运动疗法联合西药、膳食营养对老年糖尿病患者负性情绪和依从性的影响

发布时间：2018-08-24 14:22

【摘要】：目的探讨运动疗法联合西药、膳食营养对老年糖尿病(DM)患者负性情绪和依从性及治疗效果的影响。方法老年DM患者72例,采用随机数字表法分为观察组和对照组各36例,两组均给予糖肾平、骨化三醇胶丸常规治疗,观察组同时给予运动疗法联合膳食营养,干预期为病人入院开始至出院后3个月。观察两组负性情绪和依从性情况及两组糖化血红蛋白(Hb A1c)水平和血脂各项指标检测结果。结果治疗后观察组Hb A1c、甘油三酯(TG)、总胆固醇(TCH)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平均明显优于对照组(P0.05)。观察组治疗依从性为100%,对照组为72.22%(26/36),观察组满意度为100%,对照组为83.33%(30/36),两组通过运动疗法联合膳食营养干预后负性情绪有明显改善,且观察组明显高于对照组(均P0.05)。结论运动疗法联合膳食营养能提高老年DM患者的治疗依从性,并能改善患者的治疗效果。
[Abstract]:Objective to investigate the effects of exercise therapy combined with western medicine and dietary nutrition on negative emotion and compliance and therapeutic effect in elderly diabetic patients with (DM). Methods Seventy-two elderly patients with DM were randomly divided into two groups: the observation group (n = 36) and the control group (n = 36). The two groups were given routine treatment with Tangshenping and calcitriol colloidal pills, while the observation group were treated with exercise therapy combined with dietary nutrition at the same time. Dry expectation was 3 months after admission to discharge. The negative emotion and compliance, the level of glycosylated hemoglobin (Hb A1c) and the blood lipids in the two groups were observed. Results after treatment, the levels of Hb A1c, triglyceride (TG), total cholesterol (TCH), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) in the observation group were significantly higher than those in the control group (P0.05). The therapeutic compliance was 100 in the observation group, 72.22% in the control group (26 / 36), 100 in the observation group and 83.33% in the control group (30 / 36). Conclusion exercise therapy combined with dietary nutrition can improve the therapeutic compliance of elderly patients with DM and improve the therapeutic effect.
【作者单位】：浙江财经大学体育部;西安医学院;
【基金】：陕西省体育局课题(No.15039) 陕西省教育厅自然科学基金课题(No.12JK0707)
【分类号】：R587.1

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