膳食干预联合心理拓展训练在糖调节受损患者诊疗中的应用

doi:10.3969/j.issn.1006-5253.2019.04.017

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摘要目的将膳食干预与心理拓展训练相结合，探索该模式在糖调节受损患者诊疗中应用的效果，为基层医院开展针对糖调节受损患者膳食和生活方式干预提供参考。方法选取2018年1—3月在菏泽市定陶区人民医院查体中发现的符合糖调节受损标准且适合参与研究的患者，通过投币法随机分出干预组和对照组，对干预组结合心理拓展训练开展为期半年的膳食干预，对照组仅在查体后依照常规给予膳食指导相关医嘱。结果干预组膳食总能量摄入控制优于对照组（P＜0.01），脂肪摄入量少于对照组（P＜0.05），膳食纤维摄入量多于对照组（P＜0.01）；干预组空腹血糖（P＜0.01）、餐后血糖（P＜0.05）和甘油三酯（P＜0.01）控制优于对照组。结论膳食干预联合心理拓展训练相比于常规查体医嘱中的膳食指导，可以更好地控制病情的发展，适宜在基层医疗机构进行推广。

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	王哲
	宋扬

关键词 ：膳食干预, 心理拓展训练, 糖调节受损, 社会支持

Abstract：Objective To explore the effect of the intervention model combining dietary intervention with psychological development training, and to provide reference for intervention work in primary hospitals.Methods Patients found in the physical examination of People's Hospital of Dingtao District of Heze from January to March 2018 to have met the standards of impaired glucose regulation and suitable for participating in the study were randomly divided into the intervention group and the control group. The intervention group was given a sixmonth dietary intervention combined with psychological development training. The control group was only given dietary guidance according to routine medical advice after physical examination.Results Compared with the control group, the total dietary energy intake level of the intervention group was significantly controlled (P＜0.01), fat intake was reduced (P＜0.05), and dietary fiber intake was significantly increased (P＜0.01). The fasting blood sugar (P＜0.01), postprandial blood sugar (P＜0.05) and triglyceride (P＜0.01) of the intervention group were all controlled.Conclusion Compared with the control group, dietary intervention combined with psychological development training is helpful to control the development of the disease. This mode is suitable for promotion in primary medical institutions.

Key words： dietary intervention psychological development training impaired glucose regulation social support

通讯作者: 宋扬，Email：sql.ok@163.com

引用本文:

王哲,宋扬. 膳食干预联合心理拓展训练在糖调节受损患者诊疗中的应用[J]. 中国医院统计, 2019, 26(4): 293-296.
Wang Zhe, Song Yang. Application study on dietary intervention combined with psychological development training in the practice for patients with impaired glucose regulation. journal1, 2019, 26(4): 293-296.

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