分阶段性饮食宣教对住院2型糖尿病患者的应用效果分析  

Analysis of Application Effect of Phased Diet Education in Inpatients with Type 2 Diabetes Mellitus

作　　者：刘丽君 洪小萍 罗敏琪 林国华 谢绍连 Liu Lijun;Hong Xiaoping;Luo Minqi;Lin Guohua;Xie Shaolian(Taishan People's Hospital,Taishan 529200,Guangdong Province,China)

机构地区：[1]台山市人民医院,广东台山529200

出　　处：《中国社区医师》2023年第15期99-101,共3页Chinese Community Doctors

摘　　要：目的:探讨对住院2型糖尿病(T2DM)患者实施分阶段性饮食宣教的作用。方法:选取2020年1—12月台山市人民医院内分泌科收治的120例T2DM患者作为研究对象,随机分为观察组与对照组,各60例。对照组采用常规护理,观察组在对照组基础上实施分阶段性饮食宣教。比较两组血糖及血脂指标、血糖波动指标、血清抵抗素水平、生活质量。结果:护理后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平低于对照组,高密度脂蛋白胆固醇水平高于对照组,差异有统计学意义(P<0.05);观察组平均血糖波动幅度、最大血糖波动幅度、血糖标准差均低于对照组,差异有统计学意义(P<0.001);观察组血清抵抗素水平、糖尿病特异性生活质量修订量表评分均低于对照组,差异有统计学意义(P<0.001)。结论:分阶段性饮食宣教对住院T2DM患者的应用效果确切,能改善血糖、血脂水平,减轻血糖波动及胰岛素抵抗,提高生活质量,值得临床应用并予以推广。Objective:To explore the effect of phased diet education in inpatients with type 2 diabetes mellitus(T2DM).Methods:From January 2020 to December 2020,120 T2DM patients admitted to Endocrinology Department of Taishan People's Hospital were selected as the study subjects.They were randomly divided into observation group and control group with 60 cases in each group.The control group used conventional nursing and the observation group used phased diet education on the basis of control group.The blood glucose and blood lipid indexes,blood glucose fluctuation indexes,serum resistin levels,and quality of life in two groups were compared.Results:After nursing,the levels of fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin,total cholesterol,triglycerides and low-density lipoprotein cholesterol in the observation group were lower than those in the control group,and the levels of high-density lipoprotein cholesterol in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The mean blood glucose fluctuation range,maximum blood glucose fluctuation range and blood glucose standard deviation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.001).The serum resistin level and the Audit of Diabetes-Dependent Quality of Life scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.001).Conclusion:The application effect of phased diet education in inpatients with T2DM is accurate,and it can improve blood glucose and blood lipid levels,reduce blood glucose fluctuations and insulin resistance,and improve quality of life,which is worthy of clinical application and promotion.

关 键 词：2型糖尿病 分阶段性饮食宣教 血糖 血脂 

分 类 号：R473.5[医药卫生—护理学]