作　　者： ;

机构地区： 深圳市宝安区松岗人民医院

出　　处： 《中国城乡企业卫生》 2018年第10期6-9,共4页

摘　　要： 目的观察长期生活方式干预对2型糖尿病患者血糖控制效果及认知功能的影响。方法选择2017年1-12月在深圳市宝安区松岗人民医院江边社区健康服务中心就诊的200例2型糖尿病患者作为研究对象,采用随机数字表法分为对照组和观察组各100例。对照组给予常规护理干预,观察组则实施长期生活方式干预。干预6个月后评价两组血糖控制效果及治疗保健依从性,并评估干预后两组患者认知功能的改善情况。结果干预后,观察组遵医嘱服药、饮食控制、坚持运动、血糖监测等方面的依从性均高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者糖化血红蛋白(HbAlc)、餐后2 h血糖(2hPG)及空腹血糖(FPG)水平的差异无统计学意义(P>0.05);干预后,两组HbAlc、2hPG和FPG水平均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前两组简易智能精神状态检查量表(MMSE)评分比较的差异无统计学意义(P>0.05);干预后两组患者MMSE量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论长期生活方式干预在2型糖尿病患者中应用效果明显,可提升患者自理能力,血糖控制效果明显,利于减轻疾病对患者认知功能的影响。 Objective To observe the effect of long-term lifestyle intervention on blood glucose control and cognitive function in type 2 diabetic patients. Methods A total of 200 patients with type 2 diabetes who were treated in Jiangbian Community Health Service Center of the Songgang People＇s Hospital of Baoan District from January to December in 2017 were selected as the study subjects. They were divided into control group and observation group with 100 cases in each group, using random number table method. The control group was given routine nursing interventions, while the observation group was given long-term lifestyle interventions. After 6 months of intervention, the blood glucose control efficacy and treatment health compliance in the two groups were evaluated, and the cognitive function improvement of both groups after intervention was evaluated. Results After intervention, the compliance of the observation group with medication, diet control, exercise adherence, and blood glucose monitoring was higher than those of the control group, and the differences were statistically significant（P〈0.05）. Before the intervention, there was no significant difference in the levels of glycated hemoglobin（HbAlc）, postprandial 2 h blood glucose（2 hPG）and fasting blood glucose（FPG） between the two groups（P〉0.05）. After intervention, HbAlc, 2 hPG and FPG in the two groups were lower than those before the intervention, and the observation group was lower than the control group, the differences were statistically significant（P〈0.05）. There was no significant difference in the scores of the Mini-Mental Mental State Examination Scale（MMSE） between the two groups before intervention（P〉0.05）. The MMSE scale scores of the two groups after intervention were higher than those before the intervention, and the observation group was higher than the control group, the differences were statistically significant（P 0.05）. Conclusion Long-term lifestyle intervention has obvious effects in patients with t

关 键 词： 型糖尿病 长期生活方式干预 血糖控制 认知功能

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