饮食教育对老年糖尿病患者饮食治疗依从性的影响

目的了解影响老年糖尿病患者饮食治疗依从性因素,探讨饮食教育对提高老年糖尿病患者依从性的作用。方法采用问卷评价和分析180例老年糖尿病患者饮食治疗依从性及影响因素,有针对的进行强化饮食教育,对比干预前后依从性和代谢指标变化。结果 180例患者饮食依从性评分为(8.23±2.04)分,性别、病程、社会支持、教育程度、月收入都是影响患者饮食治疗依从性的因素,评分之间差异有统计学意义(P<0.05)。干预后饮食治疗依从性较干预前显著提高(P<0.05)。干预后患者FBG、2 hPBG、HbA1c、TG、TC、均显著下降(P<0.01)。结论老年糖尿病患者饮食治疗依从性不高,性别、病程、社会支持、教育程度、月收入是主要影响因素,通过有针对性的饮食教育能有效提高患者饮食知识及饮食依从性,有助血糖和血脂的控制。

The impact of dietary education for elderly patients with diabetes diet treat- ment compliance

Objective To understand the impact of dietary treatment of elderly patients with diabetes adherence factors, the effect of diet education to improve the compliance role of the elderly patients with diabetes. Methods Questionnaire evalu- ation and analysis of 180 cases of elderly patients with diabetes diet treatment compliance and influencing factors,targeted intensive dietary education, adherence and metabolic indicators in the comparison before and after the intervention. Re- suits All180 patients with diet adherence score was （8.23±2.04）,gender, disease duration, social support,education lev- el, monthly income affect treatment compliance of patients with eating, there was significant difference between the score （P 〈0.05 ）. After the intervention of diet treatment compliance compared to before the intervention had significantly in- creased （P 〈0.05）. FBG, 2 hPBG, HbAlc, TG and TC were significantly decreased （P 〈 0.01 ）. Conclusion The treat- ment of elderly patients with diabetes diet compliance, gender, disease duration, social support, education level, monthly in- come is the main influencing factors through targeted dietary education can effectively improve patients knowledge of healthy eating and diet compliance, and help blood sugar and lipid control.