糖尿病互动式厨房在初诊2型糖尿病患者饮食管理中的应用  

The application of interactive diabetes kitchen in the dietary management of newly diagnosed type 2 diabetic patients

作　　者：刘巧艳 鲁霞 步红兵[3] 李志娟[1] 陈曦[1] 凡姗 尹卫[1] LIU Qiaoyan;LU Xia;BU Hongbing;LI Zhijuan;CHEN Xi;FAN Shan;YIN Wei(Department of Endocrinology,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212001;Suzhou Vocational Health College,Suzhou,Jiangsu,215009;Department of Nursing,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212001)

机构地区：[1]江苏大学附属医院内分泌代谢科,江苏镇江212001 [2]苏州卫生职业技术学院,江苏苏州215009 [3]江苏大学附属医院护理部,江苏镇江212001

出　　处：《中西医结合护理（中英文）》2019年第1期12-15,共4页Journal of Clinical Nursing in Practice

基　　金：江苏省镇江市卫生科技重点专项基金项目(SHW2016003);江苏省苏州卫生职业技术学院立项课题(Swhy201604)

摘　　要：目的探讨糖尿病互动式厨房对初诊2型糖尿病(T2DM)患者糖代谢指标、饮食知识、态度及行为的影响。方法选取2017年9月—2018年4月医院内分泌代谢科收治的初诊T2DM患者作为研究对象,按入院先后顺序分组,2017年9月—12月入院的39例患者为对照组,2018年1月—4月入院的38例患者为观察组。对照组采用传统饮食教育,观察组在对照组基础上开展糖尿病互动式厨房饮食干预。比较2组干预前及干预后3个月空腹血糖(FPG)、餐后2 h血糖(2hPBG)、糖化血红蛋白(HbA1c)变化及糖尿病饮食自我管理量表评分。结果干预后,2组FPG、2hPBG、HbA1c指标均较干预前降低,且观察组各指标改善幅度优于对照组,差异有统计学意义(P <0. 05)。干预后,2组糖尿病饮食自我管理量表各维度评分均升高,观察组各维度评分均高于对照组,差异有统计学意义(P <0. 05)。结论糖尿病互动式厨房饮食教育模式可以改善初诊T2DM患者的血糖水平,提高糖尿病饮食知识的掌握程度,促进健康饮食行为。Objective To explore the effect of interactive diabetes kitchen in the dietary management of newly diagnosed type 2 diabetic(T2DM)patients.Methods The patients admitted to the Endocrinology Department from September 2017 to April 2018 were recruited.Patients were divided the groups according to the order of patient admission,with 39 patients admitted from September to December 2017 as control group,who received conventional diabetes diet intervention,and 38 patients admitted from January to April 2018 as experiment group,who received diet intervention model based on interactive diabetes kitchen.The fasting plasma glucose(FPG),2 hours postprandial blood glucose(2hPBG),hemoglobin A1c(HbA1c)and knowledge,attitude,behavior dimension score of the dietary management scale were compared between two groups.Results After intervention,FPG,2hPBG and HbA1c in the experimental group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The scores of knowledge dimension,attitude dimension and behavior dimension in the diabetes diet self-management scale in the experimental group were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The interactive diabetes kitchen can improve the blood glucose level of newly diagnosed T2DM patients,improve the level of diabetic diet knowledge and promote healthy eating behavior.

关 键 词：2型糖尿病 胰岛素 糖尿病互动式厨房 血糖 糖化血红蛋白 饮食 

分 类 号：R473.5[医药卫生—护理学]