可视化网路延伸配合习惯养成训练对2型糖尿病合并高脂血症患者遵医行为和糖脂代谢的影响

Influence of Visual Network Extension and Habit Formation Training on Compliance Behavior and Glycolipid Metabolism in Patients with Type 2 Diabetes Mellitus Complication with Hyperlipidemia

目的:分析可视化网路延伸配合习惯养成训练对2型糖尿病(T2DM)合并高脂血症患者遵医行为和糖脂代谢的影响。方法:选取2021年1月—2022年6月三明市沙县区中医医院收治的98例T2DM合并高脂血症患者作为研究对象。随机将患者分为观察组和对照组,各49例。对照组出院时给予常规指导,观察组采用可视化网路延伸配合习惯养成训练进行干预。比较两组空腹血糖(FBG)、糖化血红蛋白(HbA1c)、餐后2 h血糖(2 h PG)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、胰岛素抵抗指数(HOMA-IR)、遵医行为、自护能力测定量表(ESCA)变化情况。结果:观察组干预后FBG、2 h PG、HbA1c、TG、LDL-C、HOMA-IR低于对照组,差异有统计学意义(P<0.05),ESCA评分、遵医行为评分高于对照组,差异有统计学意义(P<0.05);两组干预后TC和HDL-C水平比较,差异无统计学意义(P>0.05)。结论:可视化网路延伸配合习惯养成训练对T2DM合并高脂血症患者的糖脂代谢有明显改善作用,可有效提高患者的自护能力和遵医行为,促进胰岛功能的提升。

Objective:To analyze the influence of visual network extension combined with habit formation training on compliance behavior and glycolipid metabolism in patients with type 2 diabetes mellitus(T2DM)complication with hyperlipidemia.Method:Ninety-eight patients with T2DM complication with hyperlipidemia who admitted to Sanming City Shaxian District Traditional Chinese Medicine Hospital from January 2021 to June 2022 were selected,they were randomly divided into the observation group and the control group,49 cases in each group.The control group was given routine guidance at discharge,and the observation group was given visual network extension combined with habit formation training.The changes of fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c),2 h postprandial blood glucose(2 h PG),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),insulin resistance index(HOMA-IR),compliance behavior and exercise of self-care agency(ESCA)were compared between two groups.Result:The FBG,2 h PG,HbA1c,TG,LDL-C and HOMA-IR in the observation group were lower than those in the control group after intervention,the differences were statistically significant(P<0.05);while ESCA score and compliance behavior score in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);but there were no significant differences in the levels of TC and HDL-C between two groups after intervention(P>0.05).Conclusion:Visual network extension combined with habit formation training can significantly improve glycolipid metabolism in patients with T2DM complication with hyperlipidemia,effectively improve patients'self-care ability and compliance behavior,and promote the improvement of islet function.