远程饮食与运动干预在老年2型糖尿病合并肌少症患者中的应用研究

doi:10.3761/j.issn.0254-1769.2024.21.001

摘要/Abstract

摘要：

目的分析远程饮食与运动干预在老年2型糖尿病合并肌少症患者中的应用效果，为提升其生活质量提供参考。方法 2022年12月—2023年2月，便利选取乌鲁木齐市2个社区的80例老年2型糖尿病合并肌少症患者为研究对象，以社区为单位随机分为试验组和对照组，每组各40例，试验组在常规健康宣教的基础上通过远程技术进行为期12周的饮食联合运动干预，对照组实施常规健康宣教。比较干预前后两组躯体功能、肌肉力量及生活质量。结果干预后，试验组6 m步速、5次坐立试验、握力、生活质量均优于对照组，差异具有统计学意义（P<0.05）。结论远程饮食与运动干预可对老年2型糖尿病合并肌少症患者的躯体功能、肌肉力量、生活质量产生积极影响。

关键词: 2型糖尿病, 肌少症, 老年人, 生活质量, 护理

Abstract:

Objective To analyze the effectiveness of a tele-diet combined exercise intervention program in elderly patients with type 2 diabetes mellitus combined with sarcopenia. Methods The selection of 80 cases of elderly patients with type 2 diabetes mellitus combined with sarcopenia was conducted from December 2022 to February 2023 in 2 communities in Urumqi City，and the 2 communities were randomly divided into an experimental group and a control group，with 40 cases in each group. The experimental group carried out the intervention of dietary combined with exercise through tele-technology on the basis of the routine health education，and the control group implemented the routine health education. The scores of somatic functions，muscle strength and quality of life of patients with sarcopenia were compared between the 2 groups before and after the intervention. Results After the intervention，6-meter step speed，5 sit-to-stand tests，grip strength index，and quality of life in the experimental group were better than those in the control group，and the difference was statistically significant（P<0.05）. Conclusion Tele-diet combined with exercise intervention positively affects somatic function，muscle strength，and quality of life in elderly patients with T2DM combined with sarcopenia.

Key words: Type 2 Diabetes, Sarcopenia, Aged, Quality of Life, Nursing Care

姬春晖, 李月, 董正惠, 骆朝辉. 远程饮食与运动干预在老年2型糖尿病合并肌少症患者中的应用研究[J]. 中华护理杂志, 2024, 59(21): 2565-2570.

JI Chunhui, LI Yue, DONG Zhenghui, LUO Zhaohui. A study of a tele-diet combined exercise intervention program in elderly patients with type 2 diabetes mellitus combined with sarcopenia[J]. Chinese Journal of Nursing, 2024, 59(21): 2565-2570.

图/表 4

表1 远程饮食与运动干预方案

Table 1 Tele-diet combined exercise intervention program

表2 两组一般资料的比较

Table 2 Comparison of general information between the 2 groups

表3 干预前后两组躯体功能、肌肉力量的比较（$\bar{x}±s$）

Table 3 Comparison of somatic function and muscle strength before and after intervention between the 2 groups（$\bar{x}±s$）

表4 干预前后两组生活质量的比较（分，$\bar{x}±s$）

Table 4 Comparison of the quality of life of the 2 groups of patients before and after the intervention （scores， $\bar{x}±s$）

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