个体化医学营养联合运动干预对甲亢合并糖尿病患者睡眠质量的影响  

Effects of individualized medical nutrition in combination with exercise intervention on sleep quality in patients with hyperthyroidism combined with diabetes mellitus

作　　者：王娟 李静 张倩 Wang Juan;Li Jing;Zhang Qian(Department of Endocrinology,The First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)

机构地区：[1]南阳市医学高等专科学校第一附属医院内分泌科,河南南阳473000

出　　处：《保健医学研究与实践》2022年第7期122-125,共4页Health Medicine Research and Practice

摘　　要：目的探析个体化医学营养联合运动干预对甲亢合并糖尿病患者血糖控制水平、并发症以及睡眠质量的影响。方法选取南阳市某医院2020年6月—2021年5月收治的70例甲亢合并糖尿病患者为研究对象,采用随机数字表法分为观察组(采用个体化医学营养联合运动干预+整体护理)和对照组(仅采用整体护理),各35例。比较2组患者干预前、干预3个月时血糖控制水平[糖化血红蛋白(HbAlc)]、空腹血糖(FPG)及餐后2 h血糖(2 h PG)、睡眠质量[匹兹堡睡眠质量评估表(PSQI)评分]以及护理期间并发症发生情况。结果观察组患者护理期间并发症发生率为2.86%,低于对照组的17.14%,差异有统计学意义(P<0.05)。干预前,2组患者各项血糖指标及PSQI评分比较,差异均无统计学意义(P>0.05)。干预后,2组患者HbAlc、FPG、2 h PG水平均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预后,2组患者PSQI评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论个体化医学营养联合运动干预应用于甲亢合并糖尿病患者护理中,效果显著,可有效提高血糖控制水平及睡眠质量,降低并发症发生风险,值得在临床上推广使用。Objective To investigate the effects of individualized medical nutrition in combination with exercise intervention on glycemic control level,complications and sleep quality in patients with hyperthyroidism combined with diabetes mellitus.Methods A total of 70 patients with hyperthyroidism combined with diabetes mellitus admitted to a hospital in Nanyang from June 2020 to May 2021 were selected as subjects.They were assigned to an observation group(n=35,receiving individualized medical nutrition combined with exercise intervention and holistic care)and a control group(n=35,receiving holistic care only)via the random number table method.The glycemic control levels[Hemoglobin A1c(HbA1c)(HbAlc)],fasting plasma glucose(FPG)and 2 h postprandial blood glucose(2 h PG),sleep quality[Pittsburgh Sleep Quality Index(PSQI)scores]and the occurrence of complications during care were compared between the two groups before and at 3 months of the intervention.Results The incidence of complications during nursing in the observation group was 2.86%,which was lower than that in the control group(17.14%),and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in blood glucose and PSQI scores between the two groups(P>0.05).After the intervention,the levels of HbAlc,FPG and 2 h PG in the two groups were lower than those before the intervention,and the study group was lower than the control group,with statistical significance(P<0.05).After the intervention,the PSQI scores of the two groups were lower than those before the intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).Conclusion The individualized medical nutrition in combination with exercise intervention in the nursing of patients with hyperthyroidism combined with diabetes mellitus indicates marked effects,which can effectively improve blood sugar control and sleep quality,and reduce the risk of complications.These benefits justify a wider application of this tec

关 键 词：整体护理 医学营养干预 医学运动疗法 甲亢合并糖尿病 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]