目的 评价2型糖尿病合并肥胖症患者应用饮食连续护理的效果.方法 方便选择2021年6月—2023年2月期间在南京医科大学附属无锡市人民医院就诊的52例2型糖尿病合并肥胖症患者为研究对象,根据随机数表法分为两组,每组26例,对照组进行常规护理,观察组提供饮食连续护理,将两组患者的护理质量进行对比.结果 护理后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白和体质指数(body mass index,BMI)低于对照组,差异有统计学意义(P<0.05).观察组护理后的总胆固醇、三酰甘油、低密度脂蛋白胆固醇低于对照组,高密度脂蛋白胆固醇高于对照组,差异有统计学意义(P<0.05).观察组护理后的焦虑自评量表(Self-rating Anxiety Scale,SAS)评分为(40.56±6.32)分、抑郁自评量表(Self-rating Depression Scale,SDS)评分为(40.74±5.85)分低于对照组,差异有统计学意义(t=4.774、3.928,P<0.05).观察组护理后生活质量量表(Ge-neric Quality of Life Inventory-74,GQOLI-74)评分高于对照组,差异有统计学意义(P<0.05).结论 2型糖尿病合并肥胖症患者采用饮食连续护理的效果突出,可以显著提高护理质量.
Objective To evaluate the application effect of dietary continuum of care in patients with type 2 diabetes mellitus combined with obesity.Methods 52 patients with type 2 diabetes mellitus combined with obesity attending Wuxi People's Hospital Affiliated to Nanjing Medical University between June 2021 and February 2023 were conve-niently selected as the research objects and divided into two groups of 26 cases each according to the random number table method.The control group was provided with conventional care,and the observation group was provided with di-etary continuum of care,and the quality of care of the two groups of patients was compared.Results Fasting blood glu-cose,2-hour postprandial blood glucose,glycosylated hemoglobin and body mass index in the observation group were lower than those in the control group after care,and the differences were statistically significant(P<0.05).Total choles-terol,triglyceride and low density lipoprotein cholesterol of the observation group were lower than that of the control group,and higher density lipoprotein cholesterol was higher than that of the control group after nursing,and the differ-ences were statistically significant(P<0.05).The Self-Rating Anxiety Scale score(40.56±6.32)points and Self-Rating Depression Scale score(40.74±5.85)points of the observation group were lower than those of the control group after nursing,and the differences were statistically significant(t=4.774,3.928,P<0.05).The Generic Quality of Life Inven-tory-74,GQOLI-74 quality of life scale score of the observation group after care was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of adopting dietary continuum of care for patients with type 2 diabetes mellitus combined with obesity is outstanding,which can significantly improve the quality of care.