基于知信行模式的营养干预在社区卫生管理中对糖尿病患者生活质量及血糖水平的影响  

Effect of Nutrition Intervention Based on Communication Model on Quality of Life and Blood Glucose Level in Community Health Management

作　　者：董洪峰 DONG Hongfeng(Tengzhou Longquan Community Health Service Center,Tengzhou,Shandong 277599,China)

机构地区：[1]滕州市龙泉社区卫生服务中心,山东滕州277599

出　　处：《中国医药指南》2025年第11期168-170,共3页Guide of China Medicine

摘　　要：目的研究基于知信行模式的营养干预在社区卫生管理中对糖尿病的干预效果及对患者生活质量和血糖水平的影响。方法选取2023年5月至2024年5月滕州市龙泉社区卫生服务中心管理的糖尿病患者100例作为研究对象。通过随机数字表法将其分成观察组及对照组,各50例。干预周期为6个月,在干预前与干预后对比两组血糖水平[空腹血糖(FPG)、餐后2 h血糖(2 h PG)及糖化血红蛋白(HbA1c)]、胰岛素消耗量、生活质量评分[糖尿病特异性生存质量量表(DQOL)]、饮食行为评分[食物频率问卷(FFQ)]及糖尿病知识知晓率。结果干预后,观察组FPG、2 h PG、HbA1c及胰岛素消耗量均低于对照组(P<0.05)。观察组DQOL平分较对照组低,FFQ评分高于对照组(P<0.05)。观察组糖尿病知识知晓率状况较对照组佳(P<0.05)。结论知信行模式的营养干预在社区卫生管理中可改善糖尿病患者生活质量及血糖水平,具有一定的临床价值。Objective To study the effect of nutrition intervention based on the intervention in community health management and its effect on patient quality of life and blood glucose level.Methods A total of 100 diabetic patients managed by the Longquan Community Health Service Center in Tengzhou City from May 2023 to May 2024 were selected as research subjects.They were randomly divided into an observation group and a control group,with 50 patients in each group,using a random number table.The intervention period was 6 months.Before and after the intervention,the two groups were compared in terms of blood glucose levels[fasting plasma glucose(FPG),2-hour postprandial glucose(2 h PG),and glycated hemoglobin(HbA1c)],insulin consumption,quality of life scores[assessed by the diabetes quality of life(DQOL)scale],dietary behavior scores[assessed by the food frequency questionnaire(FFQ)],and the awareness rate of diabetes-related knowledge.Results After the intervention,the levels of FPG,2 h PG,HbA1c,and insulin consumption in the observation group were all lower than those in the control group(P<0.05).The DQOL score in the observation group was lower than that in the control group,while the FFQ score was higher(P<0.05).The awareness rate of diabetes-related knowledge in the observation group was better than that in the control group(P<0.05).Conclusions The nutrition intervention can improve the quality of life and the blood glucose level of diabetic patients in the community health management,which has certain clinical value.

关 键 词：糖尿病 知信行 营养 社区卫生管理 生活质量 血糖 

分 类 号：R587.1[医药卫生—内分泌] R473.5[医药卫生—内科学]