饮食健康教育处方对2型糖尿病患者膳食调节的效果及健康伦理分析  

Effect of Dietary Healthy Education Prescribe on Dietary Adjustment in Patients with Type 2 Diabetes and Analysis of Health Ethics

作　　者：李燕姿[1] 何甜 顾甜甜[1] 高萌萌[1] 魏兰[1] 李蒙[1] LI Yanzi;HE Tian;GU Tiantian;GAO Mengmeng;WEI Lan;LI Meng(Department of Operation, the First Affiliated Hospital of Xi＇an Jiaotong University, Xi＇an 710061, China)

机构地区：[1]西安交通大学第一附属医院手术部,陕西西安710061

出　　处：《中国医学伦理学》2018年第10期1293-1296,共4页Chinese Medical Ethics

摘　　要：目的探讨饮食健康教育处方对2型糖尿病患者进行饮食治疗效果的影响。方法采用方便抽样法调查80例2型糖尿病患者,将80例2型糖尿病患者随机分为对照组(40例)和实验组(40例)。对照组进行常规的健康教育,饮食指导;实验组采用强化教育模式,根据被纳入患者的具体情况,由糖尿病专业护士制定针对性的健康教育,对患者的饮食进行干预,观察患者的饮食治疗控制的情况和血糖控制水平。5个月后进行效果评价。结果经过针对性健康教育的试验组在饮食控制、血糖水平方面均比对照组理想,两组之间存在显著性差异(P <0. 01),提示针对性的健康教育在糖尿病患者的饮食治疗中起到重要作用。结论糖尿病患者需要长期服药,在饮食方面也需要科学搭配,通过实践证明,针对不同患者的具体情况实施针对性健康教育进行干预是有效的,可显著提高糖尿病患者对饮食治疗观念的认知水平,有效的控制血糖,减少或延缓并发症的发生,改善了生活质量,这符合健康伦理的题中之义。Objective： To explore the effect of dietary health education prescription on diet therapy in patients with type 2 diabetes. Methods： A total of 80 patients with type 2 diabetes were selected by convenient sampling and were randomly divided into control group （40 cases） and experimental group （40 cases）. The control group received routine health education and dietary guidance; the experimental group adopted an intensive education model, according to the specific conditions of the patients the diabetes professional nurses developed targeted health education for the patients. The diet was intervened to observe the patients dietary treatment control and blood glucose control levels. The effect was evaluated after 5 months. Results： The experimental group of targeted health education was better than the control group in terms of diet control and blood glucose level, and there was a significant difference between the two groups （P〈0.01）, suggesting that targeted health education played an important role in diet therapy for diabetes patients. Conclusion： Diabetes patients need long-term medication and also need scientific matching in the diet. It has been proved by practice that carrying out targeted health education intervention aiming at different patients’ specific condition is effective, and can significantly improve the cognitive level of diabetes patients concept of diet therapy, control blood glucose effectively, reduce or delay the occurrence of complications and improve the quality of life, which is in line with the meaning of health ethics.

关 键 词：2型糖尿病 健康教育 饮食控制 健康伦理 

分 类 号：R-052[医药卫生]