社区2型糖尿病个性化运动干预效果评价

目的评价以运动手环监测为基础的社区2型糖尿病个性化运动干预效果。方法在社区全科门诊随机选取符合入组条件的2型糖尿病患者150例,随机平均分为三组并采取不同干预方案。对三组人群分别于干预前、干预3个月和干预6个月时进行理化指标检测、运动知识问卷调查和运动依从性量表评估。结果干预前,三组人群各项评价指标均无显著差异。干预3个月时,三组人群的运动基本情况、运动知识因子、运动信念行为因子、运动依从性总分、空腹血糖、糖化血红蛋白和甘油三酯水平存在显著差异;干预6个月时,三组人群各项评价指标均出现显著差异。结论个性化运动管理方案对糖尿病患者运动治疗具有显著的近期收益;运动手环在短期内更有助于促进患者运动行为的养成,在中长期观察中具有更积极的综合干预效果。

Evaluation on the Effect of Individualized Exercise Management Program Combined with Exercise Bracelet Management Model on Type 2 Diabetes Mellitus in Community

OBJECTIVE To evaluate the effects of personalized exercise interventions in community type 2 diabetes based on exercise bracelet monitoring.METHODS 150 patients with type 2 diabetes were randomly selected from the community general clinic and randomly divided into three groups and carried out different intervention programs.The physical and chemical indexes,exercise knowledge questionnaire and exercise compliance scale were tested before,3 months and 6 months respectively.RESULTS Before the intervention,there was no significant difference in these three groups.After 3 months of intervention,there were significant differences among these three groups in exercise basic situation,exercise knowledge factor,exercise belief behavior factor,total score of exercise compliance,fasting blood glucose,glycosylated hemoglobin and triglyceride levels;after 6 months of intervention,there were significant differences among these three groups.CONCLUSION Individualized exercise management program had significant short-term benefits for exercise therapy of diabetic patients;in the short term,exercise bracelet was more conducive to the development of patients’exercise behavior,and had a more positive comprehensive intervention effect in the medium and long term.