摘要
目的:分析抗阻运动训练联合个体化饮食指导在老年糖尿病足(DF)患者中的应用效果.方法:选取 2021年 1月—2023年 12月抚州市临川区人民医院收治的 72例老年DF患者为研究对象,按随机数字表法分为对照组及观察组,各 36例.对照组接受个体化饮食指导,观察组在此基础上进行抗阻运动.对比两组患者的血糖水平、睡眠质量及生活质量.结果:干预后,观察组的空腹血糖、餐后 2 h血糖、糖化血红蛋白水平分别为(5.60±0.71)mmol/L、(8.01±1.14)mmol/L、(6.03±1.02)%,均低于对照组的(7.08±0.65)mmol/L、(9.35±1.25)mmol/L、(7.11±1.22)%,差异均有统计学意义(P<0.05).干预后,观察组的匹兹堡睡眠质量指数量表中睡眠时间、入睡时间、睡眠质量、日间功能障碍、睡眠障碍、催眠药物、睡眠频率评分分别为(0.44±0.12)分、(0.54±0.16)分、(0.84±0.18)分、(0.70±0.24)分、(0.86±0.13)分、(0.60±0.16)分、(0.74±0.11)分,均低于对照组的(0.66±0.15)分、(0.72±0.13)分、(1.16±0.15)分、(1.13±0.22)分、(1.14±0.22)分、(0.84±0.17)分、(1.03±0.25)分,差异均有统计学意义(P<0.05).干预后,观察组的健康调查简表中情感职能、社会功能、生命活力、心理健康、精神健康、生理功能、生理职能、躯体疼痛评分分别为(79.35±4.88)分、(83.40±5.94)分、(79.02±5.50)分、(78.27±4.76)分、(77.02±6.75)分、(85.82±6.66)分、(85.16±6.48)分、(77.87±6.24)分,均高于对照组的(72.24±5.42)分、(75.12±4.75)分、(71.44±5.05)分、(70.63±5.61)分、(69.97±5.44)分、(76.55±5.44)分、(77.72±6.29)分、(70.45±6.41)分,差异均有统计学意义(P<0.05).结论:抗阻运动训练联合个体化饮食指导可降低老年DF患者的血糖水平,改善其睡眠质量,提高其生活质量.
Abstract
Objective:To analyze the effect of resistance exercise training combined with individualized diet guidance in elderly patients with diabetic foot(DF).Methods:A total of 72 elderly DF patients admitted to People's Hospital of Linchuan District Fuzhou City from January 2021 to December 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 36 cases in each group.The control group received individualized diet guidance,and the observation group received resistance exercise on this basis.The blood glucose levels,sleep quality and quality of life were compared between the two groups.Results:After the intervention,the levels of fasting blood glucose,2 hours postprandial blood glucose and glycated hemoglobin A1c in the observation group were(5.60±0.71)mmol/L,(8.01±1.14)mmol/L and(6.03±1.02)%,respectively,which were lower than(7.08±0.65)mmol/L,(9.35±1.25)mmol/L and(7.11±1.22)%in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of sleep duration,sleep duration,sleep quality,daytime dysfunction,sleep disorders,hypnotic drugs and sleep frequency of the Pittsburgh sleep quality index in the observation group were(0.44±0.12)points,(0.54±0.16)points,(0.84±0.18)points,(0.70±0.24)points,(0.86±0.13)points,(0.60±0.16)points,(0.74±0.11)points,respectively,which were lower than(0.66±0.15)points,(0.72±0.13)points,(1.16±0.15)points,(1.13±0.22)points,(1.14±0.22)points,(0.84±0.17)points and(1.03±0.25)points in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of emotional function,social function,vital vitality,mental health,mental health,physiological function,physiological function and body pain of the MOS item short from health survey in the observation group were(79.35±4.88)points,(83.40±5.94)points,(79.02±5.50)points,(78.27±4.76)points,(77.02±6.75)points,(85.82±6.66)points,(85.16±6.48)points,(77.87±6.24)points,which were higher than(72.24±5.42)points,(75.12±4.75)points,(71.44±5.05)points,(70.63±5.61)points,(69.97±5.44)points,(76.55±5.44)points,(77.72±6.29)points,(70.45±6.41)points in the control group,the differences were statistically significant(P<0.05).Conclusion:Resistance exercise training combined with individualized diet guidance can reduce blood glucose level,improve sleep quality and quality of life in elderly patients with DF.
维普
万方数据