膳食简表在糖尿病合并恶性肿瘤患者中的应用研究

Study on application of dietary simple list in patients with diabetes mellitus complicating malignant tumors

目的探讨膳食简表在糖尿病合并恶性肿瘤患者中的应用情况。方法选取2020年7至2021年12月该院综合内科诊治的224例糖尿病合并恶性肿瘤患者为研究对象,根据护理方式不同分为干预组和对照组,每组112例。对照组接受常规护理,干预组在对照组的基础上使用膳食简表,采用简化版糖尿病患者自我管理KAB评定量表、患者主观综合评估(PG-SGA)量表进行测评及分析,比较两组入院时和出院时的自我管理(知信行)、血糖控制水平、营养不良发生率。结果两组入院时和出院时空腹血糖(FPG)、餐后2 h血糖(2 hPG)水平、入院时简化版糖尿病患者自我管理KAB评定量表各维度评分、入院时PG-SGA量表评分比较,差异无统计学意义(P>0.05)。与对照组比较,出院时干预组简化版糖尿病患者自我管理KAB评定量表各维度评分更优,PG-SGA量表评分更低,差异有统计学意义(P<0.05)。结论膳食简表可以提高糖尿病合并恶性肿瘤患者的自我管理行为和知识掌握能力,降低营养不良的发生率。

Objective To explore the application situation of dietary simple list in the patients with diabetes mellitus complicating malignant tumors.Methods A total of 224 patients with diabetes mellitus complicating malignant tumors diagnosed and treated in the general internal medicine department of this hospital were selected as the study subjects and divided into the intervention group and control group according to the different nursing modes,112 cases in each group.The control group accepted the routine care,and the intervention group used the dietary simple list on the basis of the control group.The simplified version of the Self-management KAB Rating Scale for Diabetic Patients and the Patient-Generated Subjective Global Assessment(PG-SGA)scale were adopted to conduct the evaluation and analysis.The self-management KAB scale,blood glucose control level and malnutrition occurrence rate at admission and discharge were compared between the two groups.Results The fasting glucose(FPG)and 2 h postprandial plasma glucose(2 hPG)levels at admission and discharge,score of self-management KAB each dimension and PG-SGA score at admission had no statistical differences between the two groups(P>0.05).Compared with the control group,the score of self-management KAB each dimension at discharge in the intervention group was better,the PG-SGA score was lower,and the differences were statistically significant(P<0.05).Conclusion The dietary simple list could increase the abilities of self-management behavior and knowledge mastery and reduce the incidence rate of malnutrition in the patients with malignant tumor.