医学临床研究
  2025年7月25日 星期五           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2023, Vol. 40 Issue (6): 812-815    DOI: 10.3969/j.issn.1671-7171.2023.06.004
  论著 本期目录 | 过刊浏览 | 高级检索 |
不同饮食及运动疗法对社区管理的2型糖尿病患者的干预效果
魏萍, 龚定宏**
上海市浦东新区沪东社区卫生服务中心,上海 200129
Intervention Effects of Different Diet and Exercise Strategies on Type 2 Diabetes Patients Living in the Community
WEI Ping, GONG Ding-hong
Hudong Community Health Service Centre,Pudong New Area,Shanghai 200129
全文: PDF (1137 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】 探讨不同饮食及运动疗法对社区管理的2型糖尿病患者的干预效果。【方法】 选取满足纳入标准的社区2型糖尿病患者,根据其招募问卷的意愿,将入组者分为运动组、代餐组、餐序组、分餐组、常规组等5组,每组60例,在干预前、干预1个月、干预2个月分别采用量表问卷评估干预对象的管理自我效能、依从性,比较各组生化指标[空腹血糖(FPG)、糖化血红蛋白(HbA1c)、三酰甘油(TG)、血清总胆固醇(TC)]。【结果】 不同分组人群干预前后糖尿病管理自我效能量表(DMSES)评分总分、FPG、HbA1c等比较,差异有统计学意义(P<0.05);不同干预时间干预对象的依从性问卷评分总分、DMSES评分总分、FPG、HbA1c等比较,差异具有统计学有意义(P<0.05)。【结论】 在能够负荷、适应运动方案强度的基础上,运动可作为2型糖尿病患者非药物控糖的首选方案;对于不适合运动方案的患者,代餐是其获得较好控糖效果的第二方案。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
魏萍
龚定宏
关键词 糖尿病,2型运动疗法/方法饮食疗法/方法    
Abstract:【Objective】 To evaluate the difference of intervention effects of different diet and exercise strategies on type 2 diabetes patients living in the community. 【Methods】 According to the questionnaire filled in by 300 chronic type 2 diabetes patients who met the inclusion criteria during recruitment,the patients were divided into five groups with 60 cases in each group,referring exercise,meal replacement,meal order,separate meals,and routine diet control. The corresponding groups of patients were trained with five different non-drug blood glucose control programs,and the management self-efficacy and compliance of the intervention subjects were assessed with the scale questionnaire before the intervention,at the first month of the intervention,and at the second month of the intervention. The blood biochemical indicators [fasting blood glucose (FPG),glycosylated hemoglobin (HbA1c),triglycerides (TG),serum total cholesterol (TC)] were compared in each group. 【Results】 There were significant differences in the total score of DMSES (Diabetes Management Self-Efficacy Scale) scale,fasting blood glucose,glycosylated hemoglobin and other factors before and after intervention in different groups(P<0.05). There were significant differences in the mean score of the compliance questionnaire,the total score of the DMSES scale,fasting blood glucose,glycosylated hemoglobin and other factors at different intervention time points as well(P<0.05).【Conclusion】 On the basis of being able to load and adapt to the intensity of exercise program,exercise can be the first choice for diabetes patients to control glucose without drugs. For patients who are not suitable for exercise programs,substitute meals are the second choice for achieving better glucose control effects.
Key wordsDiabetes Mellitus,Type 2    Exercise Therapy/MT    Dietary Therapy/MT
收稿日期: 2022-06-16     
中图分类号:  R587.1  
基金资助:上海市浦东新区科技发展基金民生科研专项资金(编号:PKJ2020-Y81)
通讯作者: **E-mail:gdh_official@163.com   
引用本文:   
魏萍, 龚定宏. 不同饮食及运动疗法对社区管理的2型糖尿病患者的干预效果[J]. 医学临床研究, 2023, 40(6): 812-815.
WEI Ping, GONG Ding-hong. Intervention Effects of Different Diet and Exercise Strategies on Type 2 Diabetes Patients Living in the Community. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 812-815.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.06.004     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I6/812
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn