住院与随访一体化教育对代谢综合征患者治疗性生活方式改变的影响

Influence of integrated education of hospitalization and follow-up on change of life by this treatment among patients with metabolic syndrome

目的探讨住院与随访一体化教育对代谢综合征患者治疗性生活方式改变依从性影响。方法抽取56例住院的代谢综合征患者作为教育对象，采用住院时的系统课堂教育和床边教育；出院后随访督促、个体化指导患者改变饮食、运动行为。结果出院后3个月日总热量控制满意率达到71.4%；三大营养素碳水化合物、脂肪、蛋白质在总热量的百分比，运动知识、运动态度、运动依从性得分，与住院前比较，差异有统计学意义（P〈0.05）。结论住院与随访一体化教育使患者日总热量控制趋于理想，优化了膳食结构；提高了运动知识、运动态度、运动的依从性。

Objective To explore the influence of integrated education of hospitalization and follow-up that impacts on the mode change of life and compliance to the treatment among the patients with metabolic syndrome. Methods 56 inpatients with metabolic syndrome （MS） were selected as the education objects. The patients were given the systematic class education and bed-side education in hospital, and were followed up and instructed the diet and exercise behavior after discharge. Results The satisfaction rate of total calories control per day achieved 71.4% in different stages after discharge. Compared to those before being hospitalized, there were statistical meanings in the percents of carbohydrate, fat and protein in total calories, the scores of exercise knowledge, exercise attitude and exercise compliance （P 〈 0. 05 ）. Conclusions The integrated education of hospitalization and follow-up makes the MS patients＇ total calories per day controlled into an ideal state, optimize the diet structure, and improve the exercise knowledge, exercise attitude and exercise compliance.