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Nursing Science 2024
基于跨理论模型的中西医结合营养治疗对老年糖尿病足溃疡患者的效果分析
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Abstract:
目的：探究基于跨理论模型的中西医结合营养治疗在老年糖尿病足(diabetic foot ulcer, DFU)患者中的应用效果。方法：研究对象选择90例于2023年2月~2024年2月在贵州省某三甲医院内分泌科住院的老年DFU患者，随机分为对照组和中西医结合营养治疗组，对照组实施基础饮食治疗，中西医结合营养治疗组实施基于跨理论模型的中西医结合饮食干预。对比两组患者的营养评分、足部溃疡面积、血糖控制指标。结果：干预后，跨理论模型中西医结合营养治疗组营养指标高于对照组的营养指标(P < 0.05)；中西医结合营养治疗组的足溃疡面缩小面积高于对照组(P < 0.05)；中西医结合营养治疗组的血糖控制指标优于对照组(P < 0.05)；结论：膳食营养治疗辅助干预老年糖尿病足溃疡可改善患者的营养状况、溃疡和血糖水平，且效果优于传统饮食疗法。
Objective: To investigate the application effect of combined nutritional therapy of traditional Chinese and Western medicine based on trans-theoretical modeling in elderly patients with diabetic foot ulcer (DFU). Methods: Ninety elderly DFU patients who were hospitalized in the Department of Endocrinology of a tertiary hospital in Guizhou Province from February 2023 to February 2024 were randomly divided into the control group and the combined Chinese and Western medicine nutritional therapy group, with the control group implementing the basic dietary treatment and the combined Chinese and Western medicine nutritional therapy group implementing the combined Chinese and Western medicine dietary intervention based on the trans-theoretical model. The nutritional scores, foot ulcer areas, and glycemic control indexes of the two groups were compared. Results After the intervention, the nutritional indexes of the trans-theoretical model combined Chinese and Western medicine nutrition therapy group were higher than those of the control group (P < 0.05); the reduced area of the foot ulcer surface of the combined Chinese and Western medicine nutrition therapy group was higher than that of the control group (P < 0.05); and the glycemic control indexes of the combined Chinese and western medicine nutrition therapy group were better than those of the control group (P < 0.05); Conclusion: Dietary nutrition therapy-assisted intervention for geriatric diabetic foot ulcers could improve patients’ nutritional status, ulcers and blood glucose levels, and the effect is better than traditional dietary therapy.
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