首页|以膳食营养为目标的5A护理模式对MMC管理下2型糖尿病患者血糖稳定性及心理状态的影响

以膳食营养为目标的5A护理模式对MMC管理下2型糖尿病患者血糖稳定性及心理状态的影响

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目的:探究以膳食营养为目标的5A护理模式对标准化代谢性疾病管理中心(MMC)管理下2 型糖尿病患者血糖稳定性及心理状态的干预效果.方法:采用随机分组原则将 100 例 2 型糖尿病患者纳入对照组和观察组,各 50例;对照组接受常规护理,观察组实施以膳食营养为目标的5A护理;对两组患者护理前后的血糖水平、血糖稳定性和心理状态进行比较.结果:护理干预后,观察组患者的空腹血糖(FPG)、糖化血红蛋白(HbA1c)水平及日内平均血糖波动幅度(MAGE)水平低于对照组(P<0.05);焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05).结论:在2 型糖尿病患者MMC管理中,实施以膳食营养为目标的5A护理模式,可降低患者血糖水平,提升血糖水平稳定性,改善其心理状态.
Impact of 5 A Nursing Model Focused on Dietary Nutrition on Glycemic Control Stability and Psychological Status in Type 2 Diabetes Patients Managed by Metabolic Ward Care
Objective:To investigate the intervention effect of a 5A nursing model focused on dietary nu-trition on glycemic stability and psychological status in type 2 diabetes mellitus(T2DM)patients managed by a standardized Metabolic Disease Management Center(MMC).Methods:One hundred T2DM patients were randomly divided into a control group(n=50)receiving routine care and an intervention group(n=50)adop-ting the 5A nursing model emphasizing dietary nutrition.Pre-and post-intervention levels of blood glucose,glycemic stability,and psychological status were compared between the two groups.Results:After the nursing intervention,the intervention group showed significantly lower levels of fasting plasma glucose(FPG),glycosy-lated hemoglobin(HbA1c),and mean amplitude of glycemic excursion(MAGE)compared to the control group(P<0.05).Additionally,the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores were also lower in the intervention group(P<0.05).Conclusion:Implementation of a 5A nursing model centered on dietary nutrition in the MMC management of T2DM patients effectively reduces blood glucose levels,enhances glycemic stability,and improves psychological well-being.

Type 2 Diabetes MellitusDietary Nutrition5A Nursing ModelBlood GlucosePsychol-ogy

高妍、黄燕华

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沙县区总医院,福建 三明 365500

2型糖尿病 膳食营养 5A护理模式 血糖 心理

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(2)