What are the nursing issues for metabolic syndrome?

Patients' cognitive bias towards the disease is too great, and they either don't take it seriously or are overly anxious. The compliance with lifestyle intervention is extremely low, and there is a complete disconnect between knowledge, belief and action. Many people also ignore the impact of hidden factors such as emotion and sleep on metabolism, and they always fail to grasp the key points during intervention.

I hired a 37-year-old programmer last month, with a BMI of 28 and a waist circumference of 94. His fasting blood sugar level was borderline and his triglycerides were twice as high. When he was diagnosed, he smiled and told me, "I'm just a little fat. I can eat and sleep without any problems." I gave him a diet list, I put the exercise plan aside and went through the program for three weeks in a row. I took out milk tea as a midnight snack every day. Last week, I was carried here because of an acute attack of gout that made me unable to stand up. When I checked, my uric acid level had soared to over 600, and my insulin resistance was much worse than before.

In fact, there are different voices in the academic community regarding the priority of care for this type of patients. Some experts believe that lifestyle intervention must be given first priority. After all, the core triggers of metabolic syndrome are acquired factors such as prolonged sitting, high-oil and high-sugar diet, and obesity. Changing bad habits is better than anything else. However, many clinical nurses think that Do some cognitive and emotional counseling first. If you tell a person who doesn't feel sick at all that he needs to control this or that, he won't listen at all. Some patients are so panicked after being diagnosed that they don't even dare to touch staple food. They lost more than ten pounds in half a month, but instead developed hypoglycemia and electrolyte imbalance, which in turn increased the metabolic burden. We have encountered many such situations.

Last week, I met a 52-year-old aunt in the outpatient clinic. While doing a square dance, she heard from her sister that metabolic syndrome would develop into diabetes and cerebral infarction sooner or later. After returning home, she stopped eating rice and noodles and only ate boiled vegetables every day. As a result, she fainted in the vegetable market in less than ten days. When she was sent to have her blood sugar measured, it was 3.2. After explaining to her for a long time that "controlling the diet does not mean not eating staple food at all, but a balance of thickness and thickness", she was still dubious, saying that she was afraid that her blood sugar would rise after one bite.

In fact, metabolic syndrome is like a car that just turns on the engine trouble light and can still be driven. However, if it is not checked in time and it breaks down on the road, it will be much more troublesome to repair it. We in nursing are chasing car owners every day to remind people who need maintenance, but many people always feel that just turning on the light does not affect driving, and they think we are verbose. A while ago, our department piloted online follow-up visits for young patients once a week. Instead of coming to the hospital, they posted the meals they had eaten and the number of steps they took on WeChat, and occasionally reminded them not to stay up late. After more than two months of trying, 17 of the more than 20 people who were followed up had their waist circumference reduced by more than 2 centimeters, and their triglycerides also dropped a lot. However, follow-up visits are too time-consuming for nurses, and it is not possible to arrange them for all patients at the moment.