430例糖耐量异常患者健康促进生活方式的调查分析

目的调查深圳市糖耐量异常（ImpairedGlucoseTolerance，IGT）患者（以下简称“IGT患者”）健康促进生活方式现状，为临床进一步预防糖耐量异常的发生及控制其发展，探讨其干预模式提供科学依据。方法采用健康促进生活方式量表（health—promotinglifestyleprofile，HPLP）和一般资料调查表对本院430例IGT患者进行问卷调查。结果该组患者的生活方式总体得分为（133．06±19．89）分，良好以上占62．32％，良好以下占37．68％。条目平均总得分为（2．56±0．38）分；各维度平均得分依次为：人际关系（25．44±4．51）分、自我实现（25．42±4．60）分、营养（24．84±4．13）分、健康责任（20．61±4．17）分、压力管理（19．85±3．83）分、运动锻炼（16．90±4．88）分。结论医务工作者应指导IGT患者养成良好的运动习惯，提高积极应对压力的技巧，使其身心健康保持最佳水平，预防糖耐量异常的发生及控制发展，防止和延缓2型糖尿病的发生、发展及减少微血管和大血管并发症，从而全面提升生活质量。

Objective To study the current situation of health - promoting lifestyle among 430 patients with inpaired glucose tolerance and offer theoretical basis for clinical further preventing the happening of the abnormal glucose tolerance and control of its development,to discuss the scientific basis of the intervention model.Methods Health - promoting lifestyle profile ( HPLP ) and general information questionnaire were adopted to investigate 430 patients with IGT in the hospital.Results The overall score of lifestyle was ( 133.06 ± 19.89)points on average,with the percentage of respondents scoring good or above being 62.32％,Good below 37.68％.And the average score of each question was (2.56 ±0.38) points; The average score for every subscale was given as follows:interpersonal relationships (25.44 ±4.51 ) points,self - realization 25.42 ± 4.60) points,nutrition (24.84 ± 4.13 ) points,health responsibility ( 20.61 ± 4.17) points,stress management ( 19.85 ± 3.83) points,exercise ( 16.90 ± 4.88) points.Conclusions Nursing personnel should step up the efforts to nurture patients'ability to adopt healthy behavior,form good habits of exercising and enhance the skill of stress coping in a bid to optimize patients' physical and mental well - being and enhance their overall living quality,prevent the occurrence of abnormal glucose tolerance,control its development,prevent and delay the occurrence and development of T2DM and reduce microvascular and vascular complications.