三位一体新型居家护理模式对2型糖尿病患者血糖、体重指数和血脂水平及饮食行为的影响

Effects of a new triad home care model on blood glucose,body mass index,lipid level and eating behavior in patients with type 2 diabetes mellitus

目的探究三位一体新型居家护理模式对2型糖尿病(T2DM)患者血糖、体重指数和血脂水平及饮食行为的影响。方法选取山东第一医科大学附属青岛医院2018年1月—2019年12月收治的100例T2DM患者,根据随机数字表法分为对照组和观察组,各50例。对照组采用常规护理模式,观察组在对照组的基础上实施三位一体新型居家护理模式,比较两组血糖、体重指数和血脂水平及饮食行为情况。结果两组干预后空腹血糖(FPG)、餐后2 h血糖(2 hPBG)、糖化血红蛋白(HbAlc)和体重指数(BMI)均低于干预前,且观察组FPG、2 hPBG、HbAlc、BMI均低于对照组,差异均有统计学意义(均P<0.05)。两组干预后总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)均低于干预前,低密度脂蛋白胆固醇(LDL-C)高于干预前,且观察组TC、TG、HDL-C低于对照组,LDL-C高于对照组,差异均有统计学意义(均P<0.05)。观察组饮食行为遵医嘱率高于对照组,差异有统计学意义(P<0.05)。结论三位一体新型居家护理模式的应用,能降低患者血糖,调节机体血脂,改善日常饮食行为。

Objective To explore the effects of the new triad home care model on blood glucose,body mass and lipid levels and dietary behaviors in patients with type 2 diabetes mellitus(T2DM).Methods From January 2018 to December 2019,100 patients with T2DM admitted to Qingdao Hospital Affiliated to Shandong First Medical University were selected and divided into control group and observation group,with 50 cases in each group,according to the random number table method.The control group adopted the conventional nursing mode,and the observation group implemented the new triad home care model on the basis of the control group,and the blood glucose,body mass,lipid level and dietary behavior of the two groups were compared.Results Fasting plasma glucose(FPG),postpranational blood glucose(2 hPBG),HbAlc and body mass index(BMI)of the two groups were all lower after intervention,and FPG,2 hPBG,HbAlc and BMI of the observation group were all lower than those of the control group,with statistically significant differences(all P<0.05).After intervention,total cholesterol(TC),triglyceride(TG)and high-density lipoprotein cholesterol(HDL-C)in the two groups were all lower than those before intervention,while low-density lipoprotein cholesterol(LDL-C)was higher than that before intervention.Moreover,TC,TG and HDL-C in the observation group were lower than that in the control group,and LDL-C was higher than that in the control group,with statistically significant differences(all P<0.05).The dietary compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the new home care model of the trinity can reduce the blood sugar of patients,regulate the blood lipid of the body,and improve the daily eating behavior.