基于微信的健康教育对糖尿病患者自我护理能力及血糖水平控制的影响

Effect of Health Education Based on WeChat on Self-care Ability and Blood Glucose Level Control in Patients with Diabetes Mellitus

目的探究基于微信的健康教育对糖尿病患者自我护理能力及血糖水平控制的影响。方法以2021年1月-2022年12月天津市滨海新区海滨人民医院接诊的80例糖尿病患者为研究对象,经随机数字表法分为对照组(40例)和观察组(40例),对照组行常规健康教育模式,观察组在其基础上采用基于微信的健康教育模式,比较两组血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPBG)]、糖尿病患者自我管理行为量表(SDSCA)评分、自我护理能力测定量表(ESCA)评分、血糖控制效果(血糖控制达标率、低血糖发生率)及生活质量[中国糖尿病患者生存质量特异性量表(DSQL)]。结果两组干预后HbA1c、FPG、2hPBG水平低于干预前,且观察组HbA1c、FPG、2hPBG水平低于对照组(P<0.05);两组干预后SDSCA、ESCA评分高于干预前,且观察组SDSCA、ESCA评分高于对照组(P<0.05);观察组血糖控制达标率高于对照组,低血糖发生率低于对照组(P<0.05);两组干预后DSQL评分低于干预前,且观察组DSQL评分低于对照组(P<0.05)。结论基于微信的健康教育可增强糖尿病患者的自我管理水平与自护能力,改善其血糖水平,提升患者的血糖控制效果与生活质量。

Objective To explore the effect of WeChat-based health education on self-care ability and blood glucose level control in diabetes mellitus patients.Methods A total of 80 patients with diabetes mellitus who were admitted to Haibin People's Hospital of Binhai New Area from January 2021 to December 2022 were selected as the research objects.They were divided into control group(40 patients)and observation group(40 patients)by random number table method.The control group received routine health education mode,and the observation group adopted the health education mode based on WeChat on the basis of the control group.The blood glucose indexes[glycated hemoglobin(HbA1c),fasting blood glucose(FPG),2 h postprandial blood glucose(2hPBG)],self-management behavior scale(SDSCA)score,self-care ability scale(ESCA)score,blood glucose control effect(blood glucose control compliance rate,incidence of hypoglycemia)and quality of life[Chinese Diabetes Specific Quality of Life Scale(DSQL)]were compared between the two groups.Results After intervention,the levels of HbA1c,FPG and 2hPBG in the two groups were lower than those before intervention,and the levels of HbA1c,FPG and 2hPBG in the observation group were lower than those in the control group(P<0.05).The scores of SDSCA and ESCA in the two groups after intervention were higher than those before intervention,and the scores of SDSCA and ESCA in the observation group were higher than those in the control group(P<0.05).The rate of blood glucose control in the observation group was higher than that in the control group,and the incidence of hypoglycemia was lower than that in the control group(P<0.05).The DSQL scores of the two groups after intervention were lower than those before intervention,and the DSQL score of the observation group was lower than that of the control group(P<0.05).Conclusion Health education based on WeChat can enhance the self-management level and self-care ability of diabetic mellitus patients,improve their blood glucose level,and improve their blood glucose control effect and quality of life.