运动疗法联合西药、膳食营养对老年糖尿病患者负性情绪和依从性的影响

摘要

Objective To observe and analyze the effect of exercise therapy combined with western medicine and dietary nutrition on negative emotion and compliance and therapeutic effect in elderly diabetic patients.Methods From October 2014 to June 2016,in Affiliated Hospital of Xi'an Medical College,72 elderly patients with diabetes mellitus were selected,according to random number table,they were divided into observation group and control group,with 36 cases in each group.The treatment group was given exercise therapy combined with dietary nutrition,the intervention period was from the beginning of hospital admission to 3 months after discharge.The negative emotion and compliance,HbA1c and serum lipids of the two groups were observed and statistically analyzed.Results The levels of HbA1c and TG,TCH,HDL-C,LDL-C were in observation group better than those in the control group,the differences were statistically significant (P ＜ 0.05).The compliance rate of observation group was higher than that of control group,the satisfaction degree of the observation group was higher than that of the control group,the differences were statistically significant (P ＜ 0.05).After intervention,the negative mood of two groups significantly improved,and observation group improved significantly more than control group,the difference was statistically significant (P ＜ 0.05).Conclusion Combined exercise therapy with dietary nutrition can improve the treatment compliance of elderly patients with DM,and it can improve the therapeutic effect of patients.It is worthy to be popularized in clinical practice.%目的 观察和分析运动疗法联合西药、膳食营养对老年糖尿病(DM)患者负性情绪和依从性及治疗效果的影响.方法 将2014年10月～2016年6月间西安医学院附属医院收治的老年糖尿病患者72例,采用随机数字表法随机分为观察组和对照组,每组各36例,两组均给予糖肾平、骨化三醇胶丸常规治疗,观察组同时给予运动疗法联合膳食营养,干预期为患者入院开始至出院后3个月.观察两组患者的负性情绪和依从性情况,以及糖化血红蛋白(HbA1c)和血脂各项指标检测结果,并进行统计学分析.结果 运动疗法联合膳食营养后观察组患者HbA1.及血脂各项指标(三酰甘油、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆同醇)均明显优于对照组,差异有统计学意义(P＜ 0.05).观察组治疗依存率高于对照组,观察组患者满意度高于对照组,差异有统计学意义(P＜0.05).两组患者干预后负性情绪有明显改善,且观察组的改善情况明显高于对照组,差异均有统计学意义(P＜0.05).结论 运动疗法联合膳食营养能提高老年DM的治疗依从性,并能改善患者的治疗效果,值得临床推广使用.