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| 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 |
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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.
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Received: 16 June 2022
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[1] 陆迪菲,郭晓蕙.《糖尿病高危人群筛查及干预专家共识》解读[J].中国实用内科杂志,2022,42(2):113-123.
[2] 彭娟,张静. 糖尿病微血管并发症的发病机制及药物治疗的研究进展[J].医学临床研究,2022,39(1):104-107.
[3] 匡鑫,吴淑琼.2型糖尿病患者周围血管病变相关危险因素分析及踝肱指数的临床应用价值[J].医学信息,2022,35(5):127-130.
[4] 潘琼妮,胡雯勤,李雪萍,等.糖尿病肾病风险预测模型研究现状[J].医学信息,2022,35(8):43-46.
[5] 魏萍. 手机微信延续健康管理模式在社区2型糖尿病患者中的应用效果[J].中国当代医药,2019,26(14):203-207.
[6] 李婉婷. 薯蓣粥对2型糖尿病患者血糖、血脂的影响[D].福建:福建中医药大学,2016.
[7] 李瑶. 不同饮食顺序对糖尿病前期患者的影响研究[D].山西:山西医科大学,2019.
[8] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)(下)[J].中国实用内科杂志,2021,41(9):757-784.
[9] 刘衍芮,魏晓艺,李灵玉,等.2型糖尿病病人饮食管理质性研究的Meta整合[J].循证护理,2022,8(2):162-167.
[10] 魏萍,赵辉,龚定宏.社区2型糖尿病个性化运动干预效果评价[J].中国初级卫生保健,2020,34(1):24-27.
[11] 胡鹏,徐文聪.少食多餐制对脆性糖尿病患者血糖的影响[J].护理学报,2009,16(21):34-36.
[12] 周普.个体化饮食指导对2型糖尿病患者糖化血红蛋白的影响[J].中国社区医师,2022,38(1):147-149.
[13] 殷如.老年2型糖尿病患者自我效能与服药依从性的影响因素及相关性研究[D]. 吉林:长春中医药大学,2020.
[14] 李颖.运用计划行为理论探讨2型糖尿病患者饮食治疗依从性影响因素[D]. 河北:河北大学,2017.
[15] 魏萍,赵辉,龚定宏.社区2型糖尿病个性化运动干预效果评价[J].中国初级卫生保健,2020,34(1):24-27.
[16] 谭颖,曹敏,陈美铃,等.智能运动手环在社区2型糖尿病患者中的长期应用效果研究[J].中国全科医学,2023,26(10):1264-1270.
[17] 孙丽华. 代餐饮食主导的生活方式管理对2型糖尿病患者生活质量的影响[D].陕西:延安大学,2021.
[18] 汪雅静,张超,吕少萍,等.高强度间歇运动对2型糖尿病患者糖脂代谢指标影响的研究[J].中华护理杂志,2019,54(11):1605-1609. |
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2023, Vol. 40 
