社区饮食指导和运动干预对控制糖尿病患者血糖指标的效果研究

Study on effect of community dietary guidance and exercise intervention on controlling blood glucose index in diabetic patients

目的观察社区饮食指导及运动干预对糖尿病患者血糖指标控制的临床效果。方法 90例2型糖尿病患者,按抽签分组法分为对照组和观察组,各45例。对照组采用常规药物及相关饮食宣教展开治疗,观察组在对照组基础上实施社区饮食指导及运动干预治疗方案,比较两组患者空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)及血小板反应蛋白-1(TSP-1)水平变化情况,生存质量评分,干预前后糖尿病自我管理行为量表(SDSCA)评分。结果观察组FBG、2 hPBG、HbA1c及TSP-1水平均低于对照组,差异有统计学意义(P<0.05)。干预前,两组SDSCA评分比较差异无统计学意义(P>0.05);干预后,观察组SDSCA评分(33.67±4.66)分高于对照组的(30.02±4.24)分,差异有统计学意义(P<0.05)。对照组患者生存质量评分为(71.30±4.20)分,观察组患者生存质量评分为(85.73±5.12)分;观察组生存质量评分高于对照组,差异有统计学意义(P<0.05)。结论对糖尿病患者采取社区饮食指导及运动干预,可有效控制患者血糖,提升患者生存质量及自护依从性,因此值得应用于社区糖尿病控制中。

Objective To observe the clinical effect of community dietary guidance and exercise intervention on controlling blood glucose index in diabetic patients. Methods A total of 90 type 2 diabetic mellitus patients were divided by lottery method into control group and observation group, with 45 cases in each group. The control group was treated with conventional drug and relevant dietary education, and the observation group was treated with community dietary guidance and exercise intervention on the basis of the control group. Comparison were made on changes of fasting blood glucose(FBG), postprandial 2 h blood glucose(2 h PBG), glycosylated hemoglobin(HbA1 c), thrombospondin-1(TSP-1), quality of life score and scale of the diabetes selfcare activities(SDSCA) score before and after intervention between the two groups. Results The observation group had lower FBG, 2 h PBG, HbA1 c and TSP-1 than the control group, and the difference was statistically significant(P<0.05). Before intervention, both groups had no statistically significant in SDSCA score(P>0.05). After intervention, the observation group had higher SDSCA score as(33.67±4.66) points than(30.02± 4.24) points in the control group, and the difference was statistically significant(P<0.05). The control group had quality of life score as(71.30±4.20) points, which was(85.73±5.12) points in the observation group. The observation group had higher quality of life score than the control group, and the difference was statistically significant(P<0.05). Conclusion Community dietary guidance and exercise intervention for diabetic patients can effectively control blood sugar, improve their quality of life and self-care compliance. It is worth applying in community diabetes control.