2型糖尿病高危人群强化生活方式干预的效果研究

目的探索强化生活方式干预管理对2型糖尿病（DM）高危人群生活方式的影响。方法选择符合2型糖尿病高危人群的社区居民60名，由专职医务人员一对一进行18个月的运动、膳食和心理等干预指导，通过宣传相关知识，使其逐渐建立合理的饮食结构及适当的运动量，注意保持乐观平静的心境。结果本组60名高危人群干预后，每天三餐搭配合理，三种主要营养素、食用油、食盐、蔬菜摄人合理，总运动量、有效运动量及有效运动量／总运动量、体重指数、腹围等，均优于干预前（P〈0．05，P〈0．01）。结论强化干预有助于2型糖尿病高危人群逐步建立健康的生活方式，减低发病危险因素，达到逐步从源头上控制2型糖尿病的发生与发展。

The research of nursing intervention on type 2 diabetes mellitus in high-risk lifestyle

Objective To explore the influence of lifestyle intervention on type 2 diabetes mellitus ( DM) at high risk way of life. Methods Sixty residents with high risk of type 2 DM received individual instruction lasting 18 months, including exercise, diet and psychological aspects. Results After the intervention, their daily meals collocation was reasonable, the intake was reasonable in terms of three main nutrients, edible oil, salt, vegetables. The total amount, effective exercise and effective level/total amount, body mass index, waist circumstances were better than those before the intervention ( P < 0. 05, P < 0. 01). Conclusions Intervention will help strengthen the high risk of type 2 diabetes and gradually establish a healthy lifestyle to reduce the incidence of risk factors, to gradually control the occurrence and development of type 2 diabetes.