中华护理杂志 ›› 2021, Vol. 56 ›› Issue (11): 1741-1746.DOI: 10.3761/j.issn.0254-1769.2021.11.024
收稿日期:
2020-12-28
出版日期:
2021-11-15
发布日期:
2021-11-16
通讯作者:
赵春艳,E-mail: 53513953@qq.com作者简介:
冯苏文:女,本科(硕士在读),主管护师,护士长,E-mail: fengsuwen126@126.com
基金资助:
FENG Suwen(), ZHAO Chunyan(), XU Fanglei
Received:
2020-12-28
Online:
2021-11-15
Published:
2021-11-16
摘要:
运动能有效降低糖尿病的发病率,改善患者的糖化血红蛋白、血糖和血脂等代谢指标,增加胰岛素敏感性,降低并发症发生风险。该文依据Donabedian三维质量结构理论,对糖尿病患者运动管理评价指标进行综述,包括结构指标、过程指标和结果指标。结构指标包括多学科团队构建、环境与物资准备、知识和技能培训、政策支持;过程指标包括运动评估、运动实施及监测;结果指标包括血糖、血脂及体质相关指标、并发症相关指标等,为构建糖尿病患者运动评价指标体系提供参考。
冯苏文, 赵春艳, 许方蕾. 糖尿病患者运动管理评价指标的研究进展[J]. 中华护理杂志, 2021, 56(11): 1741-1746.
FENG Suwen, ZHAO Chunyan, XU Fanglei. Research progress of exercise management evaluation index in diabetic patients[J]. Chinese Journal of Nursing, 2021, 56(11): 1741-1746.
[1] | 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2013年版)[J]. 中国糖尿病杂志, 2014, 22(8):2-42. |
Chinese Diabetes Society. Guideline for the prevention and treat-ment of type 2 diabetes mellitus in China(2013 edition)[J]. Chin J Diabetes, 2014, 22(8):2-42. | |
[2] | 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华糖尿病杂志, 2021, 13(4):317-411. |
Chinese Diabetes Society. Guideline for the prevention and treatment of type 2 diabetes mellitus in China(2020 edition)[J]. Chin J Diabetes Mellitus, 2021, 13(4):317-411. | |
[3] |
Nery C, Moraes SRA, Novaes KA, et al. Effectiveness of resis-tance exercise compared to aerobic exercise without insulin therapy in patients with type 2 diabetes mellitus:a meta-analysis[J]. Braz J Phys Ther, 2017, 21(6):400-415.
DOI URL |
[4] | 华珊珊, 李闺臣, 彩虹, 等. 运动疗法对糖尿病周围神经病变影响的研究进展[J]. 中华护理杂志, 2017, 52(10):1252-1256. |
Hua SS, Li GC, Cai H, et al. The effects of exercise on dia-betic peripheral neuropathy:a literature review[J]. Chin J Nurs, 2017, 52(10):1252-1256. | |
[5] | Colberg SR, Sigal RJ, Fernhall B, et al. Exercise and type 2 diabetes:the American College of Sports Medicine and the American Diabetes Association:joint position statement[J]. Dia-betes Care, 2010, 33(12):e147-e167. |
[6] | 吴华锋, 温彩银, 孔肖樱, 等. 基于家庭医生服务的自我管理对城乡结合地区糖尿病患者干预效果的随机对照研究[J]. 中国全科医学, 2018, 21(26):3212-3216. |
Wu HF, Wen CY, Kong XY, et al. Effectiveness of a family doctor-led self-management support intervention among diabetic patients living at the rural urban fringe:a randomized contro-lled trial[J]. Chin Gen Pract, 2018, 21(26):3212-3216. | |
[7] | 杨土保, 孙振球. 2型糖尿病医疗后果评价指标体系的系统论[J]. 医学与哲学, 2004, 25(8):10-11. |
Yang TB, Sun ZQ. The systematic method on the assessment index system of medical outcomes for type 2 diabetes in elder population[J]. Med Philos, 2004, 25(8):10-11. | |
[8] |
Donabedian A. Evaluating the quality of medical care. 1966[J]. Milbank Q, 2005, 83(4):691-729.
PMID |
[9] | Benito L, Espinosa J, Binefa G, et al. Population-based cancer screening:measurement of coordination and continuity of care[J]. Cancer Nurs, 2018, 41(4):E1-E11. |
[10] | 刘敏杰, 张兰凤, 叶赟, 等. 结构-过程-结果模式在护理质量评价中的应用进展[J]. 中华护理杂志, 2013, 48(4):371-374. |
Liu MJ, Zhang LF, Ye Y, et al. Application of Donabedian struc-ture-process-outcome approach in evaluation of quality of care: a literature review[J]. Chin J Nurs, 2013, 48(4):371-374. | |
[11] | 田发秀. 基于三维质量结构模式骨科专科护理门诊质量评价指标体系的构建[D]. 南京:南京大学, 2019:43-47. |
Tian FX. Construction of quality evaluation index system of orthopaedic nurse-led clinic based on the quality of struc-ture-process-outcome model[D]. Nanjing:Nanjing University, 2019:43-47. | |
[12] | 张敏, 邹小红, 史宝红, 等. 三维质量结构模式对TURP术后膀胱痉挛的影响[J]. 中国老年学杂志, 2019, 39(14):3422-3425. |
Zhang M, Zou XH, Shi BH, et al. Effect of three-dimensional mass structure model on bladder spasm after TURP[J]. Chin J Gerontol, 2019, 39(14):3422-3425. | |
[13] | 富晶晶, 杨艳, 贾芸, 等. 糖尿病住院患者护理质量评价指标体系的构建[J]. 护理学杂志, 2019, 34(12):34-37. |
Fu JJ, Yang Y, Jia Y, et al. Development of nursing quality evaluation index system for diabetes patients[J]. J Nurs Sci, 2019, 34(12):34-37. | |
[14] | 郝振华. 基于三维质量结构理论构建糖尿病前期健康教育质量评价体系的研究[D]. 青岛:青岛大学, 2020. |
Hao ZH. Research on the establishment of pre-diabetes health education quality evaluation system based on the three-dimen-sional quality structure theory[D]. Qingdao:Qingdao University, 2020. | |
[15] | Ministry of Health New Zealand. Living well with diabetes:a plan for people at high risk of or living with diabetes 2015-2020[EB/OL].(2015-10-16)[2019-04-08]. http://www.health.govt.nz . |
[16] |
Bhopal RS, Douglas A, Wallia S, et al. Effect of a lifestyle intervention on weight change in south Asian individuals in the UK at high risk of type 2 diabetes:a family-cluster rando-mised controlled trial[J]. Lancet Diabetes Endocrinol, 2014, 2(3):218-227.
DOI URL |
[17] | 中华医学会糖尿病学分会. 中国糖尿病运动治疗指南[M]. 北京: 中华医学电子音像出版社, 2012:46-59. |
Chinese Diabetes Society. Chinese guidelines of exercise the-rapy in diabetes mellitus[M]. Beijing: China Medical Electronic Audio and Video Publishing House, 2012:46-59. | |
[18] | American College of Sports Medicine and the American Dia-betes Association. Exercise and type 2 diabetes[J]. Off J Ameri Colleg Spor Med, 2010, 2(3):2282-2303. |
[19] | 赵梅村, 戴美玲, 蒋凤, 等. 国内外糖尿病专科护士培训管理现状与思考[J]. 中国护理管理, 2019, 19(6):905-909. |
Zhao MC, Dai ML, Jiang F, et al. Training and management of diabetes specialist nurses and its consideration and counter-measures[J]. Chin Nurs Manag, 2019, 19(6):905-909. | |
[20] |
IDF School of Diabetes-paving the way for improved health professional education[J]. Diabetes Res Clin Pract, 2018, 142:401-402.
DOI URL |
[21] | 肖凌凤, 迟金凤, 耿丽荣. 糖尿病专科护士工作现状及其影响因素调查[J]. 中华护理教育, 2015, 12(3):207-211. |
Xiao LF, Chi JF, Geng LR. The current status of work of diabetes specialist nurses and its influencing factors[J]. Chin J Nurs Educ, 2015, 12(3):207-211. | |
[22] | 熊真真, 袁丽, 郭晓蕙, 等. 糖尿病教育者培训效果及其影响因素的调查研究[J]. 中华护理杂志, 2017, 52(7):816-819. |
Xiong ZZ, Yuan L, Guo XH, et al. Effects of China diabets educator training and its influencing factors[J]. Chin J Nurs, 2017, 52(7):816-819. | |
[23] | 丁飚, 许燕玲, 张妮娜, 等. 临床护士糖尿病知识评估量表的研制及信效度检验[J]. 护理研究, 2017, 31(17):2093-2097. |
Ding B, Xu YL, Zhang NN, et al. Development and reliability and validity test of Clinical Nurses Diabetes Knowledge Asses-sment Scale[J]. Nurs Res China, 2017, 31(17):2093-2097. | |
[24] | 林丽娜, 钱丹萍, 王芳, 等. 基于指标导向的糖尿病专科护理质量控制效果评价[J]. 护理学杂志, 2019, 34(16):41-44. |
Lin LN, Qian DP, Wang F, et al. Effect evaluation of diabetes specialty nursing quality control based on index guidance[J]. J Nurs Sci, 2019, 34(16):41-44. | |
[25] | 罗曦娟, 张献博, 徐峻华. 运动是良医应用实例:美国糖尿病预防项目及其应用[J]. 北京体育大学学报, 2016, 39(8):59-65,73. |
Luo XJ, Zhang XB, Xu JH. Practice of “Exercise Is Medicine”:the DPP application model[J]. J Beijing Sport Univ, 2016, 39(8):59-65,73. | |
[26] | 周碎平. 从《“健康中国2030”规划纲要》透析全民健身运动的走向[J]. 南京体育学院学报(社会科学版), 2017, 31(1):59-63,69. |
Zhou SP. Analysis of the trend of national fitness campaign from the planning outline of “health China 2030”[J]. J Nanjing Sport Inst Soc Sci, 2017, 31(1):59-63,69. | |
[27] | 王萧, 马红梅, 陈媛, 等. 2型糖尿病运动疗法与护理的研究进展[J]. 职业与健康, 2018, 34(13):1867-1869,1872. |
Wang X, Ma HM, Chen Y, et al. Research progress on exercise therapy and nursing in type 2 diabetes[J]. Occup Heal, 2018, 34(13):1867-1869,1872. | |
[28] | 李晓玲, 陈燕燕. 肥胖伴糖尿病及冠心病患者的体重管理[J]. 中国循环杂志, 2019, 34(11):1130-1133. |
Li XL, Chen YY. Weight tube of obese patients with diabetes and coronary heart disease[J]. Chin Circ J, 2019, 34(11):1130-1133. | |
[29] | 朱苗苗, 潘红英, 李思嘉, 等. 2型糖尿病患者运动方案的最佳证据总结[J]. 中华护理杂志, 2019, 54(12):1887-1893. |
Zhu MM, Pan HY, Li SJ, et al. Evidence summary for exercise therapy programs in patients with type 2 diabetes mellitus[J]. Chin J Nurs, 2019, 54(12):1887-1893. | |
[30] | 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志, 2018, 38(4):292-344. |
Diabetes Society of Chinese Medical Association. Guidelines for the prevention and control of type 2 diabetes in China(2017 edition)[J]. Chin J Pract Intern Med, 2018, 38(4):292-344. | |
[31] | Albright AL. Exercise precautions and recommendations for pa-tients with autonomic neuropathy[J]. Diabet Spectrum 1998, 11(4):231-237. |
[32] |
The Diabetes Prevention Program. Design and methods for a clinical trial in the preven-tion of type 2 diabetes[J]. Diabetes Care, 1999, 22(4):623-634.
DOI URL |
[33] | 中华医学会糖尿病学分会糖尿病教育与管理学组. 中国2型糖尿病自我管理处方专家共识(2017年版)[J]. 中华糖尿病杂志, 2017, 9(12):740-750. |
Diabetes Education and Management Group,Diabetes Associa-tion,Chinese Medical Association. Expert consensus on self-management prescription of type 2 diabetes in China(2017 edition)[J]. Chin J Diabet Mellit, 2017, 9(12):740-750. | |
[34] | National Institution for Healthy and Care Excellence. Type 2 diabetes in adults:management[EB/OL].(2015-12-02)[2019-04-08]. http://ce.org.uk/guidance/ng28. |
[35] |
Höchsmann C, Infanger D, Klenk C, et al. Effectiveness of a behavior change technique-based smartphone game to improve intrinsic motivation and physical activity adherence in pati-ents with type 2 diabetes:randomized controlled trial[J]. JMIR Serious Games, 2019, 7(1):e11444.
DOI URL |
[36] |
Höchsmann C, Walz SP, Schäfer J, et al. Mobile exergaming for health-effects of a serious game application for smartphones on physical activity and exercise adherence in type 2 diabetes mellitus-study protocol for a randomized controlled trial[J]. Trials, 2017, 18(1):103.
DOI URL |
[37] |
Polskie Towarzystwo Diabetologiczne. 2019 Guidelines on the management of diabetic patients. A position of Diabetes Po-land[J]. Clin Diabetol, 2019, 8(1):1-95.
DOI URL |
[38] | 中华医学会糖尿病学分会, 国家基层糖尿病防治管理办公室. 国家基层糖尿病防治管理指南(2018)[J]. 中华内科杂志, 2018, 57(12):885-893. |
Chinese Diabetes Society,National Office for Primary Dia-betes Care. National guidelines for the prevention and control of diabetes in primary care(2018)[J]. Chin J Intern Med, 2018, 57(12):885-893. | |
[39] | 高惠中. 糖尿病相关眼病指南[J]. 实用防盲技术, 2016, 11(4):139-144. |
Gao HZ. Guidelines for diabetes-related eye diseases[J]. J Pract Prev Blind, 2016, 11(4):139-144. | |
[40] | 魏萍, 赵辉, 龚定宏. 社区2型糖尿病个性化运动干预效果评价[J]. 中国初级卫生保健, 2020, 34(1):24-27. |
Wei P, Zhao H, Gong DH. Evaluation on the effect of indivi-dualized exercise management program combined with exer-cise bracelet management model on type 2 diabetes mellitus in community[J]. Chin Prim Heal Care, 2020, 34(1):24-27. | |
[41] | 杨中方, 白姣姣. 老年糖尿病病人运动依从性现状及影响因素研究[J]. 护理研究, 2014, 28(11):1328-1330. |
Yang ZF, Bai JJ. Study on status quo of exercise compliance of elderly diabetes patients and its influencing factors[J]. Chin Nurs Res, 2014, 28(11):1328-1330. | |
[42] | 裴丽, 王燕, 刘艳, 等. 运动自我效能量表在糖尿病患者中应用的信效度检验[J]. 中国老年学杂志, 2017, 37(13):3340-3341. |
Pei L, Wang Y, Liu Y, et al. The reliability and validity test of Exercise Self-efficacy Scale in diabetic patients[J]. Chin J Gerontol, 2017, 37(13):3340-3341. | |
[43] | 张春华, 丁贤彬, 毛德强, 等. 60岁及以上老年2型糖尿病患者自我效能与生命质量评价[J]. 中国慢性病预防与控制, 2017, 25(2):118-121. |
Zhang CH, Ding XB, Mao DQ, et al. Evaluation of self-efficacy and quality of life in elderly patients with type 2 diabetes aged 60 years and older[J]. Chin J Prev Control Chronic Dis, 2017, 25(2):118-121. |
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