Park Seokyung, Woo Mi-Hye, Lim Hyun Jung, Chon Suk, Woo Jeong-Taek
Department of Nutrition Team, Kyung Hee University Medical Center, Seoul 02447, Korea.
Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin 17104, Korea.
Clin Nutr Res. 2018 Jan;7(1):69-79. doi: 10.7762/cnr.2018.7.1.69. Epub 2018 Jan 2.
We reported the cases in order to evaluate the effects of individualized nutrition interventions for enhancing self-management abilities of prediabetic subjects. We conducted four nutrition interventions for weight control in two subjects with high-risk of type 2 diabetes. The first subject was a 53-year-old housewife, and the second subject was a 46-year-old male office worker. The subjects visited the medical center 4 times during the study period, and the lifestyle interventions were advised by a clinical team comprised physicians, clinical dietitians, and nurses. In particular, nutrition intervention to achieve weight loss focused on enhancing motivation and problem-solving skills to improve self-management ability. As a result, both subjects achieved weight loss by the time of their last visits. These two case studies, which differed in terms of sex, occupation, and dietary habits showed the importance of individualized nutrition intervention and forming an intimate relationship based on trust centered on prediabetic subjects. In conclusion, systematic collaboration within the clinical team is necessary, and social infrastructure should be prepared to fully realize the benefits of a systematic intervention program.
我们报告这些病例是为了评估个体化营养干预对提高糖尿病前期患者自我管理能力的效果。我们对两名2型糖尿病高危患者进行了四项体重控制营养干预。第一名患者是一名53岁的家庭主妇，第二名患者是一名46岁的男性上班族。在研究期间，患者到医疗中心就诊4次，生活方式干预由包括医生、临床营养师和护士在内的临床团队提供建议。特别是，旨在实现体重减轻的营养干预侧重于增强动机和解决问题的能力，以提高自我管理能力。结果，两名患者在最后一次就诊时都实现了体重减轻。这两个在性别、职业和饮食习惯方面存在差异的案例研究表明了个体化营养干预以及基于以糖尿病前期患者为中心的信任建立密切关系的重要性。总之，临床团队内部的系统协作是必要的，并且应该准备好社会基础设施以充分实现系统干预计划的益处。
