基于行为改变理论的远程糖尿病营养干预对2型糖尿病患者饮食行为、血糖波动及生存质量的影响  

Effects of long distance nutrition intervention for diabetes based on behavior change theory on eating behavior,glucose fluctuation and quality of life in patients with type 2 diabetes mellitus

作　　者：周乐[1] 白佳 鲁文菊[2] ZHOU Le;BAI Jia;LU Wenju(the First Hospital of Yulin,Yulin 719000;Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]榆林市第一医院,陕西榆林719000 [2]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2023年第31期136-139,共4页Clinical Research and Practice

基　　金：陕西省提升公众科学素质计划项目(No.2021PSL134)。

摘　　要：目的探究基于行为改变理论的远程糖尿病营养干预对2型糖尿病(T2DM)患者饮食行为、血糖波动及生存质量的影响。方法择取2019年4月至2021年6月收治的600例T2DM患者为研究对象,根据护理方案的不同将其分为对照组和观察组,各300例。对照组接受常规护理,观察组在对照组基础上给予基于行为改变理论的远程糖尿病营养干预。比较两组的干预效果。结果干预30 d后,观察组的饮食行为评分及白蛋白(ALB)、血红蛋白(HB)水平均高于对照组(P<0.05)。干预30 d后,观察组的日间血糖平均绝对差(MODD)、平均血糖波动幅度(MAGE)及全天血糖波动次数(NGE)均低于对照组(P<0.05)。干预30 d后,观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)、Kolcaba的舒适状况量表(GCQ)评分均高于对照组(P<0.05)。结论基于行为改变理论的远程糖尿病营养干预用于T2DM护理中,可改善患者的饮食行为、营养状态,降低血糖波动,提高生活质量,值得推广。Objective To explore the effects of long distance nutrition intervention for diabetes based on behavior change theory on eating behavior,glucose fluctuation and quality of life in patients with type 2 diabetes mellitus(T2DM).Methods A total of 600 T2DM patients admitted from April 2019 to June 2021 were selected as the study objects and divided into control group and observation group according to different nursing programs,with 300 cases in each group.The control group received routine nursing,and the observation group was given long distance nutrition intervention for diabetes based on behavior change theory on the basis of the control group.The intervention effects of the two groups were compared.Results After 30 d of intervention,the dietary behavior score and albumin(ALB)and hemoglobin(HB)levels in the observation group were higher than those in the control group(P<0.05).After 30 d of intervention,the absolute means of daily difference(MODD),mean amplitude of glycemic excursions(MAGE)and number of all day blood glucose fluctuation(NGE)in the observation group were lower than those in the control group(P<0.05).After 30 d of intervention,the the World Health Organization Quality of Life Brief Version(WHOQOL-BREF)and General Comfort Questionnaire(GCQ)scores of the observation group were higher than those of the control group(P<0.05).Conclusion Long distance nutrition intervention for diabetes based on behavior change theory applied in T2DM nursing can improve patients'eating behavior and nutritional status,reduce glucose fluctuation and improve quality of life,which is worthy of promotion.

关 键 词：基于行为改变理论的远程糖尿病营养干预 2型糖尿病 饮食行为 血糖波动 生存质量 

分 类 号：R473[医药卫生—护理学]