Efficacy of Nursing Support Using Self-Management Behavior Support Protocol related Diet and Exercise in Diabetic Patients

使用自我管理行为支持方案相关饮食和运动对糖尿病患者进行护理支持的功效

• 批准号: 19592488
• 负责人: MIYAWAKI Ikuko
• 金额: $ 2.83万
• 依托单位: Kobe University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2007
• 资助国家: 日本
• 起止时间: 2007 至 2009
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19592488/
• 关键词: 糖尿病; 自己管理行動; 食事; 運動; プロトコール; 2型糖尿病患者; 身体活動; 2型糖尿病

In this study, we created a Self-Management Behavior Questionnaire related diet and physical activity for diabetic patients. In our Questionnaire, we could reveal the self-management behaviors related to dietary intake and amounts of physical activity for different patient characteristics, investigating the association between patient's self-management behaviors and clinical variable, such as the patient's age and BMI, as well as abdominal circumference, glycemic control. Using this Questionnaire, we created a support protocol which was appropriate for each diabetic patients. As nursing support is particularly important in the early stages after the initiation of treatment, we studied how well self-management behaviors related to dietary and exercise therapy were being implemented by patients with type 2 diabetes for one year after initial diagnosis during which we also studied the changes in the patients' glycemic control index. The results suggest that in order to maintain a good glycemic control index, rather than relying on drug therapy alone, it is necessary to pro-actively implement both dietary therapy and exercise therapy, and that good control cannot be obtained from either one of these therapies alone.

在本研究中，我们编制了糖尿病患者饮食和体力活动相关的自我管理行为问卷。在我们的问卷中，我们可以揭示不同患者特征与饮食摄入和体力活动量相关的自我管理行为，调查患者的自我管理行为与临床变量之间的关系，如患者的年龄和BMI，以及腹围，血糖控制。使用此问卷，我们创建了一个支持协议，这是适合每一个糖尿病患者。由于护理支持在治疗开始后的早期阶段尤为重要，我们研究了2型糖尿病患者在首次诊断后一年内实施饮食和运动治疗相关的自我管理行为的情况，并研究了患者血糖控制指数的变化。结果表明，为了保持良好的血糖控制指数，而不是仅仅依靠药物治疗，有必要积极主动地实施饮食治疗和运动治疗，并且单独使用这些治疗中的任何一种都不能获得良好的控制。