NICE减重管理模式在社区肥胖或超重2型糖尿病患者中的应用效果

Effect of NICE weight loss management model on obese or overweight type 2 diabetic patients in community

目的:评价NICE减重管理模式对社区肥胖或超重2型糖尿病患者代谢指标、自我管理能力的影响。方法:采用便利抽样法选取2018年4月至2019年4月在常州市某三级甲等医院内分泌科出院转介某社区的肥胖或超重2型糖尿病患者为研究对象,随机分为实验组(n=136)和对照组(n=131)。对照组接受医院社区一体化管理模式,实验组在医院社区一体化管理的基础上使用NICE减重管理模式。比较两组干预后3个月代谢指标、自我管理能力得分的差异。结果:干预3个月后,实验组血糖、血脂、BMI、血压下降趋势均大于对照组(P<0.05),实验组自我管理能力评分均高于对照组(P<0.05)。结论:NICE减重管理模式对肥胖或超重2型糖尿病患者的血糖、BMI、血压、血脂等均有一定的改善作用,且能提高其自我管理能力,有助于改善患者生活质量。

Objective:To evaluate the effect of NICE weight loss management model on obese and overweight type 2 diabetic patients in community.Methods:Obese or overweight type 2 diabetic patients who were transferred to a community health service center from the Endocrine Department in a tertiary Grade-A hospital between April 2018 and April 2019 were selected,with 136 in the experimental group and 131 in the control group.Those in the control group received the hospital-community integrated management mode,and those in the experimental group received NICE weight loss management mode on the basis of hospital-community integrated management.The metabolic indexes,self-management ability were compared between two groups before and 3 months after the intervention.Results:After 3 months’intervention,the decrease of blood glucose,blood lipid,BMI,blood pressure in the experimental group were significantly greater than those in the control group(P<0.05),and the self-management ability was better in the experimental group(P<0.05).Conclusion:NICE weight loss management mode is effective to control the blood glucose,BMI,blood pressure and blood lipid for obese or overweight type 2 diabetic patients,and is benefit to improve the self-management ability and quality of life for patients.