对糖调节受损人群出院后实施强化生活方式干预的近期及远期效果评价  

Evaluation of the short and long term effects of imposed lifestyle intervention on those with impaired glucose regulation after discharge

作　　者：林红兰[1] 胡萍[1] 白谊涵[1] 程莉[1] 刘兴杰[1] 于荷颖 王文妍[1] 

机构地区：[1]中国人民武装警察部队总医院,北京100039

出　　处：《中国急救复苏与灾害医学杂志》2013年第3期243-246,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：武警总医院科研基金（WZ200517）

摘　　要：目的比较生活方式强化干预和传统的健康教育方法对查体发现糖调节受损人群出院后近期与远期的效果。方法将147名在特需病房体检并诊断出为糖调节受损者随机分为试验组和对照组，试验组接受本研究设计的生活方式强化干预，对照组接受传统的健康教育方法，观察出院后半年、1年、1年半及2年两组人员的体重指数、空腹血糖、餐后2h血糖、糖化血红蛋白，以及生活方式强化干预依从性评分，并依据每次检查结果统计转归为正常的人数和进展为糖尿病的例数，并进行相关比较。结果出院半年，试验组仅生活方式强化干预依从性评分显著高于对照组（P〈0．05）。出院1年时，试验组依从性评分及指标转归为正常的例数显著高于对照组，体重指数、空腹血糖、餐后2h血糖、糖化血红蛋白和进展为糖尿病的例数均显著低于对照组fP〈O．05）。出院1年半时，试验组干预依从性评分显著高于对照组，空腹血糖、餐后2h血糖、糖化血红蛋白及进展为糖尿病的例数显著低于对照组（P〈0．05），但体重指数和各项指标转归为正常的例数，两组差异无统计学意义（P〉0．05）。出院2年时，试验组仅空腹血糖、餐后2h血糖及进展为糖尿病的例数显著低于对照组（P〈0．05），其余指标差异无统计学意义（P〉0．05）。结论试验组接受的生活方式强化干预与对照组接受的传统健康教育方法比较，具有更好的近期与远期效果，这种效果在出院1年时达到最高峰，之后逐渐减弱。Objective To compare the imposed lifestyle intervention with traditional health education method to the people with impaired glucose regulation after discharge on their short and long term effects. Methods 147 people who were diagnosed as impaired glucose regulation were randomly divided into experiment group and control group. The experiment group received imposed lifestyle intervention, while the control group received traditional health education. Observe BMI, fasting blood glucose, postprandial 2 hours blood glucose, glycosylated hemoglobin of the two groups after six months, one year, one and a half years, and two years after being discharged, as well as the lifestyle intervention compliance score. An analysis was conducted on revemal cases and diabetes cases. Results The experiment group＇s lifestyle intervention compliance score was significantly higher than control group in six months after being discharged. The compliance score and number of reversal cases of test group were significantly higher than those of control group after one year; BMI, fasting blood glucose, postprandial 2 hours blood glucose, glycosylated hemoglobin and the tendency tO diabetes ＂were significantly lower than those of control group. And after one and a half years, the intervention compliance score of the experiment group was significantly higher than that of control group, and its fasting blood glucose, postprandial 2 hours blood glucose, glycosylated hemoglobin and the tendency to diabetes were significantly lower than those of the control group. Yet, there was no significant difference found in the BMI and reversal case in each index. Two years after being discharged, only fast blood glucose, postprandial 2 hours blood glucose and tendency to diabetes of test group were significantly lower than those of the control group, and there was no statistically significant difference in the remaining indexes. Conclusion There is better effect in short and long term in comparing the experiment group with lifestyle intervention and the

关 键 词：特需病房 体检 糖调节受损 生活方式强化干预 护理 

分 类 号：R47[医药卫生—护理学]