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

Study on the Health Management Model of Young and Middle-aged Patients with Type 2Diabetes Mellitus by WeChat Platform

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、Hb A1c,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。

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 June2017 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,Hb A1 c,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.