中西医多学科协作家庭访视在2型糖尿病食物成瘾患者管理中的应用效果  

Application Effect of Multidisciplinary Home Visit of Chinese and Western Medicine in the Management of Food Addiction Patients with Type 2 Diabetes

作　　者：熊桂芝 邓小会[1] 张显明 常建国 XIONG Guizhi;DENG Xiaohui;ZHANG Xianming;CHANG Jianguo(Department of Rehabilitation Medicine,Bazhong Central Hospital,Bazhong 636000,China;Department of Geriatrics,Bazhong Central Hospital,Bazhong 636000,China)

机构地区：[1]巴中市中心医院康复医学科中医科,四川巴中636000 [2]巴中市中心医院老年病科,四川巴中636000

出　　处：《反射疗法与康复医学》2024年第12期191-195,共5页Reflexology And Rehabilitation Medicine

基　　金：四川省护理科研课题计划(H20028)。

摘　　要：目的探讨中西医多学科协作家庭访视在2型糖尿病(T2DM)食物成瘾(FA)患者管理中的应用效果。方法选取2022年11月—2023年9月就诊于巴中市中心医院内分泌科,且有对口合作社区的96例T2DM FA患者为研究对象,按随机数字表法将其分为对照组与观察组,各48例。对照组采用常规家庭访视,观察组采用中西医多学科协作家庭访视。比较两组患者的FA改善情况、健康饮食行为改变情况、血糖水平、负性情绪。结果干预后,观察组FA症状评分低于对照组,差异有统计学意义(P<0.05);观察组健康饮食行为阶段改变情况优于对照组,差异有统计学意义(P<0.05);观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,组间差异有统计学意义(P<0.05);观察组焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P<0.05)。结论中西医多学科协作家庭访视可帮助T2DM患者改善FA症状,建立健康的饮食行为,改善患者血糖控制效果和心理状态,方法科学有效,值得推广。Objective To explore the application effect of multi-disciplinary home visit of Chinese and Western medicine in the management of food addiction(FA)patients with type 2 diabetes mellitus(T2DM).Methods A total of 96 T2DM FA patients admitted to the Department of Endocrinology of Bazhong Central Hospital from November 2022 to September 2023 with partner communities were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 48 cases in each group.The control group was treated with routine family visit,and the observation group was treated with multi-disciplinary collaboration of Chinese and Western medicine.The improvement of food addiction,healthy eating behavior,blood sugar level and negative emotion were compared between the two groups.Results After intervention,the score of food addiction symptoms in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);the stage change of healthy eating behavior in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05);the levels of fasting blood glucose,2 hours postprandial blood glucose and glyeosylated hemoglobin in observation group were lower than those in control group,and the differences between groups were statistically significant(P<0.05);the Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Multidisciplinary home visit with traditional Chinese and Western medicine can help T2DM patients improve FA symptoms,establish healthy eating behavior,improve blood glucose control effect and psychological state.The method is scientific and effective,and is worth popularizing.

关 键 词：2型糖尿病 食物成瘾 中西医多学科协作 家庭访视 

分 类 号：R587.1[医药卫生—内分泌]