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目的:调查初诊的糖尿病患者的生化指征、生活方式,以更好地指导临床护士制定健康教育计划,促进患者采取健康的生活方式,提高生存质量。方法:测定146例型糖尿病患者口服葡萄糖耐量试验(OGTT),胰岛素的放射免疫测定(IRT),总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL),并评价其生活方式。结果:OGTT试验30min和60min的血糖值明显降低,而IRT试验30min和60min的血浆胰岛素水平明显升高,同时空腹血脂也明显升高。在调查的146例患者中生活方式水平良好60.3%,生活方式为优17.8%;在其中52.1%的患者中是以营养方面为优,21.9%的患者在运动方面较差;患者的健康生活方式与生化指征呈正相关系(P<0.001)。结论:提高患者对糖尿病的认识和自我护理的能力,延缓慢性并发症的发生和发展。
OBJECTIVE: To investigate biochemical indications and lifestyle of newly diagnosed diabetic patients so as to better guide clinical nurses to make health education plans, to promote patients to adopt healthy life style and improve quality of life. Methods: The oral glucose tolerance test (OGTT), insulin resistance radioimmunoassay (IRT), total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), high density lipoprotein (HDL), and evaluate their lifestyle. Results: The blood glucose levels of 30 min and 60 min in OGTT test were significantly lower than those in control group, while the levels of plasma insulin in 30 min and 60 min in IRT test were significantly increased. Of the 146 patients surveyed, 60.3% were well-behaved and 17.8% were lifestyle-conscious; among them, 52.1% were nutritionally superior, 21.9% were poorly exercised, and their healthy lifestyles Positive correlation with biochemical indications (P <0.001). Conclusion: To improve patients’ awareness of diabetes and self-care ability, delay the occurrence and development of chronic complications.