基于APP的饮食日记对糖尿病前期糖耐量受损患者饮食控制的影响  

Effects of App-based Diet Diary on the Diet Control of Prediabetes Patients with Impaired Glucose Tolerance

作　　者：艾敏 孙伟蔚 丁青 朱燕琴 AI Min;SUN Weiwei;DING Qing;ZHU Yanqin(Department of Endocrinology,Shibei Hospital of Jing’an District,Shanghai 200435,China;Department of Nursing,Shibei Hospital of Jing’an District)

机构地区：[1]上海市静安区市北医院内分泌科,上海200435 [2]上海市静安区市北医院护理部

出　　处：《解放军护理杂志》2019年第11期27-30,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市静安区卫生科研课题(2017HL01)

摘　　要：目的探究基于APP的饮食日记对糖尿病前期糖耐量受损(impaired glucose tolerance,IGT)患者饮食控制的影响。方法便利抽样法选择2018年7月至2018年12月于上海市静安区市北医院体检中心查体诊断为糖尿病前期的60例单纯IGT患者为研究对象,采用信封法将其分为对照组及观察组各30例,对照组患者采用普通饮食及相关APP计算摄入量的干预方法,观察组在此基础上联合使用饮食日记进行干预。测定并比较干预前后两组患者糖代谢相关指标、饮食依从性及糖尿病防护知识知晓率。结果干预后2个月,观察组患者糖代谢相关指标的水平均低于对照组,空腹血糖(fasting plasma glucose,FPG)、糖化血红蛋白(hemoglobin A1c,HbAlc)的达标率以及饮食控制依从性、糖尿病防护知识总体知晓率均高于对照组,差异均有统计学意义(均P<0.05)。结论基于APP的饮食日记可提高糖尿病前期患者饮食控制效果及自我行为管理水平,有助于其血糖的控制。Objective To investigate the effects of APP-based diet diary on the diet control of prediabetes patients with impaired glucose tolerance(IGT).Methods By convenience sampling method, 60 IGT patients diagnosed as prediabetes from July 2018 to December 2018 were selected, and they were divided into control group and observation group with 30 cases in each group by envelope method. The control group was given general diet intervention and mint APP calculating intake method. On this basis, the observation group was additionally combined with a diet diary. The related indicators of glucose metabolism, dietary compliance and the awareness rate of diabetes prevention knowledge between the two groups before and after intervention were compared.Results Two months after the intervention, the levels of glucose metabolism-related indicators in the observation group were lower than those in the control group. The compliance rates of fasting plasma glucose(FPG),hemoglobin A1 c(HbAlc),dietary control compliance and the overall awareness rate of diabetes prevention knowledge in the observation group were higher than those in the control group, and the differences were statistically significant(all P < 0.05).Conclusions APP-based diet diary can improve the effects of diet control and the self-behavioral management level of prediabetes patients, which is beneficial to control blood glucose.

关 键 词：饮食日记 糖尿病前期 饮食控制 依从性 

分 类 号：R473.58[医药卫生—护理学]