|
|
Effect of food exchange regulation by hand measurement on patients with type 2 diabetes mellitus |
GONG Jing*, YUAN Guo-ping, YUAN Fang, LI Bing, WEN Qiong, LI Hui, ZHOU Wei
|
*The Center for Disease Control and Prevention of Jiangbei District ,Ningbo,Zhejiang 315020,China |
|
|
Abstract Objective To explore the effect of food hand measurement exchange on patients with type 2 diabetes in communities. Methods A stratified random sampling method was used to divide the community into five groups according to the geographical location. Forty patients were randomly selected from each group and randomly divided into intervention group and control group. The control group was administered according to the requirements of the management of diabetes mellitus in the national basic public health service project. The intervention group conducted the dietary instruction for 12 months on the basis of the management of the national basic public health service project. Two groups were investigated before and after the intervention,and physical examination were conducted and biochemical indicators were detected. Results Before and after the intervention,there was no significant difference between the two groups in behavior and physical examination (P>0.05). In the intervention group,the proportion of drug treatment decreased from 96.00% to 92.00% after 12 months of intervention. The proportion of people controlling diet increased from 90% to 99%,and the proportion of control weight increased from 75.00% to 91.00% . The proportion of patients who were monitored blood sugar was from 71% to 98%.Compared with the control group,the behavioral habits of the intervention group in drug use,diet control,weight control and blood glucose monitoring were higher than those in the control group(Wald χ2=10.644,4.324,5.957,12.229,P<0.05). In the intervention group,the compliance rate of blood pressure and HDLC compliance rate increased from 16.00% and 56.00% to 64.00% and 76.00% respectively after 12 months intervention. Compared with the control group,the increase of blood pressure,FPG and HDL-C in the intervention group was higher than that in the control group(Wald χ2=16.642,10.128,6.457,P<0.05). Conclusion Food hand measurement exchange method on patients with type 2 diabetes in communities was a simple calorie intake measurement tool,and could greatly improve the patient's control diet compliance,and could promote drug treatment and monitor of blood sugar and other behavior improvement,thus ultimately improve the blood pressure,blood sugar and blood lipids.
|
Received: 26 June 2017
Revised: 26 September 2017
Published: 04 January 2018
|
|
|
|
|
[1] 许岭翎. 糖尿病社区综合防治策略—五驾马车详解[J]. 中国社区医师(医学专业),2011,13(26):3-5. [2] 王丽,施冠华,金娟,等. 仿真食物模型在糖尿病患者饮食教育中的应用[J]. 中华全科医学,2011,9(2):242-243. [3] 伍江虹,王芸. 食物交换份法治疗56例老年糖尿病患者的应用和体会[J]. 中国老年保健医学,2014,12(2):127-128. [4] 胡鹏,陶静,徐蓉. 饮食体验卡在2型糖尿病患者饮食教育中的应用[J]. 护理学报,2012,19(9):69-71. [5] 王忠全. 利用Excel推荐平衡膳食[J]. 食品研究与开发,2003,24(2):62-64. [6] 王新荣,王平基. 糖尿病饮食治疗中食物交换份数测算列线图[J]. 中国实用护理杂志,2009,25(10):18. [7] Canadian Diabetes Association Clinical Practice Guideline Expert Committee. Canadian Diabetes Association 2003 clinical practice guidelines for the prevention and management of diabetes in Canada[J]. Can J Diabetes,2003,27(Suppl 2):80-102. [8] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2010版)[M]. 北京:北京大学医学出版社,2011:1-85. [9] 方跃伟,仝振东. 糖尿病人怎么吃—个体化膳食方案快速制定[M]. 北京:人民卫生出版社,2014:56-112. [10] 任飞林,方跃伟,仝振东,等. 成人拳头体积与身高体重及体重指数关系研究[J]. 浙江预防医学,2015,27(8):775-779. [11] 任飞林,方跃伟,王玉超,等. 舟山地区成人手长与身高关系研究[J]. 浙江预防医学,2015,27(9):881-883,888 [12] 曾长佑,胡志勇,李秋华,等. 山区居民2型糖尿病危险因素的 病例对照研究[J]. 浙江预防医学,2014,26(2):119-122. [13] 中国疾病预防控制中心慢性非传染性疾病预防控制中心. 中国慢性病及其危险因素监测指导手册[Z]. 2007:38-67. [14] 史波英,吴静雅,施萍. 手测量法则食物交换份法在社区2 型糖尿病患者饮食指导中的应用效果研究[J]. 中国全科医学,2015,18(4):446-449. [15] 柳露,傅汉菁,袁申元,等. 3201例糖尿病患者管理三年降糖药物调整与血糖达标及相关因素分析[J].中华全科医师杂志,2013,12(5):356-360. [16] 胡鹏,郑良芬,陶静. 手测量法则在2型糖尿病患者饮食指导中的应用[J]. 中华护理杂志,2011,46(9):868-870. |
|
|
|