个体化睡前饮食规划护理联合抗阻运动训练对老年2型糖尿病患者糖代谢及衰弱情况的影响

Effects of Individualized Bedtime Diet Planning and Nursing Combined with Resistance Exercise Training on Glucose Metabolism and Debilitation in Elderly Patients with Type 2 Diabetes Mellitus

目的 探讨个体化睡前饮食规划护理联合抗阻运动训练在老年2型糖尿病(Type 2 Diabetes Mellitus,T2DM)患者中的应用价值。方法 选取2021年8月—2023年8月深圳市中医院内分泌病科收治的96例老年T2DM患者为研究对象,按随机数表法分为两组,各48例。对照组给予常规护理,观察组采用个体化睡前饮食规划护理联合抗阻运动训练。对比两组糖代谢指标、衰弱情况、睡眠质量、生活质量及夜间低血糖发生情况。结果 护理后,观察组夜间3点空腹血糖(6.17±0.93)mmol/L、夜间6点空腹血糖(6.49±0.68)mmol/L高于对照组,差异有统计学意义(P均<0.05);老年人衰弱评估量表中的生理衰弱评分(3.08±0.37)分、心理衰弱评分(1.10±0.22)分、社会衰弱评分(0.69±0.15)分、环境适应衰弱评分(0.73±0.21)分、匹兹堡睡眠质量评分(5.11±0.94)分、糖尿病生存质量特异性量表中的各项评分低于对照组,差异有统计学意义(P均<0.05)。结论 个体化睡前饮食规划护理联合抗阻运动训练可以改善T2DM患者夜间血糖,减少低血糖,减轻衰弱情况,提高睡眠质量与生活质量。

Objective To explore the application value of individualized bedtime diet planning and nursing combined with resistance exercise training in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 96 el-derly T2DM patients admitted to the Department of Endocrinology of Shenzhen Hospital of Traditional Chinese Medi-cine from August 2021 to August 2023 were selected as the study objects and divided into 2 groups according to ran-dom number table method,with 48 cases in each group.The control group was given routine nursing,and the observa-tion group was given individualized bedtime diet planning nursing combined with resistance exercise training.Glucose metabolism indexes,frailty,sleep quality,quality of life and nocturnal hypoglycemia were compared between the two groups.Results After nursing,fasting blood glucose(6.17±0.93)mmol/L at 3 pm and(6.49±0.68)mmol/L at 6 pm in the observation group were higher than those in the control group,the differences were statistically significant(both P<0.05).The physiological frailty score(3.08±0.37)points,psychological frailty score(1.10±0.22)points,social fthenia score(0.69±0.15)points,environmental fthenia score(0.73±0.21)points,Pittsburgh sleep quality score(5.11±0.94)points and scores in the diabetes quality of life specific scale of the frailty assessment scale for the elderly were lower than those of the control group,the differences were statistically significant(all P<0.05).Conclusion Individualized bedtime diet planning and nursing combined with anti-resistance exercise training can improve night blood glucose,reduce hypoglycemia,alleviate fthenia,and improve sleep quality and quality of life in T2DM patients.