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目的了解糖尿病患者的饮食控制、运动情况和医学应对方式与血糖控制的关系,探索提高糖尿病患者身心健康水平的措施。方法抽取2015年9月—2016年6月在黑龙江省某三甲医院住院治疗的459例糖尿病患者作为调查对象,采用自编问卷和医学应对方式问卷对糖尿病患者进行问卷调查,并对患者的空腹血糖值等生化指标进行评定。结果糖尿病患者空腹血糖值平均浓度为(8.77±3.04)mmol/L,不同性别、年龄、居住地、文化程度的糖尿病患者空腹血糖浓度差异无统计学意义;相关分析结果显示,糖尿病患者每次运动的时间量与血糖浓度呈负相关(r=-0.171,P<0.05),饮食方式、回避应对方式和屈服应对方式与血糖浓度正相关(r=0.144、0.128、0.106,P<0.05)。结论饮食和运动习惯以及应对方式与糖尿病患者的血糖控制密切相关,医护工作者可以从改变行为方式的角度出发,探索提高糖尿病患者生活质量的方法。
Objective To understand the relationship between diet control, exercise status, medical coping style and glycemic control in patients with diabetes mellitus, and to explore ways to improve the physical and mental health of patients with diabetes mellitus. Methods A total of 459 diabetic patients hospitalized in a top three hospital in Heilongjiang province from September 2015 to June 2016 were selected as the survey subjects. Questionnaires of self-compiled questionnaires and medical coping methods were used to survey the patients with diabetes mellitus. The fasting blood glucose Value and other biochemical indicators for assessment. Results The average fasting blood glucose level was (8.77 ± 3.04) mmol / L in diabetic patients, and there was no significant difference in fasting plasma glucose between diabetics with different gender, age, residence and educational level. The correlation analysis showed that each exercise (R = -0.171, P <0.05). There was a positive correlation between the amount of time and the blood glucose level (r = -0.171, P <0.05). The patterns of diet, avoidance coping and yield response were positively correlated with the blood glucose level (r = 0.144, 0.128, 0.106, P <0.05). Conclusion Diet and exercise habits as well as coping styles are closely related to the glycemic control in patients with diabetes. Health care workers can explore ways to improve the quality of life of patients with diabetes by changing their behavior patterns.