基于微信平台对糖尿病患者的健康管理

Health management of diabetic patients based on WeChat

目的探究基于微信平台的健康管理对糖尿病老年患者焦虑、抑郁、主观幸福感、血糖水平和生存质量的影响。方法采取便利抽样方法选取我院老年病科2型糖尿病患者106例,随机分为干预组和对照组各53例。干预组进行基于微信平台的健康管理,主要包括心理干预和健康宣教,对照组实施传统心理干预和健康宣教,比较2组患者的焦虑、抑郁、主观幸福感、空腹血糖、餐后2 h血糖、HbA1C和生存质量。结果干预后,干预组焦虑发生率低于对照组(P<0.05),而抑郁发生率与对照组比较,差异无统计学意义(P>0.05);干预组患者SAS评分、GDS评分、主观幸福感总分空腹血糖、餐后2 h血糖水平、HbA1C、PCS和MCS评分降低或升高效果优于对照组,差异有统计学意义(t=2.823,3.231,-18.956,5.152,7.401,7.528,-3.165,-3.232;P<0.05)。结论基于微信平台的健康管理能有效控制糖尿病老年患者的血糖水平,降低焦虑抑郁症状水平,提升主观幸福感和生存质量。

Objective To explore the effect of health management based on WeChat platform on depressive symptoms and quality of life of elderly patients with diabetes.Methods 106 elderly patients with type 2 diabetes hospitalized in geriatrics department in our hospital were selected by convenient sampling method and divided into two groups randomly,with 53 cases in each group.The intervention group was given psychological nursing and health education based on WeChat platform,while the control group received traditional psychological nursing and health education.Finally,the levels of anxiety and depressive symptoms,subjective well-being,fasting blood-glucose,2h postprandial blood glucose,HbA1C and quality of life,were compared in both groups.Results After the intervention,the incidence of anxiety in the intervention group was lower than that in the control group(P<0.05),while the incidence of depression did not have statistical difference compared with that in the control group(P>0.05).The decrease or evaluation of SAS,GDS,subjective well-being,fasting blood-glucose,2h postprandial blood glucose,HbA1C,PCS and MCS of the intervention group were greater than those in the control group,(t=2.823,3.231,-18.956,5.152,7.401,7.528,-3.165,-3.232;P<0.05).Conclusion Psychological intervention and health education by WeChat may control the blood glucose level of elderly patients with diabetes,reduce the level of anxiety and depression symptoms and improve subjective well-being and quality of life effectively.