基于IMPACT模式的护理管理结合低升糖指数膳食管理对2型糖尿病患者饮食行为及自护能力的影响  

Effects of nursing management based on IMPACT model combined with low glycemic index dietary management on dietary behavior and self-care ability of patients with type 2 diabetes mellitus

作　　者：宋春苗 刘伟平 康格平[1] 朱海慧 陈静[1] SONG Chunmiao;LIU Weiping;KANG Geping;ZHU Haihui;CHEN Jing(Kidney Endocrinology Department,the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038;Endocrinology Department,Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 710003,China)

机构地区：[1]西安医学院第二附属医院肾脏内分泌科,陕西西安710038 [2]陕西省中医医院内分泌科,陕西西安710003

出　　处：《临床医学研究与实践》2023年第36期130-133,共4页Clinical Research and Practice

基　　金：陕西省中医药管理局科研课题(No.2019-ZZ-LC003)。

摘　　要：目的分析基于IMPACT模式的护理管理结合低升糖指数膳食管理对2型糖尿病(T2DM)患者饮食行为及自护能力的影响。方法选取2021年1月至12月收治的100例T2DM患者为研究对象,按照随机数字表法将其分为对照组与观察组,各50例。对照组采用常规护理干预,观察组在对照组基础上加基于IMPACT模式的护理管理结合低升糖指数膳食管理。比较两组的饮食行为、自护能力以及血糖控制水平。结果干预后,观察组的饮食行为量表各维度评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的自我护理能力测定量表(ESCA)各维度评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)水平低于对照组,差异具有统计学意义(P<0.05)。结论基于IMPACT模式的护理管理结合低升糖指数膳食管理不仅能够改变患者饮食行为,还能加强其自护能力,以此提高血糖控制水平,值得推广。Objective To analyze the effects of nursing management based on IMPACT model combined with low glycemic index dietary management on dietary behavior and self-care ability of patients with type 2 diabetes mellitus(T2DM).Methods A total of 100 patients with T2DM admitted from January to December 2021 were selected as the research objects and divided into control group and observation group according to the random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing management based on IMPACT model combined with low glycemic index dietary management on the basis of the control group.The dietary behavior,self-care ability and blood glucose control level were compared between the two groups.Results After intervention,the scores of each dimension of the dietary behavior scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of the Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the levels of fasting blood glucose(FBG)and 2 h postprandial blood glucose(2 h PBG)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The nursing management based on IMPACT model combined with low glycemic index dietary management can not only change the dietary behavior of patients,but also strengthen their self-care ability,so as to improve the level of blood glucose control,which is worthy of promotion.

关 键 词：基于IMPACT模式的护理管理 低升糖指数膳食管理 饮食行为 自护能力 血糖控制 

分 类 号：R473[医药卫生—护理学]