CAJ | 학술논문

目的：探讨采用PDCA循环引导的全程饮食干预模式对2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)患者定期随访，对其血糖、血脂达标率以及生活质量的影响。方法：选择T2DM合并NAFLD的患者101例，采用随机数字表分组。实验组在常规饮食随访的同时，应用PDCA循环引导的全程饮食干预模式随访；对照组进行常规饮食随访模式。观察两组随访前、随访后3个月、随访后6个月的血糖、血脂达标率以及生活质量状况的变化。结果：随访后3个月，实验组FPG、2hPG、 HbA1C、TG、 LDL-C等代谢指标达标率的改善优于对照组（P<0.05）；两组WC、BMI、TC、HDL-C、ALT、AST等代谢指标达标率比较，差异无统计学意义（P>0.05）；随访后6个月，实验组WC、BMI、FPG、2hPG、HbA1c、TC、TG、LDL-C、HDL-C、ALT、AST等代谢指标达标率的改善均明显优于对照组（P<0.05）；随访后6个月两组生活质量状况差异具有统计学意义（P<0.05）。结论：采用PDCA循环引导的全程饮食干预模式对患者进行定期随访，能提高患者的饮食依从性，提高血糖、血脂的达标率，提高患者的生活质量。
목적：탐토채용PDCA순배인도적전정음식간예모식대2형당뇨병(T2DM)합병비주정성지방간(NAFLD)환자정기수방，대기혈당、혈지체표솔이급생활질량적영향。방법：선택T2DM합병NAFLD적환자101례，채용수궤수자표분조。실험조재상규음식수방적동시，응용PDCA순배인도적전정음식간예모식수방；대조조진행상규음식수방모식。관찰량조수방전、수방후3개월、수방후6개월적혈당、혈지체표솔이급생활질량상황적변화。결과：수방후3개월，실험조FPG、2hPG、 HbA1C、TG、 LDL-C등대사지표체표솔적개선우우대조조（P<0.05）；량조WC、BMI、TC、HDL-C、ALT、AST등대사지표체표솔비교，차이무통계학의의（P>0.05）；수방후6개월，실험조WC、BMI、FPG、2hPG、HbA1c、TC、TG、LDL-C、HDL-C、ALT、AST등대사지표체표솔적개선균명현우우대조조（P<0.05）；수방후6개월량조생활질량상황차이구유통계학의의（P<0.05）。결론：채용PDCA순배인도적전정음식간예모식대환자진행정기수방，능제고환자적음식의종성，제고혈당、혈지적체표솔，제고환자적생활질량。
Objective: To explore the effect of dietary intervention mode guided by PDCA cycle on blood glucose, blood lipid and quality of life of type 2 diabetes mellitus (T2DM) patients with non-alcoholic fatty liver disease (NAFLD). Methods: 101 T2DM patients with NAFLD were assigned into two groups by using random number table. In experimental group, patients received routine diet follow-up plus follow-up using the diet intervention mode guided by PDCA cycle throughout the whole period. In control group, patients were given routine diet follow-up only. Patients' success rates of blood lipids and blood glucose, and their quality of life were assessed before the intervention and 3 months and 6 months after the follow-up. Results: After following up for 3 months, metabolism index such as FPG, 2hPG, HbA1C, TG, LDL-C, etc. in experimental group were better than those in control group (P<0.05). Metabolism index such as WC, BMI, TC, HDL-C, ALT, AST, etc. in the two groups showed no statistically significant difference (P>0.05). After following up for 6 months, metabolism index such as WC, BMI, FPG, 2hPG, HbA1c, TC, TG, LDL-C, HDL-C, ALT, AST, etc. in experimental group were better than those in control group (P<0.05). Meanwhile, qualities of life were statistically signiifcant different in the two groups (P<0.05). Conclusions: The diet intervention mode guided by PDCA cycle can improve dietary compliance of patients, increase success rates of blood glucose and blood lipid, and enhance patients' quality of life.