老年糖尿病患者饮食与保健指导现状分析与对策  

Analysis of the current situation and countermeasures of dietary and health care guidance for elderly patients with diabetes

作　　者：展沐琰 陈洁 ZHAN Muyan;CHEN Jie(The Second People's Hospital of Jingjiang City,Taizhou,Jiangsu 214500)

机构地区：[1]靖江市第二人民医院,江苏泰州214500

出　　处：《智慧健康》2025年第1期193-196,共4页Smart Healthcare

摘　　要：目的 探讨老年糖尿病患者的饮食与保健指导现状,评估饮食和保健指导在改善糖尿病管理中的有效性,提出相应的改进对策。方法 本研究选取2022年9月—2023年9月在本院就诊的80例老年糖尿病患者,采用随机分组法,将其分为观察组(40例)和对照组(40例)。其中,对观察组进行系统的饮食与保健指导,对照组则进行常规管理。在试验开始前及结束后,评估患者的血糖控制情况、体重指数(BMI)、糖化血红蛋白(HbA1c)等指标,并分析观察组和对照组的差异。结果 观察组患者的空腹血糖(FPG)、餐后2 h血糖(PPG)、糖化血红蛋白(HbA1c)均有显著改善,与对照组相比,观察组患者的各项指标表现更优。具体数据如下:观察组HbA1c从基线的(8.5±1.2)%下降至(6.9±0.8)%,而对照组从(8.4±1.3)%仅下降至(7.5±1.1)%。此外,观察组患者红细胞计数(RBC)、高密度脂蛋白胆固醇(HDL-C)等相关健康指标也有明显提升。结论 系统的饮食与保健指导对老年糖尿病患者的血糖控制和整体健康状况有显著的正向影响。建议医疗机构进一步推广这种综合干预方法,以提高老年糖尿病患者的生活质量和疾病管理效果。Objective To investigate the current status of diet and health care guidance in elderly patients with diabetes,to evaluate the effectiveness of diet and health care guidance in improving diabetes management,and to propose corresponding improvement measures.Methods In this study,80 elderly patients with diabetes who were treated in the hospital from September 2022 to September 2023 were randomly divided into observation group (40 cases) and control group (40 cases).The observation group was given systematic dietary and health care guidance,while the control group was routinely managed.Before and after the start and end of the trial,the patients' blood glucose control,body mass index (BMI),glycosylated hemoglobin (HbA1c) and other health indicators were evaluated,and the differences between the observation group and the control group were analyzed.Results The fasting blood glucose (FPG),postprandial 2-hour blood glucose (PPG) and glycosylated hemoglobin (HbA1c) of the observation group were significantly improved,and the performance of various indicators in the observation group was better than that of the control group.The specific data are as follows:HbA1c decreased from 8.5±1.2% at baseline to 6.9±0.8% in the observation group,while it only decreased from 8.4±1.3% to 7.5±1.1% in the control group.In addition,the red blood cell count (RBC) and high-density lipoprotein cholesterol (HDL-C) and other related health indicators in the observation group were also significantly improved.Conclusion Systematic diet and health care guidance have a significant positive effect on blood glucose control and overall health status in elderly patients with diabetes.It is suggested that medical institutions should further promote this comprehensive intervention method to improve the quality of life and disease management effectiveness of elderly patients with diabetes.

关 键 词：老年糖尿病患者 饮食与保健指导 现状分析 对策分析 

分 类 号：R58[医药卫生—内分泌]