摘要
目的:探讨渐进式抗阻训练结合膳食指导对老年2型糖尿病(T2DM)合并肌少症患者的影响。方法:将2020年4月1日~7月31日52例老年T2DM合并肌少症患者设为对照组,实施常规健康教育;将2020年8月1日~11月30日49例老年T2DM合并肌少症患者设为研究组,在此基础上实施渐进式抗阻训练结合膳食指导;比较两组干预前后血糖相关指标、血脂相关指标,自我管理行为量表评分及依从性,小腿围、肌力、起坐试验时间,骨密度T值及骨质疏松发生率,护理满意度评分。结果:干预后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白、空腹胰岛素、胰岛素抵抗指数及骨质疏松发生率低于干预前(P<0.05),且观察组低于对照组(P<0.05);两组干预后自我管理行为量表评分高于干预前(P<0.05),研究组干预后自我管理行为量表中普通饮食、特殊饮食、运动等维度评分及总分高于对照组(P<0.05);干预后,两组依从性、血脂相关指标及骨密度T值优于干预前(P<0.05),且研究组优于对照组(P<0.05);两组干预后小腿围及肌力高于干预前(P<0.05)、起坐试验时间短于干预前(P<0.05),研究组干预后小腿围及肌力高于对照组(P<0.05)、起坐试验时间短于对照组(P<0.05);研究组护理满意度评分高于对照组(P<0.01)。结论:渐进式抗阻训练结合膳食指导有助于提高老年T2DM合并肌少症患者的自我管理能力和依从性,改善胰岛素抵抗,降低血糖水平。
Objective:To explore the effect of progressive resistance training combined with dietary guidance in elderly patients with type 2 diabetes mellitus(T2DM)and sarcopenia.Methods:A total of 52 elderly patients with T2DM and sarcopenia from April 1 to July 31,2020 were set as the control group,and the control group was given routine health education,and 49 cases were set as the study group,and the study group was given progressive resistance training combined with dietary guidance.The blood glucose and lipid related indicators,self-management behavior scale score,compliance,calf circumference,muscle strength,sit-to-stand test,bone mineral density,the incidence of osteoporosis and nursing satisfaction were compared between the two groups.Results:After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin,the fasting insulin level,insulin resistance index and bone osteoporosis were lower in both groups than those before intervention(P<0.05),and lower in the observation group than those in the control group(P<0.05).The scores of self-management behavior scale were higher in both groups than those before intervention(P<0.05).The scores of general diet dimension,special diet dimension,exercise dimension and total scores of self-management behavior scale in the study group were higher than those in the control group(P<0.05).After intervention,the compliance,blood lipid related indicators and bone density were better in both groups than those before intervention(P<0.05),and better in the study group than those in the control group(P<0.05).The calf circumference and muscle strength were higher in both groups than those before intervention(P<0.05),the sit-to-stand time was shorter in both groups than that before intervention(P<0.05).The calf circumference and muscle strength were higher in the study group than those in the control group(P<0.05).while sit-to-stand test time was shorter in the study group than that in the control group(P<0.05).The nursing satisfaction scores
作者
马慧慧
韦伟
王洁
葛燕红
Ma Huihui;Wei Wei;Wang Jie(Henan Provincial People′s Hospital,Zhengzhou Henan 450003,China)
出处
《齐鲁护理杂志》
2023年第22期18-23,共6页
Journal of Qilu Nursing
基金
河南省医学科技攻关计划项目(编号:LHGJ20210002)。
关键词
2型糖尿病
肌少症
渐进式抗阻训练
自我管理
胰岛素抵抗
Type 2 diabetes mellitus
Sarcopenia
Progressive resistance training
Self-management
Insulin resistance
