饮食合规性咨询对 2 型糖尿病患者卡路里消耗量的影响

Setyoadi Setyoadi, F. Efendi, Joni Haryanto, Siti Fatmawati, N. Kristianingrum, Tina Handayani Nasution, Dina Dewi Sartika Lestari Ismail
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摘要

2 型糖尿病(T2DM)需要遵从饮食习惯来控制血糖水平的升高。在热量咨询中,客户和咨询师会就与 2 型糖尿病有关的热量消耗问题进行交谈。本研究旨在评估热量咨询如何影响 2 型糖尿病患者的饮食依从性。研究采用准实验设计,将 40 名 T2DM 患者随机分配到干预组(20 人)或对照组(20 人)。在咨询前和咨询后收集食物记录,并使用独立 T 检验进行分析。结果显示,干预后卡路里消耗量的平均差异为 132.08 千卡。然而,T 检验分析的结果显示,两组之间没有显著差异(P=0.26>0.05),这表明以小组为单位的卡路里咨询对糖尿病患者的饮食依从性没有明显影响。年龄、教育程度、就业状况和家庭支持等混杂变量可能会影响这些结果。建议今后的研究考虑家庭支持和人口因素如何改善 T2DM 患者的饮食依从性。这种方法可以为这一人群提供更有效的干预措施,并对影响饮食依从性的变量有更透彻的了解。
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The effects of dietary compliance counseling on calorie consumption in type 2 diabetes mellitus
Type 2 diabetes mellitus (T2DM) requires dietary compliance to manage elevated blood glucose levels. In calorie counseling, a client and counselor have conversations about calorie consumption problems related to type 2 diabetes. The study aimed to evaluate how calorie counseling affected T2DM patients’ adherence to their diets. A quasi-experimental design was employed to randomly assign 40 T2DM patients to the intervention (n=20) or control (n=20) groups. Food logs were gathered prior to and following counseling, and analysis was done using independent T-tests. The findings revealed a post-intervention mean discrepancy in calorie consumption of 132.08 Kcal. The results of the T-test analysis, however, showed that there was no significant difference between the groups (P=0.26>0.05), suggesting that group-based calorie counseling had no appreciable impact on diabetes diet compliance. Confounding variables like age, education, employment status, and family support could have impacted these results. It is advised that future studies consider how family support and demographic factors might improve diet compliance in T2DM patients. This method can lead to more effective interventions for this population and a more thorough understanding of the variables influencing dietary adherence.
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