微信干预在社区糖尿病合并高血压患者健康教育中的应用

Application of WeChat intervention in health education for patients with diabetes and hypertension in community

目的探讨微信干预在社区糖尿病合并高血压患者健康教育中的应用。方法选取2018年9月至2019年5月广东省深圳市南山区医疗集团总部东角头社区健康服务中心诊治的60例糖尿病合并高血压患者作为研究对象,采用随机数字表法分为对照组和观察组,每组30例。两组均接受常规药物治疗,对照组行常规健康教育,观察组给予手机微信健康教育,两组均干预3个月。比较两组干预前后血糖、血压水平变化情况,并对患者的生活质量和自我管理能力进行对比分析。结果干预后,两组患者空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)均较干预前降低,且观察组降低幅度均大于对照组,差异均有统计学意义(P<0.05)。观察组干预后收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)均显著低于对照组,差异均有统计学意义(P<0.05)。观察组患者SF-36生活质量评分以及自我管理能力评分各指标均明显高于对照组,差异均有统计学意义(P<0.05)。结论在社区糖尿病合并高血压患者中开展基于手机微信健康教育,有利于改善患者的血糖、血压水平,提高其自我管理能力和生活质量。

Objective To explore the application of WeChat intervention in the health education of patients with diabetes and hypertension in the community.Methods Sixty patients with diabetes and hypertension diagnosed and treated in Dongjiaotou Community Health Service Center from September2018 to May 2019 were selected and divided into a control group and an observation group with random number table method,30 cases in each group.Both groups received conventional drug treatment.The control group received routine health education,and the observation group was given health education using mobile phone WeChat as a carrier.Both groups were intervened for 3 months.The changes in blood glucose and blood pressure levels of the two groups before and after intervention were compared;the quality of life and self-management ability of the patients were observed and compared.Results After the intervention,the fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG)and glycated hemoglobin(HbA1c)of the two groups of patients were lower than those before the intervention,and the decrease of the observation group was greater than that of the control group(P<0.05).The systolic blood pressure(SBP),diastolic blood pressure(DBP)and mean arterial pressure(MAP)of the observation group after intervention were significantly lower than those of the control group(P<0.05).The SF-36 quality of life score and self-management ability score of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Carrying out health education based on mobile phone WeChat as a carrier in patients with diabetes and hypertension in the community is conducive to improving patients’blood glucose and blood pressure levels and their self-management ability and quality of life.