冠心病合并糖尿病患者的健康教育.ppt

***TheUKfoodguideforhealthyeatingoffersa‘Balanceofgoodhealth’.英国健康饮食食物指南提出“健康的平衡”Thisbalanceistheresultofincludingappropriateamountsofthefollowingfoodgroupsinthediet(presentedindescendingorderofrecommendeddailyintake):这种平衡来自于饮食中包含适宜数量的以下食物类组（按推荐日摄入量的降序来介绍）：Bread,cerealsandpotatoes(thelargestsegmentoftheplate)FruitandvegetablesMilkanddairyproductsMeatfishandalternativesFoodsrichinfatandsugar.面包、谷物和土豆（盘子中的最大部分）水果和蔬菜奶及奶制品肉、鱼及替代品高脂高糖食物。****InIndiaasimplesystemcalledthe‘SignalSystem’isused.Thisisausefulaidtomasscommunicationofdietaryeducationanditencourageslessmotivatedpeopletolearnabouthealthyeatingchoices.IthasbeenpresentedatvariouseventsalloverIndia.Redzone:thesefoodsarerichinfatandinrefinedcarbohydrates/sugars;theyhaveahighglycaemicindexorarelowinfibre.Theyshouldbeeateninverylimitedquantities.Yellowzone:thesefoodsshouldbeeateninmoderationsincetheymayhaveahighglycaemicindex,belowinfibrecontent,orhavemoderateamountsoffat.Greenzone:thesefoodsarehealthychoicesbecausetheyhavealowglycaemicindex,arehighinfibre,andlowinfat.However,foodsinthegreenzoneshouldstillonlybeeatenintherecommendedamounts.****TheZimbabwehandjivewasfirstusedinAfricatoteachpeoplehowmuchtheyshouldeatbyusingtheirhandsasameasure.IthasnowbeenadaptedbytheCanadianDiabetesAssociation.Handscanbeveryusefulinestimatingportionsizes–theyarealwaysavailableandarealwaysthesamesize!Whenplanningameal,theseportionsizesareusedasaguide.**习惯用餐盘吃饭的病友，可以将餐盘想象成由三部分组成，分别放置蔬菜、主食和肉类，体积比例约为2:1:1，我们可以看图中所示****Thesestrategiesareconsideredmorecomplexbothtoteachandtolearn.TheyarediscussedmorefullyinModuleII–4.这些策略方法不管是教还是学上都考虑得更复杂。在模块II–4中将更充分地讨论。**进行有效地饮食控制，我们首先要学会的是每日饮食3步曲，分别是：确定每日饮食的总热量，计算每日所需的食物交换份，