“互联网+”营养教育在慢性心力衰竭患者中的应用

Application of "Internet+" Nutrition Education in Patients with Chronic Heart Failure

目的分析“互联网+”营养教育在慢性心力衰竭患者中的应用。方法采用随机抽样法选取2019年1—12月的50例慢性心力衰竭患者为对照组,给予常规临床干预;选取2020年1—12月的50例慢性心力衰竭患者为观察组,在常规临床干预的基础上给予“互联网+”营养教育。比较两组调查对象在干预前后的健康营养知信行水平、糖脂代谢水平、自我管理量表得分、6 min步行试验结果,并比较两组干预前后的主观整体营养状况量表(PG-SGA)评分。结果干预后,两组调查对象在健康营养知识、态度、行为上的评分均升高,且观察组高于对照组;两组调查对象的空腹血糖(FPG)、餐后2h血糖(2hPBG)、三酰甘油(TG)水平均降低,且观察组低于对照组,高密度脂蛋白胆固醇(HDL-C)水平均升高,且观察组高于对照组;两组调查对象的各项自我管理量表评分均升高,且观察组高于对照组;观察组的各项PG-SGA评分均低于对照组;两组的6 min步行试验结果均改善,且观察组优于对照组,以上差异均有统计学意义(P<0.05)。结论给予慢性心力衰竭患者“互联网+”营养教育干预,能够有效改善患者的健康营养知信行状况,糖脂代谢和营养水平,提高自我管理能力,改善运动耐量。

Objective To analyze the application of"Internet+"nutrition education in patients with chronic heart failure.Methods A total of 50 patients with chronic heart failure from January to December in 2019 were randomly selected as the control group and given routine clinical intervention.From January to December in 2020,50 patients with chronic heart failure were selected as the observation group,and"Internet+"nutrition education intervention was given on the basis of routine clinical intervention.The levels of knowledge,belief and practice of health nutrition,glucose and lipid metabolism,scores of selfmanagement scale and results of 6 minute walking test were compared between the two groups before and after the intervention.Results After the intervention,the health and nutrition knowledge,attitude,and behavior scores of the two groups were higher than those before the intervention,and the observation group was higher than the control group.The FPG,2hPBG,and TG levels of the two groups were lower than before,and the observation group were lower than those of the observation group.In the control group,the HDL-C level increased,and the observation group was higher than that of the control group.The scores of the self-management scales of the two groups were higher than those before the intervention,and the observation group was higher than the control group;the observation group after the intervention The PG-SGA scores of PG-SGA were lower than those of the control group.The results of the 6-minute walk test of the two groups were improved,and the observation group was better than the control group,and the above differences were statistically significant(P<0.05).Conclusion Compared with conventional clinical intervention,"Internet+"nutrition education intervention for patients with chronic heart failure can effectively improve the patient's health and nutrition knowledge,belief and behavior,glucose and lipid metabolism and nutritional level,improve self-management ability and exercise tolerance.