基于自评-主观全面评定量表的个体化营养干预及膳食指导对初发2型糖尿病患者的干预效果  

Effect of individualized nutrition intervention and dietary guidance based on scored patient-generated subjective global assessment on patients with newly diagnosed type 2 diabetes mellitus

作　　者：张玲[1] 陈淑侠[1] 周玉森[1] 慕景兰 ZHANG Ling;CHEN Shuxia;ZHOU Yusen;MU Jinglan(Department of Endocrinology,Bozhou People’s Hospital,Anhui Province,Bozhou236000,China)

机构地区：[1]安徽省亳州市人民医院内分泌科,安徽亳州236000

出　　处：《中国医药导报》2023年第24期182-185,共4页China Medical Herald

摘　　要：目的探讨基于自评-主观全面评定(PG-SGA)量表的个体化营养干预及膳食指导对初发2型糖尿病患者的干预效果。方法选择2020年1月至2021年11月安徽省亳州市人民医院接诊的80例初发2型糖尿病患者进行研究。按照随机数字表法分为观察组、对照组,各40例。对照组给予常规干预,观察组采用基于PG-SGA的个体化营养干预及膳食指导,均持续干预3个月。比较两组干预前后健康饮食行为评分、空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)及患者对饮食行为的依从性。结果干预后,两组健康饮食行为评分低于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组FBG、2hPG、HbA1c低于干预前,且观察组FBG、2hPG、HbA1c低于对照组,差异有统计学意义(P<0.05)。观察组饮食行为总依从率高于对照组,差异有统计学意义(P<0.05)。结论基于PG-SGA的个体化营养干预及膳食指导在初发2型糖尿病患者中的干预效果明显,值得临床推广。Objective To explore the effect of individualized nutrition intervention and dietary guidance based on scored patient-generated subjective global assessment(PG-SGA)in patients with newly diagnosed type 2 diabetes.Methods A total of 80 patients with newly diagnosed type 2 diabetes were selected from Bozhou People’s Hospital in Anhui Province from January 2020 to November 2021 for this study.They were divided into observation group and control group according to random number table method,with 40 cases in each group.The control group received routine intervention,and the observation group received individualized nutrition intervention and dietary guidance based on PG-SGA.The intervention lasted for three months.The score of healthy eating behavior,fasting blood glucose(FBG),2 h postprandial blood glucose(2hPG),glycated hemoglobin(HbA1c)and the compliance of patients with dietary behavior were compared between the two groups before and after the intervention.Results After intervention,the scores of healthy eating behavior in both groups were lower than those before intervention,and the score of healthy eating behavior in observation group was higher than that in control group,and the differences were statistically significant(P<0.05).After intervention,FBG,2hPG,and HbA1c in both groups were lower than those before intervention,while FBG,2hPG,and HbA1c in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total compliance rate of dietary behavior in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Individualized nutrition intervention and dietary guidance based on PG-SGA have obvious effects in the intervention of patients with newly diagnosed type 2 diabetes,and are worthy of clinical promotion.

关 键 词：2型糖尿病 自评-主观全面评定量表 营养 膳食 血糖 依从性 

分 类 号：R587.1[医药卫生—内分泌]