手测量法则结合食物模型在社区老年2型糖尿病患者饮食指导中的应用  

The Method of Applying Hand Measurement Combined with Food Model to Education in Community Aged Patients with Type 2 Diabetic

作　　者：沈国安[1] 杨小芝[1] 郭嘉林[1] 王丹萍[2] SHEN Guo-an;YANG Xiao-zhi;GUO Jia-lin

机构地区：[1]漯河医学高等专科学校,河南漯河462000 [2]漯河医学高等专科学校第一附属医院(漯河市中心医院),河南漯河462000

出　　处：《中国初级卫生保健》2018年第7期55-57,共3页Chinese Primary Health Care

摘　　要：目的探讨手测量法则结合食物模型在社区老年2型糖尿病患者饮食指导中的应用效果。方法将两个社区老年2型糖尿病患者随机分为对照组和试验组,对照组采用常规健康教育进行饮食指导,试验组在常规健康教育的基础上采用手测量法则结合食物模型进行饮食指导。干预6个月后,分别对两组患者进行体质指数(BMI)、血糖和血脂指标检测。结果干预前,两组患者BMI、空腹血糖(FBG)、糖化血红蛋白(Hb A1c)、总胆固醇(TC)和甘油三酯(TG)水平比较,差异无统计学意义(P>0.05);干预后,试验组患者BMI、FBG、HbA1c、TC和TG水平下降,差异均有统计学意义(P<0.05)。结论手测量法则结合食物模型为老年2型糖尿病患者提供了简便的热量计算方法,极大地提高了老年2型糖尿病患者的饮食依从性,可以有效地帮助老年2型糖尿病患者控制血糖和血脂,延缓其并发症的发生。OBJECTIVE To investigate the effect of hand measurement in the dietary guidance of patients with type 2 diabetes（T2DM） in the community.METHODS The elderly patients with type 2 diabetes mellitus were randomly divided into control group and experimental group.In the control group,a routine health education was used for dietary guidance,and the experimental group was guided by the method of hand measurement and food model based on the conventional health education.After 6 months of intervention,BMI,blood glucose and blood lipid index were detected in the two groups.RESULTS the comparison of BMI,blood glucose and blood lipid index in the two groups were not statistically significant（P〉0.05）.After the intervention compared with control group,experimental group of patients with body mass index（BMI）,fasting blood glucose（FBG）,glycosylated hemoglobin（HbA1c）,total cholesterol（TC）,triglyceride（TG） levels drop,the differences were statistically significant（P〈0.05）.CONCLUSION Hand measurement rule model for elderly patients with diabetes combined with food provided a simple calculation method of the heat,which greatly improved the compliance of elderly patients with diabetes diet,could effectively help the elderly patients with diabetes control blood sugar and blood fat,delay the occurrence of its complications.

关 键 词：手测量法则 老年2型糖尿病 饮食指导 

分 类 号：R179[医药卫生—妇幼卫生保健]