摘要
目的分析健康教育结合饮食护理对2型糖尿病合并肥胖症患者血糖、血脂及睡眠质量的影响,为临床护理提供依据。方法选取2020年1月至2021年3月我院接收的100例2型糖尿病合并肥胖症患者进行研究,根据护理方案的不同将其分为对照组和观察组,各50例。对照组给予饮食护理干预,观察组给予健康教育结合饮食护理干预。比较两组的干预效果。结果干预后,观察组的疾病认知、依从性、一般自我效能量表(GSES)评分均高于对照组,匹兹堡睡眠质量指数(PSQI)评分低于对照组(P<0.05)。干预3、6个月后,观察组的腰围、体质量指数(BMI)均小于对照组(P<0.05)。干预后,观察组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平及糖化血红蛋白(HbA1c)均低于对照组(P<0.05)。干预后,观察组的高密度脂蛋白胆固醇(HDL-C)水平高于对照组,总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平低于对照组(P<0.05)。结论健康教育结合饮食护理在2型糖尿病合并肥胖症中的应用效果显著,可有效提高患者的疾病认知、自我效能以及睡眠质量,降低BMI及血糖水平,值得推广。
Objective To analyze the effects of health education combined with diet nursing on blood glucose,blood lipid and sleep quality in patients with type 2 diabetes mellitus complicated with obesity,and to provide evidences for clinical nursing.Methods A total of 100 patients with type 2 diabetes mellitus complicated with obesity admitted in our hospital from January 2020 to March 2021 were selected for the study.According to different nursing programs,the patients were divided into control group and observation group,with 50 cases in each group.The control group was given diet nursing intervention,the observation group was given health education combined with diet nursing intervention.The intervention effects of the two groups were compared.Results After intervention,the disease cognition,compliance and General Self-Efficacy Scale(GSES)scores of the observation group were higher than those of the control group,and the Pittsburgh Sleep Quality Index(PSQI)score was lower than that of the control group(P<0.05).After 3 and 6 months of intervention,the waist circumference and body mass index(BMI)of the observation group were less than those of the control group(P<0.05).After intervention,the fasting plasma glucose(FPG),2 hour postprandial glucose(2 h PG)levels and glycosylated hemoglobin(HbA1c)in the observation group were lower than those in the control group(P<0.05).After intervention,the high density lipoprotein-cholesterol(HDL-C)level of the observation group was higher than that of the control group,and the total cholesterol(TC)and low density lipoprotein-cholesterol(LDL-C)levels were lower than those of the control group(P<0.05).Conclusion The health education combined with diet nursing in type 2 diabetes mellitus complicated with obesity has a significant application effect,it can effectively improve the disease cognition,self-efficacy and sleep quality of patients,and reduce BMI and blood glucose level,which is worthy of promotion.
作者
仝雪
王瑞
TONG Xue;WANG Rui(Endocrinology Department,Baoji High-tech Hospital,Baoji 721000,China)
出处
《临床医学研究与实践》
2023年第29期182-185,共4页
Clinical Research and Practice
关键词
健康教育
饮食护理
2型糖尿病
肥胖症
health education
diet nursing
type 2 diabetes mellitus
obesity
