基于FATmax理论的运动护理干预对社区老年T2DM患者的影响  

Effect of Exercise Nursing Intervention Based on FATmax Theory on Elderly Patients with T2DM in Community

作　　者：杨贤琼[1] 路俊英[1] 李瑞[1] Yang Xianqiong;Lu Junying;Li Rui(Henan Provincial People′s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院,河南郑州450000

出　　处：《齐鲁护理杂志》2021年第19期21-24,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于最大脂肪氧化(FATmax)理论的运动护理干预对社区老年2型糖尿病(T2DM)患者的影响。方法:选取2019年7月1日~2020年7月1日收治的80例社区老年T2DM患者为研究对象,按照随机数字表法分为研究组和对照组各40例。对照组采用常规护理,研究组在常规护理基础上实施基于FATmax理论的运动护理干预。比较两组干预前及干预3个月后糖代谢指标[包括空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)]及脂代谢指标[包括总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)]、生活质量[采用糖尿病患者生存质量特异性量表(DSQL)]及自我管理能力[采用自我护理能力测定量表(ESCA)]。结果:干预3个月后,两组FBG、2 hPG及HbA1c水平均低于干预前(P<0.05),且研究组低于对照组(P<0.05);干预3个月后,研究组TC、TG及LDL-C水平低于干预前和对照组(P<0.05);干预3个月后,两组DSQL各维度评分低于干预前(P<0.05),且研究组低于对照组(P<0.05);干预3个月后,研究组ESCA各维度评分高于干预前和对照组(P<0.05)。结论:基于FATmax理论的运动护理干预有助于控制社区老年T2DM患者糖代谢与脂代谢水平,提升其生活质量与自我管理能力。Objective:To explore the effect of exercise nursing intervention based on maximum fat oxidation(FATmax)theory on elderly patients with type 2 diabetes mellitus(T2DM)in community.Methods:Eighty patients with T2DM admitted during July 1,2019 to July 1,2020 were selected as the research subjects,and were divided into the study group and the control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing,and the study group was given exercise nursing intervention based on FATmax theory on the basis of the control group.The levels of glucose metabolism indexes[fasting blood glucose(FBG),postprandial 2 h blood glucose(2 hPG),glycosylated hemoglobin(HbA1c)]and lipid metabolism indexes[total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C)]and scores of quality of life[Diabetes Specific Quality of Life Scale(DSQL)]and self-management[Exercise of Self-Care Agency Scale(ESCA)]were compared between the two groups before intervention and after 3 months of intervention.Results:After 3 months of intervention,the levels of FBG,2 hPG and HbA1c in the two groups were lower than those before intervention(P<0.05),and the levels in the study group were lower than those in the control group(P<0.05).The levels of TC,TG and LDL-C in the study group were lower than those before intervention(P<0.05),and were lower than those in the control group(P<0.05).The DSQL scores in the two groups were lower than those before intervention(P<0.05),and those in the study group were lower than those in the control group(P<0.05).The ESCA scores of patients in the study group were higher than those before intervention(P<0.05),and were higher than those in the control group(P<0.05).Conclusion:Exercise nursing intervention based on FATmax theory can help control the glucose metabolism and lipid metabolism,and improve the quality of life and self-management ability in elderly patients with T2DM in community.

关 键 词：FATmax 运动 社区 老年 2型糖尿病 糖脂代谢 生活质量 

分 类 号：R473.58[医药卫生—护理学]