糖尿病互动式厨房在初诊2型糖尿病患者饮食管理中的应用
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摘要
目的探讨糖尿病互动式厨房对初诊2型糖尿病(T2DM)患者糖代谢指标、饮食知识、态度及行为的影响。方法选取2017年9月—2018年4月医院内分泌代谢科收治的初诊T2DM患者作为研究对象,按入院先后顺序分组,2017年9月—12月入院的39例患者为对照组,2018年1月—4月入院的38例患者为观察组。对照组采用传统饮食教育,观察组在对照组基础上开展糖尿病互动式厨房饮食干预。比较2组干预前及干预后3个月空腹血糖(FPG)、餐后2 h血糖(2hPBG)、糖化血红蛋白(HbA1c)变化及糖尿病饮食自我管理量表评分。结果干预后,2组FPG、2hPBG、HbA1c指标均较干预前降低,且观察组各指标改善幅度优于对照组,差异有统计学意义(P <0. 05)。干预后,2组糖尿病饮食自我管理量表各维度评分均升高,观察组各维度评分均高于对照组,差异有统计学意义(P <0. 05)。结论糖尿病互动式厨房饮食教育模式可以改善初诊T2DM患者的血糖水平,提高糖尿病饮食知识的掌握程度,促进健康饮食行为。
Objective To explore the effect of interactive diabetes kitchen in the dietary management of newly diagnosed type 2 diabetic( T2DM) patients. Methods The patients admitted to the Endocrinology Department from September 2017 to April 2018 were recruited. Patients were divided the groups according to the order of patient admission,with 39 patients admitted from September to December 2017 as control group,who received conventional diabetes diet intervention,and 38 patients admitted from January to April 2018 as experiment group,who received diet intervention model based on interactive diabetes kitchen. The fasting plasma glucose( FPG),2 hours postprandial blood glucose( 2 hPBG),hemoglobin A1c( HbA1c) and knowledge,attitude,behavior dimension score of the dietary management scale were compared between two groups.Results After intervention,FPG,2 hPBG and HbA1c in the experimental group were significantly lower than those in the control group,with statistically significant differences( P < 0. 05).The scores of knowledge dimension,attitude dimension and behavior dimension in the diabetes diet self-management scale in the experimental group were all higher than those in the control group,with statistically significant differences( P < 0. 05). Conclusion The interactive diabetes kitchen can improve the blood glucose level of newly diagnosed T2DM patients,improve the level of diabetic diet knowledge and promote healthy eating behavior.
Objective To explore the effect of interactive diabetes kitchen in the dietary management of newly diagnosed type 2 diabetic( T2DM) patients. Methods The patients admitted to the Endocrinology Department from September 2017 to April 2018 were recruited. Patients were divided the groups according to the order of patient admission,with 39 patients admitted from September to December 2017 as control group,who received conventional diabetes diet intervention,and 38 patients admitted from January to April 2018 as experiment group,who received diet intervention model based on interactive diabetes kitchen. The fasting plasma glucose( FPG),2 hours postprandial blood glucose( 2 hPBG),hemoglobin A1c( HbA1c) and knowledge,attitude,behavior dimension score of the dietary management scale were compared between two groups.Results After intervention,FPG,2 hPBG and HbA1c in the experimental group were significantly lower than those in the control group,with statistically significant differences( P < 0. 05).The scores of knowledge dimension,attitude dimension and behavior dimension in the diabetes diet self-management scale in the experimental group were all higher than those in the control group,with statistically significant differences( P < 0. 05). Conclusion The interactive diabetes kitchen can improve the blood glucose level of newly diagnosed T2DM patients,improve the level of diabetic diet knowledge and promote healthy eating behavior.
引文
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[10]杨春祥,张君,张雄华,等.初诊2型糖尿病胰岛素泵强化治疗的血糖达标及胰岛β细胞功能恢复研究[J].中国药业,2016,25(17):46-49.
[11]吴前胜,徐蓉,汪晖.应用目标设定策略改变糖尿病患者行为的实践[J].中国护理管理,2013,13(10):103-106.
[12]王莹,张红妹,王丽娜.多形式护理健康教育对首诊2型糖尿病患者的影响[J].山西医药杂志,2017,46(13):1633-1635.
[13]汤晓莉,叶海媚,王小琴,等.循环运动训练联合药物治疗对T2DM患者糖脂代谢、微炎症状态的影响[J].海南医学院学报,2017,23(20):2772-2775.
[2]杨文英.中国糖尿病的流行特点及变化趋势[J].中国科学:生命科学,2018,48(8):812-819.
[3]HOLMAN R R,PAUL S K,BETHEL M A,et al.10-year follow-up of intensive glucose control in type 2 diabetes[J].N Engl J Med,2008,359(15):1577-1589.
[4]杨冉静.糖尿病健康教育护理研究进展分析[J].控制理论与应用,2016,33(3):45-45.
[5]黄丽芬.健康教育对老年糖尿病住院患者健康行为自我效能的影响[J].中国健康教育,2016,32(1):80-83.
[6]殷荣平,王琪,王丽丽,等.2型糖尿病患者饮食自我管理的知信行调查分析[J].护理学报,2017,24(2):11-13.
[7]ALBERTI K G,ZIMMET P Z.Definition,diagnosis and classification of diabetes mellitus and its complications.Part 1:diagnosis and classification of diabetes mellitus provisional report of a WHO consultation[J].Diabet Med,1998,15(7):539-553.
[8]马珊珊.2型糖尿病患者饮食管理量表的编制[D].苏州:苏州大学,2016.
[9]张笑燕,田凤美,蒋银芬.糖尿病教育厨房模式对住院糖尿病病人的干预研究[J].全科护理,2015,13(6):489-490.
[10]杨春祥,张君,张雄华,等.初诊2型糖尿病胰岛素泵强化治疗的血糖达标及胰岛β细胞功能恢复研究[J].中国药业,2016,25(17):46-49.
[11]吴前胜,徐蓉,汪晖.应用目标设定策略改变糖尿病患者行为的实践[J].中国护理管理,2013,13(10):103-106.
[12]王莹,张红妹,王丽娜.多形式护理健康教育对首诊2型糖尿病患者的影响[J].山西医药杂志,2017,46(13):1633-1635.
[13]汤晓莉,叶海媚,王小琴,等.循环运动训练联合药物治疗对T2DM患者糖脂代谢、微炎症状态的影响[J].海南医学院学报,2017,23(20):2772-2775.