运用微信平台的中医养生保健指导对肥胖患者体重及生活质量的影响

Effect of Traditional Chinese Medicine Health Care Guidance on the WeChat Platform on Body Weight and Quality of Life for Patients with Obesity

目的探究运用微信平台的中医养生保健指导对肥胖患者体重及生活质量的影响。方法选取2019年6月~2019年12月于我院接受体检的120例肥胖病患者为受试对象,随机数字表法分为观察组(n=60)与对照组(n=60)。对照组给予常规体重管理,观察组在其基础上运用微信平台给予中医养生保健指导。比较两组患者干预前、干预6个月后的社交能力[社交回避及苦恼量表(SAD)]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)]、人体学测量指标[体重、体质指数(BMI)、体脂肪率、腰臀比(WHR)]、生活质量[Spitzer生活质量指数(SQLI)]变化。结果干预6个月后,两组患者SAD量表中(社交回避、社交苦恼)各维度评分及总分、HPLP-Ⅱ量表(精神成长、营养状态、社会关系、躯体运动、压力调节能力、自我实现)各维度评分、体重、BMI、体脂肪率、WHR与干预前比较显著下降(P均<0.05),而SQLI量表(健康感受、精神面貌、支持帮助、心理状态、活动能力)各维度评分及总分与干预前比较显著上升(P均<0.05),且观察组变化幅度更大(P<0.05)。结论给予肥胖患者运用微信平台的中医养生保健指导不仅可有利于患者社交能力的改善,且还可促进其健康行为的养成,从而起到减脂的效果,提高生活质量。

Objective:To explore the effect of Traditional Chinese Medicine health care guidance on the WeChat platform on body weight and quality of life for patients with with obesity.Methods:A total of 120 patients with obesity who underwent physical examinationin of our hospital from June 2019 to December 2019 were selected as subjects,and they were divided into an observation group(n=60)and a controlled group(n=60)according to the random number table method.Patients in the controlled group were given routine body weight management,and the observation group was given TCM health care guidance on the WeChat platform on this basis.The social skills[Social Avoidance and Distress Scale(SAD)],healthy behaviors[Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)],anthropological measurement indicators[body weight,body mass index(BMI),body fat percentage,waist-hip ratio(WHR)]and quality of life[Spitzer Quality of Life Index(SQLI)]were compared between the two groups before intervention and after 6 months of intervention.Results:After 6 months of intervention,the scores of dimensions(social avoidance,social distress)and total score of SAD scale,scores of dimensions(mental growth,nutritional status,social relations,physical movement,stress regulation ability,self-actualization)of HPLP-Ⅱscale,body weight,BMI,body fat percentage and WHR in the two groups were significantly reduced compared with those before intervention(P<0.05)while the scores of dimensions(health feeling,mental outlook,support and help,mental state,activity ability)and total score of SQLI scale were increased significantly compared with those before intervention(P<0.05),and the changes were greater in the observation group(P<0.05).Conclusion:TCM health care guidance on the WeChat platform can not only improve the social skills,but also promote the development of healthy behaviors,thereby reducing fat and improving the quality of life.