应用同伴教育法指导社区糖尿病患者采用食品交换份法行饮食治疗的临床观察

目的 利用同伴教育法指导社区糖尿病患者采用食品交换份法进行饮食治疗,探索社区糖尿病饮食治疗的有效方法 .方法 用便利取样的方法 抽取91例2型糖尿病患者,按年龄性别匹配后随机分为同伴教育组45例和普通教育组46例,采用食品交换份法进行为期1年的饮食干预,应用t检验比较2组患者干预前后血糖、血脂、糖化血红蛋白、体重指数等指标的变化情况.结果干预后2组患者的血糖、血脂、糖化血红蛋白、体重指数等指标均有显著降低,但同伴教育组改善程度更加显著.干预后同伴教育组的空腹血糖、餐后2 h血糖、糖化血红蛋白、三酰甘油、低密度脂蛋白和体重指数均显著低于普通健康教育组,HDL-C高于普通健康教育组.结论 利用同伴教育法对糖尿病患者采用食品交换份法的健康教育更为有效.

Application of peer education in guiding community diabetic patients to adopt diet therapy using food exchange method

Objective To use peer education to guide community diabetic patients to adopt diet therapy using food exchange method in order to explore effective method for diet therapy of diabetes mellitus. Meth-ods 91 diabetic patients were selected using simple sampling method and randomly divided into the peer ed-ucation(45 cases) and the common education group(46 cases), the two groups adopted food exchange method for diet therapy for 1 year. The blood glucose, blood lipid, glycosylated hemoglobin and body weight index were compared between the two groups using t test. Results The blood glucose, blood lipid, glycosylated hemoglobin and body weight index all decreased in the two groups after intervention, but the the decreased de-gree in the peer education group was more obvious. The fasting blood glucose, 2 hour postprandial blood glu-cose, glycosylated hemoglobin, triglyceride, low-donordensity lipid protein and body weight index in the peer education were lower thanthose of the common education group, but HDL-C was higher. Conclusions Peer education is more effective in health education of food exchange method.