营养评估结合专病一体化饮食指导在心力衰竭合并糖尿病患者中的应用OA
Application of nutritional assessment combined with specialized integrated dietary guidance in patients with heart failure and diabetes mellitus
目的 探讨给予心力衰竭合并糖尿病患者营养评估结合专病一体化饮食指导对其病情变化的影响.方法 选取武汉亚洲心脏病医院收治的98 例心力衰竭合并糖尿病的患者为研究对象,入组时间为2021 年8 月至2022 年7 月,分组方式为随机数字表法.对照组(49 例)给予专病一体化饮食指导,观察组(49 例)给予营养评估结合专病一体化饮食指导,比较2 组患者的干预效果.结果 2 组在干预1 周和干预1 个月后的空腹血糖和餐后2h血糖均较干预前降低,干预1 个月后的糖化血红蛋白也均较干预前降低(P均<0.05),且观察组的各项血糖水平均低于同一时间点的对照组(P均<0.05).干预 1 个月后,2 组的转铁蛋白和白蛋白水平均较干预前升高(P均<0.05);2 组在糖尿病特异性生存质量量表修订版中的影响程度和忧虑程度评分均较干预前降低,满意程度评分均较干预前升高(P均<0.05);观察组的上述指标和评分均优于对照组(P均<0.05).干预3 个月后,2 组的每搏输出量均大于干预前,N末端B型利钠肽原均低于干预前,6 分钟步行试验距离均长于干预前(P均<0.05),且观察组的各项心功能指标均优于对照组(P均<0.05).结论 给予心力衰竭合并糖尿病患者营养评估结合专病一体化饮食指导,有助于患者更好地控制血糖,且能够改善其营养状况、心功能和生活质量.
Objective To explore the effect of nutritional assessment combined with specialized integrated dietary guidance on the condition of heart failure patients with diabetes mellitus.Methods Ninety-eight patients with heart failure and diabetes mellitus who were admitted to Wuhan Asia Heart Hospital were selected as the study subjects.They were enrolled from August 2021 to July 2022.The grouping method was random number table method.The control group(49 cases)received specialized integrated dietary guidance,while the observation group(49 cases)received nutritional assessment combined with specialized integrated dietary guidance.The intervention effect of the two groups was compared.Results In both groups,the fasting blood glucose and 2-h postprandial blood glucose after 1 week and 1 month of intervention decreased compared with those before intervention,and the glycosylated hemoglobin after 1 month of intervention also decreased compared with that before intervention(all P<0.05).The various blood glucose levels of the observation group were lower than those of the control group at the same time point(all P<0.05).After 1 month of intervention,the levels of transferrin and albumin in both groups increased compared with those before intervention(all P<0.05).The impact and anxiety scores of the Adjusted Diabetes-Specific Quality of Life Scale in both groups were lower than those before intervention,and the satisfaction score was higher than that before intervention(all P<0.05).The above indicators and scores of the observation group were better than those of the control group(all P<0.05).After 3 months of intervention,the stroke volume of both groups was greater than that before intervention.The N-terminal pro-brain natriuretic peptide level was lower than that before intervention.The 6-min walk test was longer than that before intervention(all P<0.05).All cardiac function indicators in the observation group were better than those in the control group(all P<0.05).Conclusion Nutritional assessment combined with specialized integrated dietary guidance for patients with heart failure and diabetes mellitus can help them better control the blood glucose and improve their nutritional status,cardiac function,and quality of life.
黄晓梨;胡娜;乔燕舞
武汉亚洲心脏病医院,湖北 武汉,430022
临床医学
心力衰竭糖尿病营养评估专病一体化饮食指导应用效果
heart failurediabetes mellitusnutritional assessmentspecialized integrated dietary guidanceapplication effect
《中西医结合护理（中英文）》 2024 (002)
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