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1、·12·JournalofNursingScienceJan.2010Vol125No11(GeneralMedicine)·社区护理研究·护理干预对2型糖尿病高危人群生活方式的影响112134张侠,陈莉,荣良群,耿荣娟,潘琳,陆美琪摘要:目的探讨个性化、量化护理干预对2型糖尿病(DM)高危人群生活方式的影响,为控制DM发病率提供可行方法。方法选择进行健康体检且自愿参与本研究的2型DM高危人群60人。建立电子健康档案,给予免费佩戴“知己”运动能量监测仪,发放健康三件套,组织学习干预指导方案,制订个性化护理干预计划书,由专职医护人员一对一进行运动、膳食和心理等干预指导,并定期
2、随访。结果干预1年后三餐饮食搭配合理、三种主要营养素合理,每天食用油、食盐、蔬菜摄入量合理,总运动量、有效运动量及有效运动时间,体质量、体重指数、腹围等相关指标,显著优于干预前(P<0.05,P<0.01)。结论个性化、量化护理干预使得模糊的“运动饮食治疗”更具有可行性和依从性,从而能真正将运动和饮食治疗落到实处,改变DM高危人群不良生活方式,降低DM患病风险。关键词:糖尿病;糖尿病高危人群;护理干预;饮食;运动;社区护理中图分类号:R473.2;R587.1文献标识码:A文章编号:100124152(2010)0120012204DOI:10.3870/hlxzz.201
3、0.01.012Impactofnursinginterventionsonlifestyleinpeopleathigh2riskoftype2diabetesmellitus∥ZhangXia,ChenLi,RongLiangqun,GengRongjuan,PanLin,LuMeiqi∥(NursingDepartment,theSecondHospitalAffiliatedtoXuzhouMedicalCollege,Xuzhou221006,China)Abstract:ObjectiveTofindoutanpersonalizedandquantitativ
4、enursinginterventionstoaffectlifestyleofpeopleathigh2riskoftype2diabetesmellitus(DM),andtoreducethemorbidityofDM.MethodsSixtycommunityresidentsathigh2riskoftype2DMwereenrolledbyphysicalexamination.Nursinginterventionssuchasestablishinghealthfiles,giving“Zhiji”monitorfreelyformonito2ringspo
5、rtsandconsumptionofenergy,dispensingrulersandspoonsformeasuringbodyfatandtheamountofoilandsalt,tea2chinginterventionguidlinesandmakingindividualizednursingplan,guidingexercises,dietandpsychologicaladaptationbymedicalstaffindividually,adoptingfollow2upfordiscoveringproblemsofdietandexercise
6、,etc.ResultsAfter1yearintervention,therea2sonableenergydistributionofmeals,thereasonableintakeofcarbohydrate,protein,fat,oil,salt,vegetables,thetotalandeffec2tiveamountofexercise,thetimeofexerciseshowedsignificantdifferencesthanthosemeasuredbeforetheintervention(P<0.05,P<0.01).ConclusionPe
7、rsonalizedandquantitativenursinginterventionmakesthevaguetherapyofexerciseanddietfeasibleandclear,itcanimprovepeople′sadherencetohealthylifestyleforreducingmorbidityofDM.Keywords:diabetesmellitus;peopleathigh2riskofdiabetesmellitus;nursingintervention;diet;exe
