运动和营养手段联合干预糖尿病患者的效果观察

Effect of Joint Intervention of Exercise and Nutrition on Diabetes

方法:从核工业416医院的糖尿病患者中随机选取自愿参与试验者48名,在保持现有治疗手段基本不变的情况下,主要从生活方式的改变入手,并以膳食和运动干预为主,通过系统的健康教育,形式多样的交流和提醒,太阳能计步器、限油壶和控盐勺等工具,为受试者提供为期21周的健康干预服务。结果:受试者试验前后的流失率为35.4%,全程参与试验者为31人;试验后受试者营养KAP得分除营养态度外均发生了良性变化,且与受试前相比P<0.05;试验后受试者大多数体质健康和体检指标发生良性变化,其中体脂率、收缩压这2项指标与试验前相比,P<0.05;受试者对治疗性生活方式管理试验的满意度较高。结论:治疗性生活方式管理对糖尿病患者的病情改善有较好的帮助,值得在临床上推广和使用,专职的健康管理师进行的健康管理更为有效,医院可以考虑设置专人进行生活方式方面的指导,以更好的贯彻预防为主的原则和有效的配合临床治疗。

Methods： 48 volunteers and subjects of diabetes are randomly selected from a hospital. Under the condition of maintaining the present therapy, a 21 -week health intervention service is supplied to the patients by means of changing their lifestyles with intervention of diets and exercises. To achieve this purpose, many measures are taken, such as systematic health education, various forms of communications and warnings, solar pedometers, oil - restricting kettles and salt - controlling scoops. Results ： the chum rate of the subjects before and after the experiment is 35.4%, with 31 participants fully involved in the whole process. After the experiment, all of the subjects＂ nutrition Kap scores （except their nutrition attitude） have changed soundly and, compared with situation before the test, P 〈 0.05. After the test, most subjects＂ fitness and physical examination indexes have changed positively, among which the indexes of body fat rate and systolic pressure are P 〈 0.05. The subjects are satisfied with such management tests of therapic lifestyles. Conclusion： the therapie lifestyle management is conducive to diabetes patients, so it is worthwhile to spread and use such management clinically. Full -time health management professionals will provide more effective health management.