基于跨理论模型的干预对2型糖尿病合并腹型肥胖患者内脏脂肪面积及自我管理的影响  

Effects of intervention based on transtheoretical model for visceral fat area and self-management in type 2 diabetes mellitus patients with abdominal obesity

作　　者：梁红宽 管癸芬[1] 宋瑜 许晓嘉 肖东[1] 李晏丽 罗蔼[1] LIANG Hongkuan;GUAN Guifen;SONG Yu;XU Xiaojia;XIAO Dong;LI Yanli;LUO Ai(Department of Endocrinology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,Guangdong,China)

机构地区：[1]广州医科大学附属第二医院内分泌科,广东广州510260

出　　处：《护士进修杂志》2023年第7期636-641,共6页Journal of Nurses Training

基　　金：广州市卫生健康科技一般引导项目(编号:20211A010059);广州医科大学附属第二医院护理科研基金(编号:A202008)。

摘　　要：目的 探讨基于跨理论模型的干预对2型糖尿病合并腹型肥胖患者内脏脂肪面积(VFA)、糖代谢指标及自我管理行为的影响。方法 选取2020年8月-2021年4月某三甲医院2型糖尿病合并腹型肥胖患者98例,随机分为对照组和观察组,各49例,对照组采取常规护理干预,观察组在对照组的基础上实施基于跨理论模型的护理干预,干预时间均为6个月。比较2组组内和组间干预前、干预后3个月和6个月VFA、糖代谢指标和自我管理行为的变化。结果 干预后3个月和6个月,观察组患者VFA、空腹血糖、餐后2 h血糖、自我管理行为总得分均优于对照组(P<0.05),且在自我管理行为中特殊饮食、运动和血糖监测3个维度得分也优于对照组(P<0.05)。结论 与常规糖尿病护理干预相比,基于跨理论模型的干预可有效减少2型糖尿病合并腹型肥胖患者的内脏脂肪面积,改善血糖控制水平,提高自我管理水平,达到提高患者生活质量的目的。Objective To explore the effects of intervention based on transtheoretical model for visceral fat area(VFA),glucose metabolism indexes,and self-management behavior in type 2 diabetes mellitus patients with abdominal obesity.Methods A total of 98 patients with type 2 diabetes mellitus combined with abdominal obesity were enrolled in a third grade A hospital from August 2020 to April 2021 and randomly divided into the control group and the observation group.Routine nursing intervention was carried out in the control group,and on the basis of the control group,the observation group was implemented nursing intervention based on transtheoretical model,and the intervention time of both groups was 6 months.Changes in VFA,glucose metabolism,and self-management behaviors were compared within and between the two groups before intervention and at 3 and 6 months after intervention.Results At 3 and 6 months after intervention,VFA,fasting blood glucose,2 h postprandial blood glucose,and total score of self-management behavior in the observation group were better than those in the control group(P<0.05),and scores of special diet,exercise,and blood glucose monitoring in self-management behavior were better than those in the control group(P<0.05).Conclusion Compared with conventional diabetes care intervention,intervention based on the transtheoretical model can effectively reduce the VFA of patients with type 2 diabetes combined with abdominal obesity,enhance their blood glucose control level,and improve their self-management level,and ultimately achieve the purpose of improving quality of life of patients.

关 键 词：跨理论模型 2型糖尿病 腹型肥胖 内脏脂肪面积 自我管理 

分 类 号：R473.58[医药卫生—护理学]