全程健康教育配合膳食管理对2型糖尿病患者自我管理习惯及糖脂代谢的影响  

Effect of Whole Process Health Education Combined with Dietary Management on Self-management Habits and Glucose and Lipid Metabolism of Type 2 Diabetes Patients

作　　者：秦绪婷 QIN Xuting(Disease Control and Prevention Center of Donggang District,Rizhao City,Rizhao 276800,China)

机构地区：[1]日照市东港区疾病预防控制中心,山东日照276800

出　　处：《中国医药指南》2023年第13期45-48,共4页Guide of China Medicine

摘　　要：目的探讨全程健康教育配合膳食管理对2型糖尿病患者自我管理习惯及糖脂代谢的影响。方法纳入2021年12月至2022年12月收治的100例2型糖尿病患者,依照随机数字表法均分为观察组与对照组,对照组给予常规护理,观察组在上述基础上联合全程健康教育与膳食管理,对比两组患者的血糖指标(糖化血红蛋白、餐后2 h血糖、空腹血糖)、体质量指数(BMI)、血脂指标(TG、TC)、治疗依从性。对比两组患者的自我管理习惯评分以及生活质量评分。结果血糖指标分析,护理前两组相比差异无统计学意义(P>0.05),护理后,观察组均低于对照组,两组相比差异有统计学意义(P<0.05)。BMI、血脂指标分析,护理前两组相比差异无统计学意义(P>0.05),护理后,观察组均低于对照组,两组相比差异有统计学意义(P<0.05)。观察组患者的治疗依从性高于对照组,两组相比差异有统计学意义(P<0.05)。自我管理习惯评分及生活质量评分分析,护理后,观察组均高于对照组,两组相比差异有统计学意义(P<0.05)。结论针对2型糖尿病患者,联合实施全程健康教育与膳食管理,有助于深化患者的疾病认知,提升治疗依从性,以此优化血糖控制效果,调节机体糖脂代谢,帮助患者建立良好的自我管理习惯。Objective To explore the effect of whole process health education combined with diet management on self-management habits and glucose and lipid metabolism of type 2 diabetes patients.Methods A total of 100 patients with type 2 diabetes who were included in the period December 2021 to December 2022 were randomly divided into the observation group and the control group according to the number.The control group was given routine care.The observation group,based on the above,combined with the whole process health education and dietary management.The blood glucose indexes(glycated hemoglobin,2 hours postprandial blood glucose,fasting blood glucose),body mass index(BMI),blood lipid index(TG,TC),and treatment adherence of the two groups were compared.Compare the self-management habits and SF-36 score of the two groups of patients.Results In the analysis of blood glucose index,there was no statistical value between the two groups before nursing(P>0.05).After nursing,the observation group was lower than the control group,and the difference between the two groups was statistically significant(P<0.05).The BMI and blood lipid index analysis showed that there was no statistically significant difference between the two groups before nursing(P>0.05).After nursing,the observation group was lower than the control group,and the difference between the two groups was statistically significant(P<0.05).The treatment compliance of patients in the observation group was higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).The self-management habit score and SF-36 score analysis showed that after nursing,the observation group was higher than the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion For patients with type 2 diabetes,the joint implementation of whole process health education and dietary management will help deepen patients'disease awareness,improve treatment compliance,optimize the effect of blood sugar contro

关 键 词：2型糖尿病 全程健康教育 膳食管理 自我管理习惯 糖脂代谢 

分 类 号：R587.1[医药卫生—内分泌] R47[医药卫生—内科学]