论文部分内容阅读
目的:评价饮食行为干预对短期疗养期间的离退休干部中糖尿病患者血糖控制及体质量调理效果。方法:选取江苏省海滨疗养院干部疗养科 2017 年 01 月~2020 年 06 月间 68 例短期疗养的离退休干部糖尿病患者,根据健康宣教干预方式不同,将其中接受糖尿病传统健康宣教的 34 例患者作为对照组,另外 34 例接受饮食行为自我管理干预的患者作为观察组。干预 8 周,对比两组干预前后包括空腹血糖(FBG)、餐后 2h 血糖(PBG)及糖化血红蛋白(HbAlc)的血糖水平控制情况、体质量管理、自我饮食管理知信行水平及依从性评价结果。结果:两组干预前 BMI、FBG、PBG 及 HbAlc 水平,以及自我饮食管理知信行水平及依从性评价结果比较,均无明显差异(P>0.05);对照组干预前后的以上各项评价无明显差异(P>0.05);观察组干预后的 BMI、FBG、PBG 及 HbAlc 水平,自我饮食管理知信行水平及依从性评价结果,相比本组干预前及对照组干预后的结果,差异均较明显(P<0.05)。结论:通过饮食行为干预,可明显提高离退休干部糖尿病患者短期疗养期间糖尿病饮食行为自我管理水平,改善体质量,达到的较好的降糖效果,提高了慢性病疗养质量。“,”Objective:To evaluate the effect of diet behavior intervention on blood sugar control and body mass conditioning of retired cadres in the short-term convalescence period.Methods:Selected 68 diabetic patients with short-term convalescence from the cadre convalescent department of Jiangsu Seaside Sanatorium from January 2017 to June 2020. According to different health education intervention methods, 34 patients who received traditional health education on diabetes were selected as the control group , Another 34 patients who received self-management intervention in dietary behavior served as the observation group. Intervention for 8 weeks, comparing the two groups before and after the intervention including fasting blood glucose (FBG), 2h postprandial blood glucose (PBG) and glycosylated hemoglobin (HbAlc) blood glucose level control, body quality management, self-diet management knowledge, belief and behavior level and compliance evaluation results .Results:There was no significant difference in the BMI, FBG, PBG and HbAlc levels before the intervention between the two groups, as well as the self-diet management knowledge, beliefs and behavior levels and compliance evaluation results (P>0.05); the control group had no significant differences in the above evaluations before and after the intervention ( P>0.05); the observation group's BMI, FBG, PBG and HbAlc levels, self-diet management knowledge, beliefs and behaviors and compliance evaluation results after intervention were significantly different compared with the results of this group before and after intervention in the control group ( P<0.05).Conclusion:Through dietary behavior intervention, it can significantly improve the self-management level of diabetic diet behavior of retired cadres with diabetes during short-term convalescence, improve body mass, achieve better hypoglycemic effect, and improve the quality of chronic disease convalescence.