摘 要
2型糖尿病发病率逐年上升，传统饮食教育模式存在患者依从性差、知识掌握不全面等问题。为此，本研究旨在创新2型糖尿病患者的饮食教育模式并分析其效果。以某地区多家医院的2型糖尿病患者为研究对象，采用随机对照试验方法，将患者分为实验组和对照组，实验组接受新型饮食教育模式干预，包括基于移动互联网的个性化饮食指导、营养师与患者线上互动交流、定期推送科学饮食知识等，对照组则接受常规饮食教育。经过为期半年的研究发现，实验组患者在血糖控制方面明显优于对照组，空腹血糖、餐后2小时血糖及糖化血红蛋白水平均有显著改善；在饮食知识知晓率上，实验组患者对食物选择、热量计算、膳食搭配等知识的掌握程度更高；并且实验组患者自我管理能力得到提升，在合理安排饮食结构、遵循饮食计划等方面表现积极。该研究创新了2型糖尿病患者的饮食教育模式，借助移动互联网技术实现个性化、持续性的饮食教育，有助于提高患者对饮食知识的掌握程度，增强自我管理能力，进而更好地控制血糖，为2型糖尿病患者的饮食教育提供了新的思路与方法，对临床实践具有重要意义。
关键词：2型糖尿病；饮食教育模式；移动互联网；血糖控制；自我管理能力
Abstract
The incidence of type 2 diabetes mellitus (T2DM) is increasing annually, and traditional dietary education models have issues such as poor patient compliance and incomplete knowledge acquisition. To address these challenges, this study aimed to innovate the dietary education model for T2DM patients and analyze its effectiveness. A randomized controlled trial was conducted with T2DM patients from multiple hospitals in a specific region, dividing them into an experimental group and a control group. The experimental group received interventions through a novel dietary education model, which included personalized dietary guidance based on mobile internet technology, online interactions between dietitians and patients, and regular dissemination of scientific dietary knowledge. In contrast, the control group received conventional dietary education. After a six-month study period, it was found that patients in the experimental group showed significantly better glycemic control compared to the control group, with notable improvements in fasting blood glucose, 2-hour postprandial blood glucose, and glycosylated hemoglobin levels. Additionally, the experimental group demonstrated a higher level of knowledge regarding food selection, calorie calculation, and dietary planning. Furthermore, the self-management abilities of patients in the experimental group were enhanced, showing more proactive behavior in structuring their diets and adhering to dietary plans. This study innovates the dietary education model for T2DM patients by leveraging mobile internet technology to achieve personalized and continuous dietary education, thereby improving patients' understanding of dietary knowledge and enhancing their self-management capabilities, ultimately leading to better glycemic control. These findings provide new insights and methods for dietary education in T2DM patients and hold significant implications for clinical practice.
Keywords：Type 2 Diabetes；Dietary Education Model；Mobile Internet；Blood Glucose Control；Self-Management Ability
目 录
摘 要 I
Abstract II
引 言 1
第一章 2型糖尿病患者饮食教育现状分析 2
1.1 现有饮食教育模式概述 2
1.2 患者对现有模式的认知度 2
1.3 现有模式存在的问题与挑战 3
第二章 创新饮食教育模式的设计与实施 4
2.1 创新模式的理论基础 4
2.2 创新模式的具体内容 4
2.3 创新模式的实施路径 5
第三章 创新饮食教育模式的效果评估 7
3.1 患者的参与度与接受度 7
3.2 血糖控制效果的改善情况 7
3.3 饮食习惯的长期维持性 8
第四章 创新模式推广与优化建议 9
4.1 推广过程中的障碍分析 9
4.2 医护人员的角色与培训需求 9
4.3 持续改进与未来发展方向 10
结 论 12
参考文献 13
致 谢 14
