家庭功能对社区2型糖尿病患者营养干预效果的影响

    Effect of family function on nutrition intervention of type 2 diabetic patients in community

    • 摘要: 目的:探索家庭功能对社区2型糖尿病患者营养干预效果的影响。方法:对社区58例2型糖尿病患者进行营养师主导的营养教育-膳食指导-营养咨询综合营养干预,检测患者空腹血糖变化,采用自行设计的饮食行为问卷评价其行为改变,APGAR量表评价家庭功能。结果:58例APGAR总平均得分为(7.222.47)分,其中家庭功能良好者为34例(58.6%),APGAR得分为(9.001.30)分;家庭功能中度障碍者19例(32.8%),APGAR得分为(5.210.71)分;家庭功能重度障碍者5例(8.6%),APGAR得分为(2.800.45)分。不同家庭功能2型糖尿病患者年龄、性别、教育水平、病程、身高、体质量及体质量指数差异均无统计学意义(P>0.05)。营养干预后,家庭功能良好、中度障碍和重度障碍的2型糖尿病患者饮食行为得分均较营养干预前明显提高(P<0.01)。不同家庭功能组间饮食行为得分变化差异有统计学意义(P<0.05)。家庭功能良好的2型糖尿病患者空腹血糖变化较营养干预前降低(P<0.05);家庭功能中度障碍和重度障碍的2型糖尿病患者空腹血糖变化与营养干预前差异均无统计学意义(P>0.05)。不同家庭功能组空腹血糖变化差异有统计学意义(P<0.05)。结论:糖尿病营养治疗需要患者家庭成员支持,改善家庭功能是社区开展糖尿病营养干预所需要的。

       

      Abstract: Objective:To explore the effect of family function on improvement in fasting blood glucose and dietary behaviors of patients with type 2 diabetes mellitus in community by nutrition intervention.Methods:Comprehensive nutrition interventions(nutrition education-dietary guide-nutrition counseling) led by public dietitian were carried out on 58 patients with type 2 diabetes mellitus in community,and the fasting blood glucose level was measured.The changes of dietary behaviors were assessed by self-designed dietary behavior questionnaire,and the family function was assessed by APGAR scale.Results:The 58 subjects in the study had average scores of 7.222.47 in APGAR.Thirty-four subjects were in good family function group with APGAR scores of 9.001.30,which accounted for 58.6%,19 subjects were in moderate dysfunction group with APGAR scores of 5.210.71,accounted for 32.8% and 5 subjects were in severe dysfunction group with APGAR scores of 2.800.45,accounted for 8.6%.There were no significant differences in age,sex,education,diabetes duration,height,weight and BMI in different groups(P>0.05).After nutrition intervention,the scores of dietary behaviors were increased significantly than those before intervention in all groups(P<0.01).There were significant differences in the scores change of dietary behaviors in different groups(P<0.05).The fasting blood glucose changes were decreased significantly after intervention in good family function group(P<0.05),but no significances before and after intervention in moderate dysfunction group and severe dysfunction group(P0.05).There were significant differences in the fasting blood glucose changes in different groups(P<0.05).Conclusions:Family supporting contributes to nutrition therapy for diabetic patients,improvement of family function is required for nutrition intervention on type 2 diabetes in community.

       

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