应用微信平台对初发中青年2型糖尿病患者进行健康管理模式的研究(1)
摘 要：目的 探讨应用微信平台对初发中青年2型糖尿病患者进行健康管理的效果。方法 选取2016 年1月～2017年6月初发中青年2型糖尿病患者275例，给予空腹血糖、糖化血红蛋白、血脂等检查。随机分为对照组140例和观察组135例，对照组给与常规的健康管理模式，观察组应用微信平台健康管理模式，两组均随访6个月，比较两组患者干预6个月后空腹血糖、糖化血红蛋白、血脂及低血糖的发生率等的区别，用糖尿病自我管理行为量表对两组患者进行评分比较。结果 初始两组患者性别、年龄、空腹血糖、糖化血红蛋白，血脂水平对比，差异无统计学意义(P>0.05)；两组患者随访6个月后，观察组空腹血糖、HbA1c，血脂水平均低于对照组(P<0.05)，两组低血糖症的发生率，差异无统计学意义(P>0.05)；观察组SDSCA评分大于对照组(P<0.05)。结论 应用微信平台健康管理模式对初发中青年2型糖尿病患者进行健康管理可以取得较好的效果，能够有效降低空腹血糖和血脂水平，改善糖尿病患者自我管理行为。
关键词：微信；2型糖尿病；健康管理
, 百拇医药
中图分类号：R197.65 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.028
文章编号：1006-1959(2018)14-0098-03
Abstract：Objective To explore the effect of using WeChat platform to manage the health of young and middle-aged patients with type 2 diabetes mellitus.Methods 275 young and middle-aged patients with type 2 diabetes mellitus from January 2016 to June 2017 were examined with fasting blood glucose，glycosylated hemoglobin and blood lipids.They were randomly divided into control group(n=140)and observation group(n=135).The control group was given routine health management model，and the observation group was treated with WeChat platform health management model.The two groups were followed up for 6 months，and the differences in fasting blood glucose，glycated hemoglobin，blood lipid and hypoglycemia were compared in the two groups after 6 months.The scores of the two groups were compared with the diabetes self-management behavior scale.Results There was no initial difference in sex，age， fasting blood glucose，glycosylated hemoglobin and blood lipid levels between the two groups，the difference was not statistically significant(P>0.05).Two groups of patients were followed up for 6 months.The fasting blood glucose，HbA1c，and blood lipid levels in the observation group were lower than those in the control group(P<0.05).The incidence of hypoglycemia in the two groups was not statistically significant(P>0.05).The score of SDSCA in the observation group was greater than that of the control group(P<0.05).Conclusion The health management model of WeChat platform can achieve good results in the health management of the early young people with type 2 diabetes.It can effectively reduce the level of fasting blood glucose and blood lipid，and improve the self management behavior of diabetic patients.
, 百拇医药
Key words：WeChat；Type 2 diabetes mellitus；Health management
糖尿病(diabetes mellitus，DM)是以高血糖为特征的代谢性疾病，表现为多饮、多尿、多食和消瘦，可导致各种组织，特别是眼、肾、心脏、血管、神经的慢性损害和功能障碍，其中以2型糖尿病多见。我国最常见的慢性终身性疾病，目前我国18岁以上成人糖尿病的患病率约为11.6%，这些患者中僅有25.8%的患者接受治疗，能够血糖控制达标的患者大约39.7%[1]。这对我国居民的健康水平和生活质量造成了严重的影响，特别是对那些中青年患者影响更大。糖尿病是一种不可治愈的疾病，需要患者进行饮食控制、加强运动、规律药物治疗和糖尿病教育等多种方式来控制血糖。改善生活方式，建立有效的健康管理模式，指导糖尿病患者建立良好的自我管理行为是控制糖尿病的关键措施。为了提高初发中青年2型糖尿病患者自我管理能力，本研究应用微信平台对初发中青年2型糖尿病患者进行健康管理，探讨微信平台健康管理模式的可行性以和干预效果，现分析如下。, 百拇医药(刘静波 黄萍 赵静)
关键词：微信；2型糖尿病；健康管理
, 百拇医药
中图分类号：R197.65 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.028
文章编号：1006-1959(2018)14-0098-03
Abstract：Objective To explore the effect of using WeChat platform to manage the health of young and middle-aged patients with type 2 diabetes mellitus.Methods 275 young and middle-aged patients with type 2 diabetes mellitus from January 2016 to June 2017 were examined with fasting blood glucose，glycosylated hemoglobin and blood lipids.They were randomly divided into control group(n=140)and observation group(n=135).The control group was given routine health management model，and the observation group was treated with WeChat platform health management model.The two groups were followed up for 6 months，and the differences in fasting blood glucose，glycated hemoglobin，blood lipid and hypoglycemia were compared in the two groups after 6 months.The scores of the two groups were compared with the diabetes self-management behavior scale.Results There was no initial difference in sex，age， fasting blood glucose，glycosylated hemoglobin and blood lipid levels between the two groups，the difference was not statistically significant(P>0.05).Two groups of patients were followed up for 6 months.The fasting blood glucose，HbA1c，and blood lipid levels in the observation group were lower than those in the control group(P<0.05).The incidence of hypoglycemia in the two groups was not statistically significant(P>0.05).The score of SDSCA in the observation group was greater than that of the control group(P<0.05).Conclusion The health management model of WeChat platform can achieve good results in the health management of the early young people with type 2 diabetes.It can effectively reduce the level of fasting blood glucose and blood lipid，and improve the self management behavior of diabetic patients.
, 百拇医药
Key words：WeChat；Type 2 diabetes mellitus；Health management
糖尿病(diabetes mellitus，DM)是以高血糖为特征的代谢性疾病，表现为多饮、多尿、多食和消瘦，可导致各种组织，特别是眼、肾、心脏、血管、神经的慢性损害和功能障碍，其中以2型糖尿病多见。我国最常见的慢性终身性疾病，目前我国18岁以上成人糖尿病的患病率约为11.6%，这些患者中僅有25.8%的患者接受治疗，能够血糖控制达标的患者大约39.7%[1]。这对我国居民的健康水平和生活质量造成了严重的影响，特别是对那些中青年患者影响更大。糖尿病是一种不可治愈的疾病，需要患者进行饮食控制、加强运动、规律药物治疗和糖尿病教育等多种方式来控制血糖。改善生活方式，建立有效的健康管理模式，指导糖尿病患者建立良好的自我管理行为是控制糖尿病的关键措施。为了提高初发中青年2型糖尿病患者自我管理能力，本研究应用微信平台对初发中青年2型糖尿病患者进行健康管理，探讨微信平台健康管理模式的可行性以和干预效果，现分析如下。, 百拇医药(刘静波 黄萍 赵静)