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- Title
家庭护士食疗方案在超重/肥胖代谢功能 障碍相关性脂肪肝病人中的实证研究
- Authors
张欢; 韩世范; 陕弋华; 蒋尔丹; 朱瑞芳; 冯耀清; 程俊香
- Abstract
Objective: Exploring the application effect of a family nurse diet scheme based on the family nurse diet theory in overweight/obese patients with metabolic dysfunction-associated fatty liver. Method: From October 31, 2022 to November 17, 2022, 62 patients with metabolic dysfunction-associated fatty liver were recruited and randomly divided into a tea drinking group and a dietary therapy group, with 31 patients in each group. The tea drinking group was given routine dietary guidance for fatty liver and 2 packs of bitter buckwheat tea were brewed daily for consumption. The food therapy group provides family nurse diet scheme. After 42 days of intervention, the imaging examing, blood lipid, blood glucose, anthropometry indicators, liver and kidney functions of the two groups were compared. Results: 1)After 42 days of intervention, the remission rate of fatty liver in the dietary therapy group(48. 4%) was higher than that in the tea drinking group(10. 0%), with a statistically significant difference(P<0. 001). 2)Anthropometry indicators. 42 days after the intervention, compared with the pre intervention, there was no significant change in weight, waist circumference, hip circumference, waist hip ratio and body mass index in the tea drinking group(P>0. 05), while the weight, waist circumference, hip circumference, and body mass index in the dietary therapy group were improved(P<0. 05);After intervention, the weight, waist circumference, and hip circumference of the dietary therapy group were lower than those of the tea drinking group(P<0. 05). 3)Blood lipid: after 42 days of intervention, compared with that before intervention, there was no significant change in total cholesterol, triglyceride, high - density lipoprotein cholesterol and low-density lipoprotein cholesterol in the tea drinking group(P>0. 05), while in the diet therapy group, total cholesterol, triglyceride, and low - density lipoprotein cholesterol were all improved(P<0. 05);After intervention, the dietary therapy group showed better levels of triglycerides and low - density lipoprotein cholesterol compared to the tea drinking group(P<0. 05). 4) Fasting blood glucose. After 42 days of intervention, compared with before intervention, there was no significant change in fasting blood glucose in the tea drinking group(P>0. 05), while the fasting blood glucose in the dietary therapy group improved(P<0. 05);After intervention, the blood glucose levels in the dietary therapy group were lower than those in the tea drinking group(P<0. 05). 5)Liver and kidney function indicators. After 42 days of intervention, compared with that before intervention, ALT, AST and uric acid in the diet therapy group decreased(P<0. 05), creatinine and urea nitrogen did not change significantly(P>0. 05), while AST, and urea nitrogen in the tea drinking group decreased(P<0. 05), ALT, creatinine and urea nitrogen did not change significantly(P>0. 05);After the intervention, there was no significant difference between the two groups(P>0. 05). Conclusion: The family nurse diet scheme rich in non nutrients is more effective than simple tea drinking. It can improve the poor dietary habits of patients with metabolic dysfunction related fatty liver, enhance their awareness of healthy eating, cultivate correct dietary habits, and improve the grading of fatty liver in the short term, reduce patients' blood lipids, blood sugar, and liver enzyme index.
- Subjects
OBESITY; TRIGLYCERIDES; FOOD habits; BODY weight; FATTY liver; ANTHROPOMETRY; DIET; MANN Whitney U Test; LOW density lipoproteins; BLOOD sugar; FAMILY nurses; METABOLIC disorders; COMPARATIVE studies; WAIST-hip ratio; CHI-squared test; DESCRIPTIVE statistics; WAIST circumference; DATA analysis software; STATISTICAL sampling; BODY mass index; HIGH density lipoproteins; EMPIRICAL research; DISEASE remission; LIPIDS
- Publication
Chinese Nursing Research, 2023, Vol 37, Issue 12, p2092
- ISSN
1009-6493
- Publication type
Academic Journal
- DOI
10.12102/j.issn.1009-6493.2023.12.004