微信平台在糖尿病前期人群健康管理随访后血糖与睡眠状况评价

WeChat Platform was Used to Evaluate Blood Glucose and Sleep Status in Pre-diabetes Patients after Health Management Follow-up

目的:研究糖尿病前期中青年人群在集体培训教育后,运用微信平台进行生活行为干预半年后效果评价。方法:选取2017年1月至2017年6月福建省级机关医院体检中心体检的人群80例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组40例。2组共同开展糖尿病前期集中授课教育,观察组结业后利用建立以同伴支持和微信群技术为基础的干预网络,分析比较6个月后2组的血糖控制效果及睡眠状况。结果:无论是睡眠状况评分、空腹血糖值还是餐后2 h血糖值及糖化血红蛋白,观察组比对照组呈现递减趋势(p<0.05),这表明糖尿病前期的个体干预行为收到实效;通过微信平台干预对比单一参加传统形式的健康教育,6个月后观察组比对照组表现出显著的血糖控制效果。结论:结合多重同伴支持及微信群持续干预方法,达到节省人力、物力,糖尿病前期人群接受程度较好。降低糖尿病患者血糖控制成本的有效手段,值得推荐。

Objective:To study the effect evaluation of life behavior intervention after half a year of pre-diabetes middle-aged and young people using group WeChat platform after collective training and education.Methods:Eighty study subjects were selected and divided into observation group and control group by the principle of random number.Each group had 40 cases.The two groups were jointly taught in pre-diabetes education.After the observation group was completed,peer support and WeChat group technology were used.Based on a basic intervention network,the effect of glycemic control in both groups was analyzed after 6 months.Results:In terms of sleep status score,fasting blood glucose level,blood glucose level two hours after meal and hemoglobin a1c,the observation group showed a decreasing trend compared with the control group(P<0.05),indicating that the intervention behavior of individuals with pre-diabetes was effective.After 6 months,the observation group showed significant glycemic control effect compared with the control group through WeChat platform intervention ratio.Conclusion:Combining multiple peer support and WeChat group continuous intervention methods can save manpower and material resources,and the pre-diabetes population has better acceptance.Effective means to reduce the cost of blood glucose control in patients with diabetes is worth recommending.