Effects of glycemic load food exchange method based on IMB model in obese patients with type 2 diabetes
10.3760/cma.j.cn115682-20201020-05841
- VernacularTitle:基于IMB模型的血糖负荷食物交换份法在2型糖尿病肥胖患者中的应用
- Author:
Wenqian CAO
1
;
Fengying KANG
;
Yun TENG
Author Information
1. 山西医科大学护理学院，太原 030001
- Keywords:
Diabetes mellitus, type 2;
Obesity;
Information-motivation-behavioral skills model;
Glycemic load;
Food exchange
- From:
Chinese Journal of Modern Nursing
2021;27(17):2248-2254
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the glycemic load food exchange method based on the information-motivation-behavioral skills (IMB) model in the diet intervention of obese patients with type 2 diabetes.Methods:From March to November 2019, convenience sampling was used to select 70 obese patients with type 2 diabetes in the Outpatient Department of Endocrinology of a Class Ⅲ Grade A hospital as the research object. According to the random number table method, patients were divided into control group and experimental group, with 35 cases in each group. Control group implemented the diet intervention of traditional food exchange, and experimental group carried out the diet intervention of the glycemic load food exchange method based on the IMB model. We compared the fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin, triglycerides, total cholesterol, body mass index (BMI) , waist circumference, and the Summary of Diabetes Self-Care Activities (SDSCA) score of patients between two groups before and after intervention.Results:The number of patients who completed the intervention in control group and experimental group were 32 and 34 respectively. The fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin, triglycerides, total cholesterol, BMI, and waist circumference of experimental group after intervention were lower than those of control group, and the SDSCA scale score was higher than that of control group, and the differences were statistically significant ( P<0.05) . Conclusions:The application of the glycemic load food exchange method based on the IMB model in diet intervention in obese patients with type 2 diabetes can improve the patients' self-management behavior, blood glucose, blood lipids, and anthropometric indicators, and can increase the diet intervention effect of obese patients with type 2 diabetes.
