基于数字健康管理的家庭康复干预对老年2型糖尿病伴肌少症患者的疗效观察  

Family rehabilitation based on digital health management can help elderly diabetes patients with sarcopenia

作　　者：吕英华 韦伟 黄文贞 周帆 王洁 马慧慧 袁慧娟 Lyu Yinghua;Wei Wei;Huang Wenzhen;Zhou Fan;Wang Jie;Ma Huihui;Yuan Huijuan(Department of Endocrinology,Henan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zheng-zhou 450003,China)

机构地区：[1]河南省人民医院内分泌科,郑州大学人民医院,郑州450003

出　　处：《中华物理医学与康复杂志》2024年第5期443-447,共5页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的:观察基于数字健康管理的家庭康复干预对老年2型糖尿病(T2DM)伴肌少症患者的疗效。方法:选取在我院治疗后出院的老年T2DM伴肌少症患者100例,采用随机数字表法将其分为观察组及对照组,每组50例。对照组患者延续住院期间饮食控制及训练方案,并定期随访,观察组患者在饮食控制基础上辅以基于数字健康管理的家庭康复干预。于干预前、干预3个月后评估2组患者的糖脂代谢及肌少症相关症状指标变化情况,并对治疗后2组患者的糖尿病自我管理水平进行比较。结果:治疗后2组患者的糖、脂代谢指标、肌少症相关症状指标均较治疗前有不同程度改善,并且干预后观察组患者糖、脂代谢指标、肌少症相关症状指标及糖尿病自我管理水平均显著优于对照组(P<0.05)。结论:基于数字健康管理的家庭康复干预可显著改善老年T2DM伴肌少症患者的糖脂代谢及肌肉质量,该训练模式值得在老年T2DM伴肌少症患者中推广、应用。Objective To observe any effect of family rehabilitation interventions based on digital health management on elderly type 2 diabetes mellitus(T2DM)patients with sarcopenia.Methods One hundred elderly T2DM patients with sarcopenia who had been discharged from hospital after treatment were divided into an observation group and a control group,each of 50.Both groups continued the diet control and training begun during their hospital-ization,but the observation group was additionally provided with family rehabilitation based on digital health manage-ment.Before and after 3 months,the glucose and lipid metabolism and sarcopenia of both groups were evaluated with related symptom indexes,and their levels of diabetes self-management were compared.Results Significant im-provement was observed in both groups,but the average glucose and lipid metabolism indexes and sarcopenia-related symptom indexes of the observation group were significantly better than the control group′s averages.Their diabetes self-management was also significantly superior.Conclusion Family rehabilitation based on digital health manage-ment can significantly improve glucose and lipid metabolism and muscle mass in elderly T2DM patients with sarcope-nia.Such intervention is worthy of promotion and application in clinical practice.

关 键 词：居家康复 2型糖尿病 肌少症 远程康复 数字健康管理 

分 类 号：R587.1[医药卫生—内分泌] R685[医药卫生—内科学] R492[医药卫生—临床医学]