短信平台随访系统在糖尿病患者复诊率与血糖控制中的应用

Effects of short message service platform system on return visit rate, glycosylated hemoglobin level and glucose control rate for diabetics

将2012年3-12月296例门诊糖尿病患者,分为短信组（153例）和非短信组（143例）.非短信组给予常规口头健康宣教及告知复诊,短信组利用短信息平台随访系统定期发送糖尿病相关知识及通知复诊.随访1年,短信组复诊次数达标（门诊复诊10以上）率96％（147/153）,糖化血红蛋白（HbA1c）监测次数达标（测定3次以上）率78％（120/153）,高于非短信组的59％（85/143）和25％（36/143）（均P＜0.01）;HbA1c水平下降[（6.85±1.26）％降至（6.51±0.74）％]（P＜0.01）,血糖达标率提高[65％ （100/153）与82％（126/153）,P＜0.01],和非短信组干预后[71％ （100/143）与59％（84/143）]比较差异有统计学意义（均P＜0.01）.说明应用短信息平台进行周期性短信干预能有效改善糖尿病患者遵医行为,降低HbA1c水平,提高血糖达标率.

A total of 296 patients were randomly divided into short message group （n =153） and non short message group （n =143）.The former group received short message service （SMS） for follow-ups while the latter group had routine oral follow-ups.The return visit rate,recall rate of glycosylated hemoglobin （HbA1c）,HbAlc level and glucose control rate for diabetics were assessed after one-year follow-up.The return visit rate （96%） and recall rate of HbAlc （78%） in the short message group were significantly higher than those in the non-short message group （59%,25%,P 〈0.01 for both）.The HbAlc level after one-year follow-up （6.51 ± 0.74） % was lower than that one year before （6.85 ± 1.26） % in the short message group.The glucose control rate after one year （82%） were significantly higher than that one year before in the short message group （65%） and that after one year in the non-short message group（59%,P 〈 0.01）.Use of SMS platform system for follow-ups and health education can effectively improve the return visit rate and glucose control rate,lower the HbA1c level.in diabetics.