CAJ | 학술논문

[目的]探讨PDCA引导的全程运动干预模式对2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)病人血糖、血脂和生活质量的影响。[方法]选择T2DM合并 NAFLD病人121例，随机分为两组，观察组在常规运动的同时，采用PDCA循环引导的全程运动干预模式进行随访；对照组进行常规运动模式随访。观察两组随访前、随访后3个月、随访后6个月的血糖、血脂达标率及生活质量的变化。[结果]随访后3个月，观察组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1 c)、三酰甘油(TG)、低密度脂蛋白(LDL C)等代谢指标达标率优于对照组(P<0.05)；随访后6个月，观察组 FPG、体重指数(BMI)、2 hPG、总胆固醇(TC)、TG、LDL C、高密度脂蛋白(HDL C)等代谢指标达标率优于对照组(P<0.05)；随访后6个月，观察组生活质量总分、心理领域、生理领域、社会关系领域及自身健康状况总体主观感受得分高于随访前(P<0.05)。[结论]PDCA 引导的全程运动干预模式能提高病人的血糖、血脂达标率和生活质量。
[목적]탐토PDCA인도적전정운동간예모식대2형당뇨병(T2DM)합병비주정성지방간(NAFLD)병인혈당、혈지화생활질량적영향。[방법]선택T2DM합병 NAFLD병인121례，수궤분위량조，관찰조재상규운동적동시，채용PDCA순배인도적전정운동간예모식진행수방；대조조진행상규운동모식수방。관찰량조수방전、수방후3개월、수방후6개월적혈당、혈지체표솔급생활질량적변화。[결과]수방후3개월，관찰조공복혈당(FPG)、찬후2 h혈당(2 hPG)、당화혈홍단백(HbA1 c)、삼선감유(TG)、저밀도지단백(LDL C)등대사지표체표솔우우대조조(P<0.05)；수방후6개월，관찰조 FPG、체중지수(BMI)、2 hPG、총담고순(TC)、TG、LDL C、고밀도지단백(HDL C)등대사지표체표솔우우대조조(P<0.05)；수방후6개월，관찰조생활질량총분、심리영역、생리영역、사회관계영역급자신건강상황총체주관감수득분고우수방전(P<0.05)。[결론]PDCA 인도적전정운동간예모식능제고병인적혈당、혈지체표솔화생활질량。
Objective:To probe into the influence of full exercise intervention mode guided by PDCA cycle on blood glucose,blood lipid and quality of life of type 2 diabetes mellitus (T2DM)patients complicated with nonal-coholic fatty liver disease(NAFLD).Methods:A total of 121 T2DM patients complicated with NAFLD were ran-domly divided into two groups.Based on the routine exercise,Patients in observation group received the follow up by using the full exercise intervention mode guided by PDCA cycle.The patients in control group were re-ceived follow up of routine exercise mode.Two groups of patients were observed on the changes of blood glu-cose,blood lipid rate and quality of life before the follow up,3 months and 6 months after follow up.Results:After 3 months of follow up,the compliance rate of fasting blood glucose (FPG),2 hour postprandial blood glucose (2 hPG),glycosylated hemoglobin (HbA1c),three glycerol (TG),low density lipoprotein (LDL C) metabolism index of patients in observation group were better than that before follow up (P<0.05).After 6 months of follow up,the observation group FPG,body mass index (BMI),2 hPG,HbA1c,total cholesterol (TC),TG,LDL C,high density lipoprotein (HDL C)metabolism index compliance rate of observation group patients were better than that of control group (P<0.05).After 6 months of follow up,the health status of patients in observation group,the total score of quality of life,physiological and psychological field,the field of social relations,and its overall field subjective score were higher than that before follow up (P<0.05).Conclu-sion:The whole exercise intervention model guilded by PDCA can improve the patients’compliance rate of blood glucose and blood rate and their quality of life.