipid profile were more obvious in intervention group than in control group. The fasting glucose and LDL-C level dropped more significantly in intervention group,P〈0.01. Conclusions Intensive instructions of exercise were more effective for patients with type 2 diabetes.

关 键 词:糖尿病 运动 健康教育 

分 类 号:R473.5[医药卫生—护理学]

 

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