个体化饮食规划结合认知行为干预对老年糖尿病患者血糖调控效果及自护能力的影响

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[中图分类号]R473 [文献标识码]A [文章编号]1672-4062（2026）02（b）-0133-04

Effects of Individualized Diet Planning Combined with Cognitive Behavioral Intervention on Blood Glucose Regulation and Self-care Ability in ElderlyPatientswithDiabetesMellitus

JIANG Lidan，ZENGSiru，HUANG Bing DepartmentofGeneral Medicine，Putian First Hospital，Putian3511OO，Fujian，China [Abstract]Objective To studythe effctof individualizeddiet planning combined with cognitive behavior therapy （CBT）onblood glucose regulationandself-careabilityin elderly patients withdiabetesmelitus.Methods A total of 94elderlydiabetic mellituspatientsadmittedtoPutianFirstHospitalfrom January 2O23 toSeptember2O24 wereconvenientlyselectedas theresearch objects.According to thediferent nursing methods，they weredivided into two group （47 cases ineach group）.The control group received routine nursing，and the study group received routine nursing combined with individualized diet planningand CBT intervention.The blood glucoseregulation effect，self-care abilityscore and hypoglycemia werecompared between the two groups.Results After12 weeks of intervention，the average levels of glycated hemoglobin A1c，fasting blood glucose，and2-hour postprandial blood glucose in the study group werelowerthan those inthe control group，the ExerciseSelf-care Agency Scale score was higherthan that in the control group，and the differences were statistically significant （all P<0.05 ）.The incidence of hypoglycemia in the study group was 4.26% （2/47），which was lower than that in the control group [17.02% （8/47）]，and the difference was statistically significant （ χ2 =4.029， P <0.05）.Conclusion Individualized dietary planning combined with CBT intervention can effectivelyregulate patients'blood glucose levels，enhancetheirself-careability，and efectivelyprevent hypoglycemia. [KeyWords] Old age; Diabetes melitus; Dietary planning; Cognitive behavior; Blood glucose; Nursing

糖尿病引起的机体代谢紊乱可能引发多种急性并发症，其中包括对老年患者生命安全威胁较大的低血糖，该并发症经常发生，仅依靠常规护理很难对其进行有效预防1。（剩余4381字）