多元化量化便捷食谱在2型糖尿病中的应用研究

发布时间：2018-06-26 18:50

本文选题：2型糖尿病 + 饮食治疗　；参考：《成都中医药大学》2015年硕士论文

【摘要】：研究目的1. 探讨多元化量化便捷食谱对2型糖尿病患者疾病控制指标的影响。2. 探讨多元化量化便捷食谱对2型糖尿病患者负性情绪(焦虑、抑郁)的影响。3. 探讨多元化量化便捷食谱对2型糖尿病患者自我效能水平的影响。4. 探讨多元化量化便捷食谱对2型糖尿病患者生存质量的影响。5. 探讨多元化量化便捷食谱对2型糖尿病患者依从性的影响。研究方法1. 将2014年3月至2014年8月在成都中医药大学附属医院糖尿病门诊符合纳入标准的103例2型糖尿病患者,并采用随机对照方法将纳入的研究对象分为试验组50例和对照组53例。2. 干预方法：在糖尿病常规治疗护理的基础上,对照组采用常规糖尿病饮食方案,试验组采用多元化量化便捷食谱方案,分别于干预前、干预3个月后采集患者的疾病控制指标,以评价其临床疗效；采用自我效能量表(DSES)对患者的自我效能感进行评价；采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价患者的负性情绪(焦虑、抑郁)；采用2型糖尿病生活质量评定量表(DMQLS)修订版对患者的生存质量情况进行评估；采用糖尿病饮食依从性调查表评价患者对饮食方案的依从性。3. 数据采集：(1)一般资料：姓名、年龄、性别、婚姻状况、职业、文化程度、病程、烟酒史、家族史、伴随疾病等；(2)疗效性指标：疾病控制指标(BMI、 FPG、2hPBG、HbAlc、HDL-C、LDL-C、TC、TG、SBP、DBP)评价临床疗效；DSES、HAMA、HAMD、DMQLS评分；(3)依从性：患者依从性评分,用以评价患者的遵医行为。资料均由经过培训的研究组成员进行收集,干预前收集以上全部资料,干预3个月后收集疗效性指标及依从性评分。4. 统计处理：数据采用SPSS17.0软件进行数据统计分析。研究结果1.基线数据：干预前两组在病例脱失情况、年龄、性别、职业、婚姻状况、文化程度、病程、伴随疾病等方面,差异均无统计学意义(P0.05),疾病控制指标、DMQLS评分、DSES评分、HAMA评分、HAMD评分、依从性评分的比较,差异均无统计学意义(P0.05),具有可比性。2.疾病控制指标：组间比较显示：试验组干预后HDL-C高于对照组,BMI、 FPG、2hPBG、HbA1c、LDL-C、TC、TG、SBP、DBP等指标均低于对照组,差异有统计学意义(P0.05)；组内比较显示：两组干预后BMI、FPG、2hPBG、 HbA1c、LDL-C、TC、TG、SBP、DBP均低于干预前,HDL-C均高于干预前,差异有统计学意义(P0.05)。3. DSES评分：组间比较显示：干预后试验组DSES得分高于对照组,差异有统计学意义(P0.05)；组内比较显示：两组干预后DSES评分均高于干预前,差异有统计学意义(P0.05)。4. HAMA、HAMD评分：组间比较显示：试验组干预后HAMA、HAMD评分均低于对照组,差异有统计学意义(P0.05)；组内比较显示：两组干预后HAMA、HAMD评分均低于干预前,差异有统计学意义(P0.05)。5. DMQLS评分：组间比较显示：干预后试验组各维度得分均低于对照组,差异均有统计学意义(P0.05)；组内比较显示：两组干预后DMQLS各维度得分均低于干预前,差异有统计学意义(P0.05)。6.依从性评分：组间比较显示：干预后试验组依从性评分均高于对照组,差异有统计学意义(P0.05)；组内比较显示：两组患者依从性评分干预后均高于干预前,差异有统计学意义(P0.05)。结论1.多元化量化便捷食谱有助于改善患者血糖、降低血脂、控制血压,其效果优于常规糖尿病饮食方案组。2. 多元化量化便捷食谱有助于改善患者负性情绪(焦虑、抑郁),其效果优于常规糖尿病饮食方案组。3.多元化量化便捷食谱有助于提高患者自我效能水平,其效果优于常规糖尿病饮食方案组。4.多元化量化便捷食谱有助于提高2型糖尿病患者的生存质量,其效果优于常规糖尿病饮食方案组。5. 多元化量化便捷食谱有助于提高患者的饮食依从性,其效果优于常规糖尿病饮食方案组。
[Abstract]:Objective 1. to explore the influence of multiple quantified and convenient diet on the disease control index of type 2 diabetes patients.2. explore the effect of multiple quantified and convenient diet on negative emotion (anxiety, depression) in type 2 diabetes patients.3. discussion on the effect of diversification and convenience diet on the self-efficacy level of type 2 diabetes patients.4. exploration of diversification The impact of quantified and convenient diet on the quality of life in type 2 diabetes patients.5. explored the effect of a diversified and quantified convenience diet on the compliance of type 2 diabetic patients. Method 1. from March 2014 to August 2014 in the diabetes clinic of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, 103 patients with type 2 diabetes were conformed to the inclusion criteria and were randomly selected. The subjects included in the study were divided into 50 cases in the experimental group and 53 cases of the control group with.2. intervention: on the basis of the routine treatment of diabetes, the control group adopted the routine diabetes diet scheme, and the experimental group adopted a diversified and convenient diet scheme. Before the intervention, the patient's disease control index was collected 3 months after the intervention, so as to evaluate the patient's disease control index. The clinical efficacy was evaluated; self efficacy scale (DSES) was used to evaluate the patient's self-efficacy; the Hamilton Anxiety Scale (HAMA) and the Hamilton Depression Scale (HAMD) were used to evaluate the negative emotion (anxiety, depression) of the patients; the quality of life of the patients was revised by the revised version 2 diabetes life quality assessment scale (DMQLS). .3. data collection was assessed by the diabetes diet compliance questionnaire: (1) general information: name, age, sex, marital status, occupation, education, course of illness, history of tobacco and alcohol, family history, disease and so on; (2) therapeutic index: disease control index (BMI, FPG, 2hPBG, HbAlc, HDL-C, LDL-C,) TC, TG, SBP, DBP) evaluation of clinical efficacy; DSES, HAMA, HAMD, DMQLS score; (3) compliance: compliance score of patients to evaluate patients' compliance behavior. Data were collected by trained members of the study group, before intervention, all the above data were collected, and 3 months after intervention, the curative effect index and compliance score were collected. The data were analyzed by SPSS17.0 software. Results 1. baseline data: there were no significant differences between the two groups before intervention in cases of loss of cases, age, sex, occupation, marital status, educational level, disease course, and disease, such as disease control index, DMQLS score, DSES score, HAMA score, HAMD score, compliance. There was no statistically significant difference in sex score (P0.05), and there was a comparable control index of.2. disease: the comparison between groups showed that the HDL-C of the test group was higher than the control group, BMI, FPG, 2hPBG, HbA1c, LDL-C, TC, TG, SBP, DBP and other indexes were lower than those in the control group. 2hPBG, HbA1c, LDL-C, TC, TG, SBP, DBP were all lower than before the intervention, HDL-C was higher than before the intervention, the difference was statistically significant (P0.05).3. DSES score: the comparison between groups showed that the score of DSES scores in the test group was higher than that of the control group, and the difference was statistically significant. The comparison between the two groups showed that the scores of the two groups were higher than those before the intervention, and the difference was unified before the intervention. The study significance (P0.05).4. HAMA, HAMD score: the group comparison showed that the test group was HAMA, the HAMD score was lower than the control group, the difference was statistically significant (P0.05); the group comparison showed that the two groups of dry prognosis HAMA, the HAMD score was lower than before the intervention, the difference was statistically significant (P0.05).5. DMQLS score: the comparison between groups showed: dry prognosis The scores of all dimensions in the test group were lower than those in the control group (P0.05). In the group comparison, the scores of each dimension of DMQLS in the two groups were lower than that before the intervention, and the difference was statistically significant (P0.05).6. compliance score: the comparison between groups showed that the compliance score of the test group was higher than that of the control group, the difference was statistically significant Significance (P0.05); the group comparison showed that the compliance scores of the two groups were all higher than those before the intervention, and the difference was statistically significant (P0.05). Conclusion the multiplex quantitative and convenient diet helps to improve the blood sugar, reduce blood lipid and control the blood pressure. The effect is better than that of the routine glycuria diet group.2. multiplex quantitative convenience diet. The improvement of negative emotion (anxiety, depression) in patients is better than that of the conventional diabetes diet group.3. multiplex convenience diet helps to improve the patient's self-efficacy level. The effect is better than the conventional diabetes diet group.4. multiplex and quantified convenience diet helps to improve the quality of life of patients with type 2 diabetes, and the effect is better than that of the regular diabetes diet group. The.5. multivariate quantitative convenience diet helps improve the dietary compliance of patients. The effect is better than that of the conventional diabetic diet group.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.1

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