糖尿病患者运动疗法的疗效观察及护理干预

Experience and nursing intervention in patients with diabetes therapy

目的探讨糖尿病患者运动疗法的疗效护理干预及体会。方法选取2011年1月~2012年3月本院收治的2型糖尿病患者共120例,随机分为实验组和对照组,两组患者均接受药物、饮食治疗、健康教育及心理护理,实验组患者在此基础上加用运动疗法干预,而对照组患者则采用常规的运动锻炼。结果运动疗法干预后实验组患者的BMI、SBP、FPG、GHb、TC、TG水平均低于对照组患者(P<0.05);实验组患者在运动疗法干预后的餐后2 h血糖均明显低于运动前水平(P<0.05);运动疗法干预后实验组患者的抑郁自评量表评分平均值明显低于对照组患者(P<0.05),运动后两组抑郁评分在≤49分、50~59分、60~69分三个阶段的差异亦存在统计学意义(P<0.05)。结论 2型糖尿病患者采用运动疗法干预,不仅可有效地改善其机体糖代谢,延缓并发症发生与发展,还可使其心情舒畅,显著减轻抑郁症状,提高生存质量。

Objective To explore experience and nursing intervention in patients with diabetes therapy. Methods The 120 cases with type 2 diabetic patients in our hospital from 2011 January^2012 March were randomly divided into experimental group and control group, two groups patients received drug treatment, diet, health education and psychological nursing, the patients in the experimental group were associated with exercise therapy, while the control group patients with movement exercise routine. Results The experimental group BMI, SBP, FPG, GHb, TC, TG levels after exercise therapy intervention were lower than the corresponding index of the control group patients （P〈0.05）; the patients in the experiment group exercise therapy intervention 2h postprandial blood glucose were significantly lower than those before exercise （P〈0.05）;the experimental group after the intervention of exercise therapy patients with self rating Depression Scale scores were lower than that of control group patients （P〈0.05）, the two group after exercise depression score differences in^49, 50~59, 60~69 three stage also had statistical significance than that of control group patients （P〈0.05）. Conclusion The use of exercise therapy in patients with type 2 diabetes not only can effectively improve the glucose metabolism in the body, delay the illness complication occurrence and development, also can make the mood, alleviate the symptoms of depression, and improve the quality of life.