能量计算模型对代谢综合征患者临床护理效果研究.docVIP

能量计算模型对代谢综合征患者临床护理效果研究 　　【摘要】 目的：探究能量计算模型对代谢综合征患者的临床护理效果，找出一种操作性强、效果理想的科学饮食护理方法。方法：选取自2014年5月-2016年2月于本院进行治疗的116例代谢综合征患者作为本研究的对象，按接诊顺序随机将其分为观察组和对照组，每组各58例，观察组采用能量计算模型对患者进行饮食干预，对照组采用传统食物交换份法。分别在治疗后1、3、6个月进行随访，观察两组患者的各项相关临床指标。结果：干预后观察组的腰围、体质量指数、能量摄入、糖化血红蛋白及血脂较干预前及对照组干预后有显著改善，比较差异均有统计学意义（P0.05）。结论：能量代谢模型符合代谢综合征患者的饮食特点，控制患者代谢效果显著，可行性强，可提高医护人员的工作效率。 　　【关键词】 代谢综合征； 能量摄取； 护理 　　【Abstract】 Objective：To explore the effect of energy calculation model on the clinical nursing of patients with metabolic syndrome，and to find out a scientific diet nursing method with strong operation and effect.Method：A total of 116 patients with metabolic syndrome were selected as the subjects of this study who were treated in our hospital from May 2014 to February 2016，they were divided into observation group and control group according to the order of admitted，58 cases in each group.The observation group was given energy calculation model in diet intervention，the control group was given the traditional food exchange method.The patients were followed up for 1，3 and 6 months after treatment，the related clinical indexes of two groups were observed.Result：After intervention，the waist circumference，body mass index，energy intake，HbA1c and blood lipid of observation group were all significantly improvement than before and control group，the differences were statistically significant（P0.05）.Conclusion：Energy metabolism model in line with the characteristics of patients with metabolic syndrome，the effects of control the patients’ metabolic are significant，the feasibility is strong，it can improve the work efficiency of health care workers. 　　【Key words】 Metabolic syndrome； Energy intake； Nursing 　　First-author’s address： Chen Xinghai Hospital of Zhongshan，Zhongshan 528415，China 　　doi：10.3969/j.issn.1674-4985.2017.01.022 　　代?x综合征（metabolicsyndrome，MS）是多种代谢成分异常聚集的临床征候群，如肥胖、高血糖、高血压和血脂异常等，严重影响了人类的健康[1]。其中每一种代谢紊乱都与饮食相关，因此在临床治疗中，控制能量的摄入尤为重要[2]。治疗MS关键在于医护人员对患者的护理和饮食干预是否正确有效，而目前国内现状显示，临床护士常因为工作繁忙，且传统的饮食干预方