2型糖尿病患者营养行为干预研究

Nutritional behavior intervention in patients with type 2 diabetes mellitus

目的探讨营养行为干预对住院2型糖尿病患者的知识、态度、行为以及对血糖、血脂、体质指数的影响。方法将300例糖尿病患者按随机数字表法分为干预组和对照组各150例。对干预组采取为期1年的营养行为干预体系和0.5年的追踪体系,对照组不采取干预措施,比较两组患者血糖控制情况及相关知识、行为。结果干预组糖尿病患者的相关知识知晓率、规范治疗率(正规医院就诊)、体重控制、运动量掌握较对照组明显提高(P<0.05),体重指数、空腹血糖、餐后血糖、血脂、糖化血红蛋白较对照组明显下降(P<0.05),差异有统计学意义。结论住院2型糖尿病患者开展营养行为干预可提高2型糖尿病患者健康知识水平和规范营养治疗的依从性,对餐后血糖有良好的控制效果。

Objective To explore the effect of nutrition behavior intervention on knowledge,attitude,behavior and blood glucose,blood lipid and body mass index in patients with type 2 diabetes mellitus. Methods Three hundred patients with diabetes were randomly divided into intervention group and control group with 150 cases in each group.For the intervention group,1 year nutrition intervention system and half year follow-up system were adopted.The control group did not take intervention measures.Results In the intervention group,the awareness rate of related knowledge,standard treatment rate（ regular hospital treatment）,weight control and exercise control were significantly higher than those in the control group（ P〈 0. 05）. Body mass index,fasting blood glucose,postprandial blood glucose,blood lipid and glycosylated hemoglobin were significantly lower than those in the control group（ P〈 0. 05）.Conclusion For patients with type 2 diabetes,nutrition behavior intervention can improve the health knowledge level of the patients and regulate the compliance of nutritional therapy,and have a good control effect on postprandial blood glucose.