非酒精性脂肪肝患者饮食与运动行为的干预研究

Intervention research on diet and movement behavior of patients with non-alcoholic fatty liver

目的探讨非酒精性脂肪肝患者饮食与运动行为的干预策略,旨在使患者建立良好的饮食与运动行为习惯,全面降低影响预后的不利因素。方法采取健康教育方法,用食品交换法控制患者饮食,用能量代谢当量值控制运动量,指导患者记生活日记等,干预3个月后进行效果评价。结果92例非酒精性脂肪肝患者干预前饮食控制和运动不合格者分别占92.4%与89.1%,高热量与高脂肪的摄入分别者占100.0%与94.1%;干预后高热量与高脂肪摄入减少,运动量增加,体重减轻,血糖、血脂值降低,健康意识增强。结论行为干预有利于非酒精性脂肪肝患者建立健康的生活方式,全面降低对患者预后不利的影响。

Objective To discuss the intervention strategy of diet and movement behavior of patients with non-alcoholic fatty liver, Methods Health education, nutrition computation and food exchange were used to control diet, METs were used to con trol the amount of exercise. Nurses instructed the patients to keep diary and evaluated the effects of the intervention after 3 months, Results Before intervention, the percentage of unreasonable diet and exercise in 92 cases were respectively 92.4% and 89.1%, the percentage of uptake of high quantity of calorie and fat were respectively 100% and 94. 1%. After intervention, the patients had lower uptake of high quantity of calorie and fat, they also had more exercise and less weight than before. The blood glucose and blood-lipoids of the patients were decreased, and the health consciousness was enhanced. Conclusions The behavior intervention is advantageous to the patients with non alcoholic fatty liver