Analysis of metabolic nursing intervention and weight management effects in patients with type 2 diabetes mellitus complicated by obesity
2型糖尿病合并肥胖患者的代谢护理干预与体重管理效果分析

摘要

目的 分析代谢护理干预在2型糖尿病合并肥胖患者的应用效果和体重控制效果。方法 研究时间分布在2024年11月至2025年11月，收集2型糖尿病合并肥胖患者共90例，分组后对照组和观察组分别实行常规护理和针对性代谢护理干预，干预周期为12周，每组患者人数一致。对比两组患者干预前后体重相关指标、血糖、血脂代谢指标及胰岛素抵抗指标和干预期间不良事件发生率。结果 观察组患者经过护理后，体重指数、腰围、空腹血糖、餐后2h血糖及胰岛素抵抗指标均较低，高密度脂蛋白胆固醇水平较高（P<0.05）；观察组患者不良事件发生率及总胆固醇、甘油三酯等水平较低（P<0.05）。结论 对2型糖尿病合并肥胖患者实施代谢护理干预能够有效控制患者体重、改善血糖、血脂代谢紊乱情况，减轻胰岛素抵抗，安全性较高。

Abstract

Objective To analyze the application effects of metabolic nursing intervention and weight control in patients with type 2 diabetes mellitus complicated by obesity.
Methods The study was conducted from November 2024 to November 2025, involving 90 patients with type 2 diabetes mellitus complicated by obesity. After grouping, the control group and observation group received routine nursing and targeted metabolic nursing intervention, respectively. The intervention period lasted 12 weeks, with equal patient numbers in each group. The weight-related indicators, blood glucose, lipid metabolism indicators, insulin resistance indicators, and the incidence of adverse events during the intervention period were compared between the two groups before and after the intervention.
Results After nursing intervention, the observation group showed lower body mass index (BMI), waist circumference, fasting blood glucose, 2-hour postprandial blood glucose, and insulin resistance indicators, as well as higher high-density lipoprotein cholesterol (HDL-C) levels (P<0.05). The incidence of adverse events and total cholesterol, triglyceride levels were also lower in the observation group (P<0.05).
Conclusion   Implementing metabolic nursing intervention in patients with type 2 diabetes mellitus complicated by obesity can effectively control body weight, improve blood glucose and lipid metabolism disorders, reduce insulin resistance, and is highly safe.