目的:探索家庭功能对社区2型糖尿病患者营养干预效果的影响。方法:对社区58例2型糖尿病患者进行营养师主导的营养教育-膳食指导-营养咨询综合营养干预,检测患者空腹血糖变化,采用自行设计的饮食行为问卷评价其行为改变, APGAR量表评价家庭功能。结果:58例APGAR总平均得分为(7.22±2.47)分,其中家庭功能良好者为34例(58.6%), APGAR得分为(9.00±1.30)分;家庭功能中度障碍者19例(32.8%),APGAR得分为(5.21±0.71)分;家庭功能重度障碍者5例(8.6%),APGAR得分为(2.80±0.45)分。不同家庭功能2型糖尿病患者年龄、性别、教育水平、病程、身高、体质量及体质量指数差异均无统计学意义(P>0.05)。营养干预后,家庭功能良好、中度障碍和重度障碍的2型糖尿病患者饮食行为得分均较营养干预前明显提高(P0.05)。不同家庭功能组空腹血糖变化差异有统计学意义(P0. 05). After nutrition intervention,the scores of dietary behaviors were increased significantly than those before intervention in all groups(P0. 05). There were significant differences in the fasting blood glucose changes in different groups (P<0. 05). Conclusions:Family supporting contributes to nutrition therapy for diabetic patients,improvement of family function is required for nutrition intervention on type 2 diabetes in community.
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