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

在本研究中，我们编制了一份关于糖尿病患者饮食和体力活动的自我管理行为问卷。通过问卷调查，揭示不同患者的饮食摄入量和体力活动相关的自我管理行为，探讨患者的自我管理行为与患者的年龄、体重指数、腹围、血糖控制等临床变量的关系。利用这份问卷，我们制定了一套适合每个糖尿病患者的支持方案。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型糖尿病患者在初始诊断后一年内与饮食和运动治疗相关的自我管理行为的实施情况，并在此期间研究了患者血糖控制指数的变化。结果表明，为了维持良好的血糖控制指数，而不是仅依靠药物治疗，有必要同时积极实施饮食治疗和运动治疗，仅靠其中任何一种治疗都不能获得良好的控制。

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.