中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
715-719
,共5页
阶段性行为改变%2型糖尿病%肥胖女性%高血压病
階段性行為改變%2型糖尿病%肥胖女性%高血壓病
계단성행위개변%2형당뇨병%비반녀성%고혈압병
phase behavior change%type 2 diabetes mellitus%obese women%hypertension
目的 探讨阶段性行为改变模式对促进成年超重、肥胖女性2型糖尿病( DM)合并高血压患者规律运动及代谢指标的影响. 方法 选择2014年1至6月在西安交通大学第一附属医院门诊就医的200例成年超重、肥胖女性2型DM合并高血压患者随机分为试验组100例和对照组100例. 两组均接受常规运动教育,在此基础上试验组运用阶段性行为改变模式进行教育讲座和个体化康复指导. 在入组日及入组后1、3、6个月共4个时间点进行两组之间患者所处的运动改变阶段、运动行为评分、体质量指数( BMI)、血脂、血压、血糖水平的比较. 结果 干预前两组患者所处的运动改变阶段及BMI、血脂、血压、血糖变化比较差异均无统计学意义(均P>0.05). 干预后1、3、6个月,两组患者的行为改变有所改善;具体运动行为(运动频率、运动持续时间)提高;BMI、总胆固醇(TC)、甘油三酯(TG)、血压(DBP、SBP)、糖化血红蛋白(HbAlc)、空腹血糖(FBG)、餐后血糖(PBG)均下降,且试验组较对照组改善明显,差异均有统计学意义( t 值分别为 -30.7581、-14.9125、1.5338、-42.8386、-68.4942、-32.5500、-18.1127、-20.7092,均P<0.05). 结论 阶段性行为改变模式为患者行为改变提供了一个量化的衡量指标,该模式能促进成年超重、肥胖女性2型DM合并高血压患者规律运动并调整代谢指标.
目的 探討階段性行為改變模式對促進成年超重、肥胖女性2型糖尿病( DM)閤併高血壓患者規律運動及代謝指標的影響. 方法 選擇2014年1至6月在西安交通大學第一附屬醫院門診就醫的200例成年超重、肥胖女性2型DM閤併高血壓患者隨機分為試驗組100例和對照組100例. 兩組均接受常規運動教育,在此基礎上試驗組運用階段性行為改變模式進行教育講座和箇體化康複指導. 在入組日及入組後1、3、6箇月共4箇時間點進行兩組之間患者所處的運動改變階段、運動行為評分、體質量指數( BMI)、血脂、血壓、血糖水平的比較. 結果 榦預前兩組患者所處的運動改變階段及BMI、血脂、血壓、血糖變化比較差異均無統計學意義(均P>0.05). 榦預後1、3、6箇月,兩組患者的行為改變有所改善;具體運動行為(運動頻率、運動持續時間)提高;BMI、總膽固醇(TC)、甘油三酯(TG)、血壓(DBP、SBP)、糖化血紅蛋白(HbAlc)、空腹血糖(FBG)、餐後血糖(PBG)均下降,且試驗組較對照組改善明顯,差異均有統計學意義( t 值分彆為 -30.7581、-14.9125、1.5338、-42.8386、-68.4942、-32.5500、-18.1127、-20.7092,均P<0.05). 結論 階段性行為改變模式為患者行為改變提供瞭一箇量化的衡量指標,該模式能促進成年超重、肥胖女性2型DM閤併高血壓患者規律運動併調整代謝指標.
목적 탐토계단성행위개변모식대촉진성년초중、비반녀성2형당뇨병( DM)합병고혈압환자규률운동급대사지표적영향. 방법 선택2014년1지6월재서안교통대학제일부속의원문진취의적200례성년초중、비반녀성2형DM합병고혈압환자수궤분위시험조100례화대조조100례. 량조균접수상규운동교육,재차기출상시험조운용계단성행위개변모식진행교육강좌화개체화강복지도. 재입조일급입조후1、3、6개월공4개시간점진행량조지간환자소처적운동개변계단、운동행위평분、체질량지수( BMI)、혈지、혈압、혈당수평적비교. 결과 간예전량조환자소처적운동개변계단급BMI、혈지、혈압、혈당변화비교차이균무통계학의의(균P>0.05). 간예후1、3、6개월,량조환자적행위개변유소개선;구체운동행위(운동빈솔、운동지속시간)제고;BMI、총담고순(TC)、감유삼지(TG)、혈압(DBP、SBP)、당화혈홍단백(HbAlc)、공복혈당(FBG)、찬후혈당(PBG)균하강,차시험조교대조조개선명현,차이균유통계학의의( t 치분별위 -30.7581、-14.9125、1.5338、-42.8386、-68.4942、-32.5500、-18.1127、-20.7092,균P<0.05). 결론 계단성행위개변모식위환자행위개변제공료일개양화적형량지표,해모식능촉진성년초중、비반녀성2형DM합병고혈압환자규률운동병조정대사지표.
Objective To investigate the influence of phase-behavior-changing-mode on the regulatory exercise and metabolic indices of adult overweight or obese type 2 diabetes mellitus ( DM) women accompanied with hypertension.Methods From January to June in 2014 200 adult outpatients of overweight or obese DM women accompanied with hypertension visiting the First Affiliated Hospital of Xi ' an Jiaotong University were randomly divided into experimental group ( EG, n=100 ) and control group ( CG, n=100 ) , and both groups received general exercise education.In addition, EG received education and individual habilitation guidance in phase-behavior-changing-mode.The stage of behavior changing, score of behavior, body mass index (BMI), lipid, blood pressure and blood glucose were compared at grouping day and 1, 3, 6 months after enrollment.Results No significant difference in the stage of behavior changing, score of behavior, BMI, lipid, blood pressure and blood glucose was observed between two groups before intervention (all P>0.05).After 1, 3 and 6 months, the behavior of patients in both groups were improved, and specific exercise behavior ( frequency and duration) were increased. BMI, TC, TG, DBP, SBP, HbAlc, FBG and PBG were all decreased, and the changes in EG were obvious than those in CG ( t value was-30.7581, -14.9125, 1.5338, -42.8386, -68.4942, -32.5500, -18.1127 and -20.7092, respectively, all P<0.05). Conclusion Phase-behavior-changing-mode provides an index for evaluating behavior changing.The model can benefit the regulatory exercise and metabolism of adult overweight or obese type 2 DM women patients accompanied with hypertension.
