健康信念结合标准化饮食护理在2型糖尿病肥胖患者中的应用

Application of Health Belief Combined with Standardized Diet Nursing in Obese Patients with Type 2 Diabetes Mellitus

目的分析健康信念、标准化饮食护理联合干预运用于青年人群2型糖尿病肥胖患者中的价值。方法选取2022年6月—2023年6月常熟市中医院收治的120例青年人群2型糖尿病肥胖患者为研究对象,根据不同护理方式分为两组,对照组(60例)采取常规干预,观察组(60例)采取健康信念联合标准化饮食干预。对比两组护理前后的体重指数、腰围、血糖指标及护理满意度。结果护理前,两组体重指数、腰围、血糖指标比较,差异无统计学意义(P均>0.05)。护理后,观察组体重指数、腰围均低于对照组,差异有统计学意义(P均<0.05)。护理后,观察组空腹血糖、餐后2 h血糖均低于对照组,差异有统计学意义(P均<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论青年人群2型糖尿病肥胖患者通过开展健康信念结合标准化饮食护理干预能够降低体重指数,控制血糖及血脂指标。

Objective To analyze the value of combined intervention of health belief and standardized diet nursing in young obese patients with type 2 diabetes mellitus.Methods A total of 120 young obese patients with type 2 diabetes mellitus admitted to Changshu Hospital of Traditional Chinese Medicine from June 2022 to June 2023 were selected as the research objects.They were divided into two groups according to different nursing methods.The control group(60 cases)received routine intervention.The observation group(60 cases)received health belief combined with standardized diet intervention.The body mass index,waist circumference,blood glucose indexes and nursing satisfaction were compared between the two groups before and after nursing.Results Before nursing,there were no significant differences in body mass index,waist circumference and blood glucose indexes between the two groups(all P>0.05).After nursing,the body mass index and waist circumference of the observation group were lower than those of the control group,and the differences were statistically significant(both P<0.05).After nursing,the fasting blood glucose and 2-hour postprandial blood glucose in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Obese patients with type 2 diabetes mellitus can reduce body mass index and control blood glucose and lipid indicators by carrying out health belief combined with standardized diet nursing intervention.