基于区域特色的糖尿病食物仿真模型应用效果研究

Study on application effect of diabetes food simulation model based on regional characteristics

目的探讨自主研发的区域特色糖尿病食物仿真模型在2型糖尿病患者饮食教育中的效果。方法选取遵义市社区90例2型糖尿病患者,以社区为单位分为两组,每组45例。对照组以常规食物仿真模型为教具进行糖尿病饮食教育(每月1次),试验组在对照组饮食教育的基础上,将区域特色糖尿病食物仿真模型与糖尿病饮食配置体验相结合进行饮食教育(每月1次),两组干预时间均为6个月。采用自行设计的糖尿病饮食自我管理问卷测评两组患者干预前及干预后1、3、6个月饮食自我管理得分,同时检测血糖、糖化血红蛋白与血脂情况。结果干预后两组患者糖尿病饮食自我管理得分均提高,试验组得分明显高于对照组,差异有统计学意义(P<0.05),空腹血糖、餐后2 h血糖、糖化血红蛋白及血脂两组均下降,试验组下降幅度大于对照组,差异有统计学意义(P<0.05),且治疗达标情况优于对照组。结论运用区域特色糖尿病食物仿真模型结合饮食配置体验进行饮食管理教育可以提高糖尿病患者的健康教育效果。

Objective To explore the effect of self-developed regional characteristic diabetic food simulation model in the dietary education of the patients with type 2 diabetes mellitus(T2DM).Methods Ninety patients with T2DM selected from the Zunyi communities were divided into the two groups with the community as the unit,45 cases in each group.The control group conducted the diabetic diet education once a month by using the conventional food simulation model as the teaching tool.On the basis of the diet education method in the control group,the experimental group conducted the diet education once a month by combining the regional characteristic diabetic food simulation model with the experience of diabetic diet configuration.The intervention time was 6 months in the two groups.The self-designed questionnaire of diabetic diet self-management was used to evaluate the scores of diet self-management in the two groups before and after the intervention for 1,3,6 months.Meanwhile,blood sugar,glycosylated hemoglobin and blood lipid were measured.Results The scores of diabetic diet self-management were all increased in both groups,but the scores in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin and blood lipid were all decreased in both groups.The decrease amplitude in the experimental group was greater than that in the control group,showing the statistically significant difference(P<0.05),moreover the treatment reaching target situation was better than that in the control group.Conclusion The application of regional characteristic diabetic food simulation model combined with dietary disposition experience in dietary management education can improve the health education effect of diabetic patients.