首页|家属参与的健康宣教联合运动疗法对肥胖/超重2型糖尿病患者血糖控制的效果研究

家属参与的健康宣教联合运动疗法对肥胖/超重2型糖尿病患者血糖控制的效果研究

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目的 分析肥胖/超重2型糖尿病患者接受家属参与的健康宣教联合运动疗法对血糖控制的效果。方法 选取2021年11月—2022年11月本社区卫生服务中心门诊收治的130例肥胖/超重2型糖尿病患者为研究对象,并按照随机数字表法分为对照组和观察组,每组65例。对照组开展常规护理,观察组在此基础开展家属参与的健康宣教联合运动疗法。从干预前后体重指标、糖代谢指标、脂代谢指标以及自我管理行为变化对两组做出综合评估。结果 干预后,两组体重、体质量指数(BMI)、腰臀比(WHR)相比同组干预前均有大幅降低(P<0。05);同时观察组各项体重指标均显著低于对照组(P<0。05)。干预后,两者空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HaAlc)相比同组干预前均有大幅降低(P<0。05);同时观察组各项糖代谢指标均显著低于对照组(P<0。05)。干预后,两组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)相比同组干预前均有大幅降低(P<0。05);同时观察组各项脂代谢指标均显著低于对照组(P<0。05)。干预后,两组糖尿病患者自我管理能力量表(SDSCA)相比同组干预前均有大幅升高(P<0。05);同时观察组SDSCA得分均显著高于对照组(P<0。05)。结论 肥胖/超重2型糖尿病患者接受家属参与的健康宣教联合运动疗法,可明显增强自我管理能力,提高血糖控制成效,有效降低体重水平和血脂指标。
Effect Research of Health Education and Exercise Therapy Participated By Family Members on Blood Glucose Control of Obese/Overweight Type 2 Diabetic Patients
Objective To analyze effect of health education combined with exercise therapy on blood glucose control of obese/overweight type 2 diabetes patients with family participation.Methods The paper chose 130 obese/overweight type 2 diabetes patients in outpatient department of the community health service center from November 2021 to November 2022,and divided them into two groups by random number table,65 cases in each group.Control group was treated with routine nursing measures,while observation group with health education combined with exercise therapy with family participation.Changes in weight indicators,glucose metabolism indicators,lipid metabolism indicators,and self-management behavior were comprehensively evaluated between two groups before and after intervention.Results After intervention,body weight,body mass index(BMI),waist to hip ratio(WHR)of both groups was significantly lower than before intervention(P<0.05).At the same time,body weight indicators in observation group were significantly lower than control group(P<0.05).After intervention,both fasting blood glucose(FBG),postprandial 2-hour blood glucose(2hPG),and glycated hemoglobin(HaAlc)was significantly lower than before intervention in the same group(P<0.05).At the same time,glucose metabolism indicators in observation group were significantly lower than control group(P<0.05).After intervention,total cholesterol(TC),triglycerides(TG),and low-density lipoprotein cholesterol(LDL-C)of both groups was significantly lower than same group before intervention(P<0.05).At the same time,lipid metabolism indicators in observation group were significantly lower than control group(P<0.05).After intervention,self-management ability scale(SDSCA)of two groups was significantly higher than same group before intervention(P<0.05).SDSCA scores of observation group were significantly higher than control group(P<0.05).Conclusion Health education and exercise therapy participated by families can significantly enhance self-management ability,improve effect of blood sugar control,and reduce weight level and blood lipid indicators of obese/overweight type 2 diabetes patients effectively.

ObesityOverweightType 2 diabetesHealth educationExercise therapy

李艳婷、赖琴、李建艺、何雪琴

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佛山市顺德区伦教社区卫生服务中心,广东 佛山 528208

肥胖 超重 2型糖尿病 健康宣教 运动疗法

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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