微信平台联合家庭参与在血脂异常人群健康管理中的应用

Use of the WeChat platform in combination with family participation in the management of dyslipidemia

目的探讨微信平台联合家庭参与在血脂异常人群健康管理中的应用。方法选取2017年3至8月在重庆市人民医院健康管理中心体检结论为血脂异常的100例,采用自主报名的方式将其分为干预组和对照组,各50例。对照组进行常规健康指导及电话随访;干预组从2017年9月开始进行为期6个月的干预,实施以微信平台联合家庭参与的健康管理方式,即借助微信平台,通过家庭成员与医护共同参与的方式进行管理,由专业健康管理医护团队对其进行实时咨询、监测、随访、解答疑问等。采用t检验比较2组人群的总胆固醇、三酰甘油、低密度脂蛋白胆固醇指标,采用χ2检验比较2组人群生活习惯的改善情况。结果干预前2组人群各指标差异无统计学意义(P>0.05)。干预6个月后,干预组空腹总胆固醇(6.18±0.93)mmol/L、低密度脂蛋白胆固醇(2.96±0.67)mmol/L、三酰甘油(2.20±0.35)mmol/L均分别低于对照组(7.17±1.07)mmol/L、(3.26±0.57)mmol/L、(2.41±0.36)mmol/L,差异有统计学意义(P<0.05)。干预组干预后6个月不良生活习惯所占比例(饮食不规律18%、运动缺乏22%、失眠26%、吸烟14%、饮酒18%)均明显低于对照组(饮食不规律58%、运动缺乏74%、失眠54%、吸烟38%、饮酒42%),差异均有统计学意义(P<0.05)。结论血脂异常与生活习惯有密切的关系,借助微信平台,由家庭成员与医护共同参与,能有效改善血脂异常人群的生活习惯,从而改善血脂代谢指标。

Objective To explore the implementation of the WeChat platform combined with family participation in the health management of dyslipidemia.Methods A total of 100 patients with dyslipidemia who underwent physical examination in the Health Management Center of Chongqing General Hospital from March to August 2017 were selected.Participants were divided into an intervention and control group by independent registration,with 50 patients in each group.The control group received routine health guidance and telephone follow-ups.The intervention group underwent the health management mode of the We Chat platform combined with family participation beginning in September for six months.Dyslipidemia was managed through joint participation of family members and medical care,and the professional health management and medical team conducted real-time consultation,monitoring,follow-ups,and answered questions.A t-test was performed to compare total cholesterol,triacylglycerol,and LDL cholesterol in the two groups,and aχ2 test was used to compare improvements in living habits in the two groups.Results There were no statistically significant differences between the two groups before intervention(P>0.05).After 6 months of intervention,fasting total cholesterol(6.18±0.93)mmol/L,low-density lipoprotein cholesterol(2.96±0.67)mmol/L and triglyceride(2.20±0.35)mmol/L were all lower in the intervention group than in the control group(7.17±1.07)mmol/L,(3.26±0.57)mmol/L and(2.41±0.36)mmol/L,respectively,with statistically significant difference(P<0.05).After 6 months of intervention,the proportion of people in the intervention group(18%irregular diet,22%lack of exercise,26%insomnia,14%smoking and 18%drinking)was significantly lower than that in the control group(58%irregular diet,74%lack of exercise,54%insomnia,38%smoking and 42%drinking),and the difference was statistically significant(P<0.05).Conclusions Dyslipidemia is closely related to living habits.Through the help of the WeChat platform,family members and medical staff can participate together and effectively improve the living habits of people with dyslipidemia,so as to improve the indicators of lipid metabolism.