2型糖尿病患者运动干预方案的应用及效果评价

Application and effect evaluation of exercise nursing program for patients with type 2 diabetes

目的构建、实施糖尿病患者运动干预方案,并评价该方案对2型糖尿病患者运动自我效能、自我管理和血糖的影响。方法通过文献回顾和专家函询构建糖尿病患者运动干预方案。2022年1月—3月,便利选取某三级甲等医院内分泌科的100例住院患者为研究对象。试验组实施本研究构建的运动干预方案,对照组实施常规运动干预方案,干预12周,比较两组患者的运动自我效能、自我管理能力、空腹血糖及糖化血红蛋白。结果97例患者完成研究(试验组48例、对照组49例),干预12周时,试验组运动自我效能得分为(81.81±11.53)分,对照组得分为(74.61±7.45)分,差异有统计学意义(t=3.646,P<0.001);干预12周时,试验组自我管理得分为(57.40±2.40)分,对照组得分为(49.17±4.44)分,差异有统计学意义(t=11.379,P<0.001);干预12周时,试验组空腹血糖、糖化血红蛋白值均低于对照组(P<0.05)。结论本研究构建的运动干预方案可以更有效提升2型糖尿病患者运动自我效能,提高其自我管理能力,改善其血糖控制水平。

Objective Through constructing and implementing the exercise intervention program for diabetes patients to evaluate the impact of the program on exercise self-efficacy,self-management and blood sugar of type 2 diabetes patients.Methods Through literature review and expert consultation,the exercise intervention program for diabetes patients was constructed.From January to March 2022,100 inpatients from the endocrinology department of a tertiary Grade A hospital were recruited as the research participants by convivence sampling.The experimental group was given the constructed exercise intervention program,while the control group got a routine exercise intervention for 12 weeks.The exercise self-efficacy,self-management ability,fasting blood glucose,and glycated hemoglobin of the two groups of patients were compared before and after the intervention.Results A total of 97 patients completed the study(48 in the experimental group and 49 in the control group).After intervention,the self-efficacy score of the experimental group was(81.81±11.53),while the score of the control group was(74.61±7.45),with a statistically significant difference(t=3.646,P<0.001).Additionally,the self-management score of the experimental group was(57.40±2.40),while the score of the control group was(49.17±4.44),with a statistically significant difference(t=11.379,P<0.001).Besides,the fasting blood glucose and glycated hemoglobin values in the experimental group were lower than those in the control group(P<0.05)after the intervention.Conclusion The exercise intervention program constructed in this study can effectively enhance the self-efficacy,self-management ability,and blood sugar control level for patients with type 2 diabetes.