饮食连续护理对2型糖尿病合并肥胖症患者护理质量及睡眠的影响(1)
摘要 目的：探讨饮食连续护理对2型糖尿病合并肥胖症患者护理质量及睡眠的影响。方法：选取2017年2月至2018年2月福建省安溪县医院收治的2型糖尿病合并肥胖症患者200例，将符合入组标准的患者随机分为观察组和对照组，每组100例。观察组患者给予饮食连续护理，对照组患者则实施常规的简单护理，在实验研究结束后，比较2组患者的护理满意度评分、BIM指数、餐后2 h血糖、空腹血糖值及睡眠质量。结果：观察组患者的护理效果明显优于对照组患者，差异有统计学意义(P<0.05)；护理前2组患者PSQI评分差异无统计学意义(P>0.05)，但护理后观察组PSQI评分显著低于对照组(P<0.05)。结论：将饮食连续护理干预方式运用于2型糖尿病合并肥胖症患者，能有效的改善患者的餐后2 h血糖以及空腹血糖，控制患者的肥胖症状，提升患者的护理满意度评分，促进患者疾病的好转，纠正患者的不良饮食习惯，并改善患者睡眠质量，因此该护理方法可进行推广应用。
关键词 饮食连续护理；2型糖尿病；肥胖症患者；护理效果；睡眠
中图分类号：R587.1；R473.5文献标识码：Adoi：10.3969/j.issn.2095-7130.2018.06.040
Abstract Objective：To explore the effect of continuous diet nursing on the nursing quality and sleep of type 2 diabetes mellitus patients with obesity.Methods：200 patients with type 2 diabetes and obesity were enrolled in the hospital from February 2017 to February 2018.The patients were randomly divided into two groups.The patients in the observation group were given continuous diet care while the control group was given a routine simple single nursing care.After the experimental study，two groups of patients′ nursing satisfaction score，BIM index，postprandial 2 hour blood glucose and fasting blood glucose value were compared.Results：The nursing effect of the observation group was significantly better than that of the control group (P<0.05)；There was no significant difference in PSQI score between the two groups before nursing (P>0.05).But the PSQI score in the observation group after nursing was significantly lower than that in the control group (P<0.05)，which had statistical significance.Conclusion ：The continuous nursing intervention in the patients with type 2 diabetes combined with obesity can effectively improve the patient′s postprandial 2 hours blood glucose and fasting blood glucose，control the patient′s obesity symptoms，improve the patient′s nursing satisfaction score，improve the patient′s disease and correct the patient，and improve patients′ sleep quality.The nursing method is worthy of popularization and application in related fields.
Key Words Continuous diet nursing； Type 2 diabetes mellitus； Obesity patients； Nursing effect； Sleep
2型糖尿病是臨床上常见的一种慢性代谢障碍疾病，由于患者的血糖长期处于较高的状态，对患者自身的身体状况以及器官会造成不同程度的伤害，随着疾病的发展，不仅会严重威胁的患者生命健康，还会对患者睡眠质量造成一定损伤，从而影响患者生命质量；而如今临床上对于2型糖尿病尚无根治的方法，主要是通过控制患者的血糖水平，对症治疗。本次研究，选择我院治疗的200名2型糖尿病合并肥胖症患者为研究对象，将其随机分为对照组和观察组，分别实施不同的护理干预方式，比较2组患者的临床护理效果。
1 资料与方法
1.1 一般资料 选取2017年1月至2018年1月我院接受治疗的2型糖尿病合并肥胖症患者200例，将其随机分为照组和观察组，每组100例。对照组中男42例，女58例；年龄34～65岁，平均年龄(50.17±2.85)岁；体重53～76 kg，平均体重(65.82±3.14)kg，病程1～5年，平均病程(3.19±1.12)年；观察组中男51例，女49例；年龄55～73岁，平均年龄(65.18±6.21)岁；体重55～73 kg，平均体重(65.52±3.94)kg，病程1～6年，平均病程(3.83±1.23)年。2组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(陈美佳 黄秋梅 林淑玲)
关键词 饮食连续护理；2型糖尿病；肥胖症患者；护理效果；睡眠
中图分类号：R587.1；R473.5文献标识码：Adoi：10.3969/j.issn.2095-7130.2018.06.040
Abstract Objective：To explore the effect of continuous diet nursing on the nursing quality and sleep of type 2 diabetes mellitus patients with obesity.Methods：200 patients with type 2 diabetes and obesity were enrolled in the hospital from February 2017 to February 2018.The patients were randomly divided into two groups.The patients in the observation group were given continuous diet care while the control group was given a routine simple single nursing care.After the experimental study，two groups of patients′ nursing satisfaction score，BIM index，postprandial 2 hour blood glucose and fasting blood glucose value were compared.Results：The nursing effect of the observation group was significantly better than that of the control group (P<0.05)；There was no significant difference in PSQI score between the two groups before nursing (P>0.05).But the PSQI score in the observation group after nursing was significantly lower than that in the control group (P<0.05)，which had statistical significance.Conclusion ：The continuous nursing intervention in the patients with type 2 diabetes combined with obesity can effectively improve the patient′s postprandial 2 hours blood glucose and fasting blood glucose，control the patient′s obesity symptoms，improve the patient′s nursing satisfaction score，improve the patient′s disease and correct the patient，and improve patients′ sleep quality.The nursing method is worthy of popularization and application in related fields.
Key Words Continuous diet nursing； Type 2 diabetes mellitus； Obesity patients； Nursing effect； Sleep
2型糖尿病是臨床上常见的一种慢性代谢障碍疾病，由于患者的血糖长期处于较高的状态，对患者自身的身体状况以及器官会造成不同程度的伤害，随着疾病的发展，不仅会严重威胁的患者生命健康，还会对患者睡眠质量造成一定损伤，从而影响患者生命质量；而如今临床上对于2型糖尿病尚无根治的方法，主要是通过控制患者的血糖水平，对症治疗。本次研究，选择我院治疗的200名2型糖尿病合并肥胖症患者为研究对象，将其随机分为对照组和观察组，分别实施不同的护理干预方式，比较2组患者的临床护理效果。
1 资料与方法
1.1 一般资料 选取2017年1月至2018年1月我院接受治疗的2型糖尿病合并肥胖症患者200例，将其随机分为照组和观察组，每组100例。对照组中男42例，女58例；年龄34～65岁，平均年龄(50.17±2.85)岁；体重53～76 kg，平均体重(65.82±3.14)kg，病程1～5年，平均病程(3.19±1.12)年；观察组中男51例，女49例；年龄55～73岁，平均年龄(65.18±6.21)岁；体重55～73 kg，平均体重(65.52±3.94)kg，病程1～6年，平均病程(3.83±1.23)年。2组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(陈美佳 黄秋梅 林淑玲)
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