仿真食物模型在糖尿病患者饮食教育中的应用

Application of Food Simulation Model in Diet Education for Diabetes Patients

目的探讨运用仿真食物模型对糖尿病（Diabetesmellitus，DM）患者进行饮食教育（Diabeteshealtheduca．tion，DHE）的效果。方法将符合条件的已确诊的206例住院糖尿病患者随机分为实验组（103例）和对照组（103例）。对照组在住院期间给予常规的饮食教育和出院指导，实验组采用常规方法加仿真食物模型进行相同内容的教育，通过饮食知识测试及空腹血糖（Fastingplasmaglucose，FPG）、早餐后2小时血糖（Postprandialtwo—hourbloodglucose，PBG）、糖化血红蛋白（HemoglobinAlc，HbAlc）、甘油三酯（Triglyceride，TG）、胆固醇（Totalcholesterol，TC）、体重指数（Bodymassindex，BMI）监测观察教育效果。结果两组患者教育前后各种监测指标均有下降，试验组明显优于对照组且差异有统计学意义（P〈0．05）；糖尿病饮食知识测试得分分别为35—87分（平均65分）、78～94分（平均90分），差异有统计学意义（P〈0．01）。结论利用仿真食物模型对糖尿病患者进行饮食教育有利于患者掌握饮食控制的原则和方法，达到更好地控制糖尿病的目的。

Objective To explore the effect of application of the food simulation model for diet education in diabetes patients. Methods A total of 206 diabetes patients were randomly divided into experimental group given food simulation model as the pat- tern of diet education and control group given traditional health education, while all cases were carried out diabetic diet education on same content. Then effects of health education of were observed by testing related diet knowledge and measuring their fasting plasma glucose （ FBG）, postprandial two-hour blood glucose （ PBG ）, glycosylated hemoglobin （ HbAI c ）, Triglyceride （ TG ）, total cholesterol（ TC）, body mass index（BMI）. Results All related monitoring indexes were decreased in both groups after diet education, but the drops in the experimental group were larger than those in control group （ P 〈 0.05 ）. The score of related knowledge evaluation in the experimental group was higher than that in control（P 〈 0.01 ）. Conclusion The food simulation model on diabetic diet education is a useful education pattern which can make diabetes the patients easily understand their diet principles and help them better control diabetes.