多学科联动饮食干预对脑卒中伴血糖异常患者血糖指标及生活质量的影响研究

Impact of multidisciplinary collaborative dietary intervention on blood glucose indicators and quality of life in stroke patients with abnormal blood glucose

  • 摘要:
    目的 探讨多学科联动饮食干预对脑卒中伴血糖异常患者血糖指标及生活质量的影响。
    方法 选取126例脑卒中合并血糖异常患者作为研究对象, 采用简单随机分组法分为观察组和对照组,每组63例。观察组实施多学科联动饮食干预,对照组实施常规护理干预。比较2组患者的血糖指标水平、认知功能简易精神状态量表(MMSE)评分、神经功能美国国立卫生研究院卒中量表(NIHSS)评分、生活质量生活质量综合评定问卷(GQOLI-74)评分、满意度及不良反应发生情况。
    结果 干预后, 2组患者空腹血糖、餐后2 h血糖水平均低于干预前,且观察组低于对照组,差异有统计学意义(P < 0.05); 干预后,观察组MMSE评分高于对照组, NIHSS评分低于对照组,差异有统计学意义(P < 0.05); 干预后, 2组GQOLI-74各维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P < 0.05); 干预后,观察组患者总满意度为96.83%, 高于对照组的85.71%, 差异有统计学意义(P < 0.05); 干预期间,观察组不良反应总发生率为9.52%, 低于对照组的31.75%, 差异有统计学意义(P < 0.05)。
    结论 多学科联动饮食干预可有效改善脑卒中伴血糖异常患者血糖指标水平,促进神经功能恢复,提升认知功能、生活质量及满意度,且安全性良好。

     

    Abstract:
    Objective To explore the impact of multidisciplinary collaborative dietary intervention on blood glucose indicators and quality of life in stroke patients with abnormal blood glucose.
    Methods A total of 126 stroke patients with abnormal blood glucose were selected as the research subjects and randomly divided into observation group and control group using a simple randomization method, with 63 cases in each group. The observation group received multidisciplinary collaborative dietary intervention, while the control group received conventional nursing intervention. The levels of blood glucose indicators, cognitive function Mini-mental State Examination (MMSE) score, neurological function National Institutes of Health Stroke Scale (NIHSS) score, quality of life Generic Quality of Life Inventory-74(GQOLI-74) score, satisfaction, and the occurrence of adverse reactions were compared between the two groups.
    Results After the intervention, the fasting blood glucose and 2-hour postprandial blood glucose levels in both groups were lower than those before the intervention, and the levels in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). After the intervention, the MMSE score in the observation group was higher than that in the control group, and the NIHSS score was lower than that in the control group, with statistically significant differences (P < 0.05). After the intervention, the scores of all dimensions of the GQOLI-74 in both groups were higher than those before the intervention, and the scores in the observation group were higher than those in the control group, with statistically significant differences (P < 0.05). After the intervention, the overall satisfaction rate of patients in the observation group was 96.83%, which was higher than 85.71% in the control group, with a statistically significant difference (P < 0.05). During the intervention period, the overall incidence of adverse reactions in the observation group was 9.52%, which was lower than 31.75% in the control group, with a statistically significant difference (P < 0.05).
    Conclusion Multidisciplinary collaborative dietary intervention can effectively improve blood glucose indicators in stroke patients with abnormal blood glucose, promote the recovery of neurological function, enhance cognitive function, quality of life, and satisfaction, and has good safety.

     

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