2型糖尿病患者健康教育中运动指导的有效性及价值研究

Study on the Effectiveness and Value of Exercise Guidance in Health Education for Patients with Type 2 Diabetes Mellitus

目的研究对2型糖尿病(T2DM)患者在健康教育中行运动指导的有效性。方法取自该院2019年3月—2020年5月门诊的86例T2DM患者,“随机数字表法”分常规组(常规指导,n=43)、指导组(健康教育中行运动指导,n=43),为期3个月。比较两组血糖波动、自我管理、生存质量、满意度、运动依从性及不良情况。结果指导前,两组血糖波动、自我管理水平及生存质量对比,差异无统计学意义(P>0.05);指导后,与常规组比较,指导组空腹血糖(FPG)、餐后2 h血糖(2 hPG),糖化血红蛋白(HbA1c)低,差异有统计学意义(P<0.05);指导组自我管理评分、生存质量特异度量表(DSQL)评分高于常规组,差异有统计学意义(P<0.05);指导组满意率97.67%及运动依从率90.70%高于常规组81.40%、72.09%,差异有统计学意义(χ^(2)=4.468、4.914,P<0.05),指导组不良情况占比低于常规组,差异有统计学意义(P<0.05)。结论健康教育中行运动指导能提高T2DM患者的护理效果、稳定血糖波动,具有有效性及临床价值,值得推崇。

Objective To study the effectiveness of exercise guidance in health education for patients with type2 diabetes mellitus(T2DM).Methods The 86 patients with T2DM who were taken from the outpatient clinic of the hospital from March 2019 to May 2020 were divided into the routine group(routine guidance,n=43)and the guidance group(exercise guidance in health education,n=43),for 3 months.Compared the two groups of blood glucose fluctuations,self-management,quality of life,satisfaction,exercise compliance and adverse conditions.Results Before the guidance,there was no statistically significant difference in blood glucose fluctuation,self-management level and quality of life between the two groups(P>0.05);after the guidance,compared with the routine group,the guidance group fasting blood glucose(FPG)and 2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbA1c)was lower,the difference was statistically significant(P<0.05);the self-management score and the quality of life specific measure(DSQL)score of the guidance group were higher than those of the routine group,and the difference was statistically significant(P<0.05);the satisfaction rate of 97.67%and exercise compliance rate of 90.70%in the guidance group were higher than those of the routine group 81.40%and 72.09%,the difference were statistically significant(χ^(2)=4.468,4.914,P<0.05),and the proportion of bad cases in the guidance group was lower than the routine group,the difference was statistically significant(P<0.05).Conclusion Exercise guidance in health education can improve the nursing effect of patients with T2DM and stabilize blood glucose fluctuations.It has validity and clinical value,and is worthy of praise.