微信小程序在代谢术后患者减重管理中的应用

Application of WeChat mini program in weight-loss management of patients after matabolic surgery

目的探讨微信小程序在代谢术后患者减重管理中的应用效果。方法采用便利抽样法,选取郑州市中心医院2018年3—11月接受代谢手术的98例患者作为研究对象,按照入院的先后顺序将患者分为对照组(48例)和观察组(50例)。两组患者均接受常规围手术期护理,观察组患者另外接受基于微信小程序的减重管理。比较两组患者术前及术后3个月的BMI、多余体重减少百分比(percentage of excessweightloss,EWL%)、荷兰饮食行为量表得分、体力活动时间及简明健康状况量表得分。结果观察组术后3个月的EWL%为(35.23±8.87)%,与对照组的(34.39±11.00)%比较,差异无统计学意义(P>0.05);观察组术前及术后3个月的BMI差值为(5.20±1.40)kg/m^2,与对照组的(5.47±1.40)kg/m^2比较,差异无统计学意义(P>0.05);观察组术前及术后3个月的荷兰饮食行为量表得分差值为(18.56±9.61)分,体力活动时间差值为[-5.0(-135.0,0.0)]min/周,简明健康状况量表得分差值为(-6.22±4.75)分,与对照组的(2.38±9.30)分、[0.0(-90.0,0.0)]min/周、(-3.28±5.77)分比较,差异均有统计学意义(P<0.05)。结论基于微信小程序的减重管理有利于改善代谢术后患者的饮食行为和体力活动水平,提高患者的生活质量。

Objective To explore the effect of WeChat mini program in weight-loss management of patients after metabolic surgery. Methods By convenience sampling, totally 98 patients hospitalized in Zhengzhou Central Hospital received metabolic surgery from March 2018 to November 2018 were recruited as the research objects. Patients were divided into the control group with 48 cases and the observation group with 50 cases according to the order of admission. Both groups received routine perioperative nursing management, and the observation group received extra nursing management based on a WeChat mini program in weight-loss management. The scores of Body Mass Index (BMI), Percentage of Excess Weight Loss (EWL%), Dutch Eating Behaviour Questionnaire (DEBQ) score, International Physical Activity Questionnaire (IPAQ) and the MOS 36 Item Short Form Health Survey (SF-36) were compared before and 3 months after surgery. Results The EWL% of the observation group at 3 months after operation was (35.23±8.87)%, which was not statistically different with the control group [(34.39±11.00)%](P>0.05). BMI difference between the observation group and the control group before and 3 months after operation was (5.20±1.40) kg/m2, and there was no significant difference between the observation group and the control group at (5.47±1.40) kg/m^2 (P>0.05). The difference of scores of DEBQ before operation and 3 months after operation was (18.56±9.61), physical activity time was [-5.0 (-135.0, 0.0)]min/week, SF-36 was (-6.22±4.75), all statistically different from the control group{(2.38±9.30),[0.0 (-90.0, 0.0)]min/week,(-3.28±5.77)}(P<0.05). Conclusions Weight-loss management based on WeChat mini program can improve the dietary behavior and physical activity level of patients after metabolic surgery, and improve the quality of life of patients.