基于微信平台健康宣教对初发糖尿病患者血糖指标的影响

Influence of Health Education Based on We Chat Platform on Blood Glucose Index of Patients with Primary Diabetes Mellitus

目的:研究基于微信平台健康宣教对初发糖尿病患者血糖指标的影响。方法:选择2018年9月-2019年9月台山市人民医院初诊糖尿病患者120例作为研究对象,根据随机数字表法分为观察组与对照组,各60例。对照组实施基础健康教育,观察组通过微信平台进行健康宣教,比较两组血糖代谢指标、自我行为管理评分及治疗依从性。结果:干预前,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平比较,差异无统计学意义(P>0.05);干预后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P=0.000)。干预前,两组饮食管理、用药管理、运动管理、血糖监测管理评分比较,差异无统计学意义(P>0.05);干预后,观察组饮食管理、用药管理、运动管理、血糖监测管理评分高于对照组,差异有统计学意义(P=0.000)。观察组治疗依从性高于对照组,差异有统计学意义(P=0.000)。结论:针对初诊糖尿病患者,通过微信进行健康教育,可以加强其自我管理意识,改善血糖代谢指标,提高治疗依从性。

Objective:To study the influence of health education based on We Chat platform on blood glucose index in patients with primary diabetes mellitus.Methods:A total of 120 patients with diabetes mellitus who were newly diagnosed in Taishan People’s Hospital between September 2018 and September 2019 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 60 cases in each group.The control group was given basic health education and the observation group was given health education on We Chat platform.Blood glucose metabolism indicators,self-management behavior management scores and treatment compliance were compared between two groups.Results:Before the intervention,there were no significant differences in fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels between the two groups(P>0.05).After the intervention,the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels in the observation group were lower than those in the control group,and the differences were statistically significant(P=0.000).Before the intervention,there were no significant differences in the scores of diet management,medication management,exercise management and blood glucose monitoring management between the two groups(P>0.05).After the intervention,the scores of diet management,medication management,exercise management and blood glucose monitoring management in the observation group were higher than those in the control group,and the differences were statistically significant(P=0.000).The treatment compliance in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.000).Conclusion:The application of health education based on the We Chat platform in patients with newly diagnosed diabetes mellitus can enhance self-management consciousness,improve blood glucose metabolism indicators and increase treatment compliance.