行为转变理论在糖尿病合并血脂异常患者饮食干预中的应用及效果评价  

Application and effect assessment of trans-theoretical model of behavior for dietary intervention for patients with diabetes combined with blood-lipid disorder

作　　者：钱思兰 梅洵[1] 黄北南[1] 李淑玲[1] 

机构地区：[1]江西省人民医院,江西南昌330006

出　　处：《护士进修杂志》2015年第23期2125-2128,共4页Journal of Nurses Training

基　　金：江西省卫生计生委立项课题(编号:20155041)

摘　　要：目的采用行为转变理论对2型糖尿病合并血脂异常患者进行饮食干预,并观察其效果,为探索开展糖尿病患者饮食干预的有效途径提供参考。方法选择2型糖尿病合并血脂异常、饮食行为处于前意向阶段和意向阶段的的门诊患者68例,随机分为观察组和对照组,对照组进行常规糖尿病知识教育,观察组接受行为转变理论匹配的饮食行为干预,比较两组患者干预前后饮食行为所处阶段、血糖、血脂、月人均医疗费用情况。结果干预后观察组患者饮食行为所处阶段、血糖、血脂、月人均医疗费用情况与对照组比较,差异有统计学意义(P<0.01)。结论采用行为转变理论对2型糖尿病合并血脂异常患者进行饮食干预,能提高患者饮食行为所处阶段,控制糖脂代谢水平,降低医疗费用。Objective To observed the effect of trans-theoretical model of behavior intervention on the diet for patients with type 2 diabetes complicated with blood-lipid disorder, and to provide a reference for study an effectively dietary intervention way to diabetes mellitus. Method 68 patients with type 2 diabetes combined by blood-lipid disorder and stage of pre-intention or intention dietary behaviors were selected and divided randomly into observation and control group. Patients in control group was educated with knowledge of conventional diabetes. Patients in observation group accepted dietary behaviors intervention matched trans-theoretical model of behavior. Stages of dietary behaviors before and after intervention, blood sugar, blood fat and monthly medical expense per capita was observed and compared between the two groups. Result There was significant difference in stages of dietary behaviors, blood sugar, blood fat and monthly medical expense per capita in observation group compared with control group （P〈0.01）. Conclusion The trans-theoretical model of behavior intervening in the diet for patients with type 2 diabetes mellitus combined by blood-lipid disorder can promote the stage of dietary behaviors, control the glucolipid me-tabolism and lower medical expense.

关 键 词：2型糖尿病 血脂异常 饮食治疗 行为转变理论 

分 类 号：R473.58[医药卫生—护理学] R471[医药卫生—临床医学]