Discussion on Application of Dietary Guidance in Diabetes Nursing
饮食指导在糖尿病护理方面的应用探讨

摘要

目的 研究糖尿病患者运用饮食指导的临床效果。方法 选取66例糖尿病患者为研究对象，患者均具有多饮、多尿以及体重下降症状，抽取时间段介于2019年5月到2020年2月期间，符合本次研究标准。采用等分制研究，对照组（n=33例）糖尿病患者运用常规护理方式，观察组（n=33例）糖尿病患者需在常规护理基础上进行饮食指导，研究期间需要护理人员做好记录工作，需要重点记录患者护理满意度、并发症发生率、空腹血糖值、餐后2h血糖、SAS以及SDS评分。结果 观察组糖尿病患者在常规护理基础上进行饮食指导空腹血糖为6.38±2.03mmol/L、餐后2h血糖值为8.56±2.43mmol/L,对照组糖尿病患者采用常规护理空腹血糖为10.52±3.14mmol/L、餐后2h血糖值为14.35±3.2mmol/L,观察组患者血糖值控制效果优于对照组，两组研究数据差异度高（P＜0.05）。此外，观察组患者运用饮食指导后SAS为29.45±2.58分、SDS为28.14±3.24分，对照组患者运用常规护理SAS为40.23±6.25分、SDS为41.69±5.78分，两组患者研究数据差异度高（P＜0.05）。结论 对糖尿病患者在常规护理基础上进行饮食指导，可以有效控制患者血糖值，改善患者焦虑抑郁情绪，提升治疗配合度。

Abstract

Objective: To study the clinical effect of diabetic patients using dietary guidance.
Methods: Sixty-six diabetic patients were selected as study subjects. All patients had symptoms of polydipsia, polyuria and weight loss. The sampling period was from May 2019 to February 2020, which met the criteria of this study. The study was conducted on an equal scale system. The control group (n=33 cases) of diabetics used routine care. The observation group (n=33 cases) of diabetics needed dietary guidance based on routine care. , Need to focus on recording patient satisfaction, incidence of complications, fasting blood glucose value, 2h postprandial blood glucose, SAS and SDS scores.
Results: Observation group diabetic patients on the basis of routine nursing diet fasting blood glucose was 6.38±2.03mmol/L, 2h postprandial blood glucose value was 8.56±2.43mmol/L, control group diabetic patients with routine care fasting blood glucose was 10.52±3.14 The blood glucose value in mmol/L and 2h after a meal was 14.35±3.2 mmol/L. The blood glucose control effect of patients in the observation group was better than that in the control group. In addition, the observation group had 29.45±2.58 points for SAS, 28.14±3.24 points for SDS, 40.23±6.25 points for SAS, and 41.69±5.78 points for SDS in the control group. High (P<0.05).
Conclusion  : Dietary guidance for diabetic patients on the basis of routine care can effectively control their blood sugar levels, improve their anxiety and depression, and enhance the degree of treatment coordination.