简化格式化生活方式干预对2型糖尿病患者的效果分析

发布时间：2018-11-17 19:51

【摘要】：目的评估简化格式化生活方式干预对2型糖尿病患者的效果。方法 229名2型糖尿病患者随机分为常规对照组及章本教育组,进行常规及简化格式化生活方式干预,每3月随访1次,共1年。结果干预前,2组患者血糖、血压、血脂、体重及糖尿病自我管理活动问卷(SDSCA)饮食管理、运动管理、血糖监测、药物治疗、足部护理评分无统计学差异(P0.05)。1年后,常规对照组血糖、收缩压、总胆固醇、SDSCA各维度评分下降(P0.05),章本教育组,血糖、血压、体重及SDSCA各维度评分下降明显(P0.05),高密度脂蛋白胆固醇升高(P0.05)。干预后章本教育组糖化血红蛋白、血压、体重、高密度脂蛋白胆固醇及SDSCA各维度评分优于常规对照组干预后(P0.05)。所有患者干预前后体重的差值分别与空腹血糖、餐后2 h血糖、糖化血红蛋白的差值相关(r=0.15,P=0.003;r=0.32,P0.001;r=0.41,P0.001),结论简化格式化生活方式能有效降低2型糖尿病患者血糖、血脂及血压水平,控制体重,且提高患者糖尿病相关知识及自我管理水平。
[Abstract]:Objective to evaluate the effect of simplified formatted lifestyle intervention on type 2 diabetic patients. Methods 229 patients with type 2 diabetes were randomly divided into routine control group and Zhang Ben education group. Routine and simplified formatted lifestyle intervention were performed every 3 months for 1 year. Results before intervention, (SDSCA) diet management, exercise management, blood glucose monitoring, drug therapy were used in the two groups, including blood glucose, blood pressure, blood lipid, body weight and diabetes self-management activity questionnaire. After 1 year, the scores of blood glucose, systolic blood pressure, total cholesterol and SDSCA in routine control group decreased (P0.05). Body weight and SDSCA scores decreased significantly (P0.05), high density lipoprotein cholesterol increased (P0.05). After intervention, the scores of glycosylated hemoglobin, blood pressure, body weight, high density lipoprotein cholesterol and SDSCA in the education group were better than those in the control group (P0.05). The difference of body weight before and after intervention was correlated with fasting blood glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin (r = 0.15). Conclusion simplified formatted lifestyle can effectively reduce blood glucose, blood lipid and blood pressure, control body weight, and improve diabetes related knowledge and self-management in patients with type 2 diabetes.
【作者单位】：南通大学附属医院内分泌科;南京医科大学公共卫生学院;
【基金】：江苏省卫生计生委预防医学会基金资助课题(Y2015070)
【分类号】：R587.1

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