基于微信平台的全科健康管理模式在2型糖尿病患者有效控制效果研究

Research on the effective control effect of the general practice health management model based on the WeChat platform in patients with type 2 diabetes mellitus

目的探讨基于微信平台的全科健康管理模式在2型糖尿病患者中的应用效果。方法选取揭阳市人民医院2020年1月至2021年1月全科医学科门诊收治的92例2型糖尿病患者进行分组研究,采用数字随机抽签法将患者分为试验组和对照组,每组各46例;对照组实施常规健康管理,试验组以微信平台为载体开展全科健康管理,两组均干预12个月,比较两组的干预效果。结果试验组干预后的空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组,差异有统计学意义(P<0.05)。试验组干预后糖尿病自我效能(DMSES)和自我行为管理(2-DSCS)评分均高于对照组,差异有统计学意义(P<0.05)。试验组干预后糖尿病生活质量(A-DQOL)量表中生理功能、心理精神和治疗情况3个维度的评分均高于对照组,差异有统计学意义(P<0.05)。随访12个月试验组患者的并发症总发生率为4.35%,低于对照组的26.09%,差异有统计学意义(P<0.05)。试验组对于疾病管理的满意度为97.83%,高于对照组的76.09%,差异有统计学意义(P<0.05)。结论以微信平台为基础上的全科健康管理模式能够更好地控制2型糖尿病患者的血糖水平,减少各类并发症的同时提升患者的生活质量,值得借鉴。

Objective To explore the application effect of the general practice health management model based on the WeChat platform in patients with type 2 diabetes mellitus.Methods The data of 92 patients with type 2 diabetes mellitus admitted to the General Medicine Department of Jieyang People’s Hospital from January 2020 to January 2021 were selected for grouping study.The patients were divided into the test group and the control group by the number random drawing method,with 46 cases in each group;routine health management was implemented in the control group,while general health management was conducted in the test group using the WeChat platform as a carrier.Both groups received intervention for 12 months,and the intervention effects of the two groups were compared.Results After the intervention,the fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin in the test group were lower than those in the control group,with statistically significant differences(P<0.05).After the intervention,the scores of the diabetes management selfefficacy scale(DMSES)and diabetes self-care scale(2-DSCS)in the test group were higher than those in the control group,with statistically significant differences(P<0.05).After the intervention,the scores of the adjusted diabetes quality of life scale(A-DQOL)in terms of physical function,psychological spirit and treatment in the test group were higher than those in the control group,with statistically significant differences(P<0.05).The total incidence of complications of patients in the test group was 4.35% after 12 months of follow-up,lower than the 26.09% in the control diabetes quality of group,with statistically significant difference(P<0.05).The satisfaction rate of disease management in the test group was 97.83%,higher than 76.09% in the control group,with statistically significant difference(P<0.05).Conclusion T he general health m anagement m odel based on the WeChat platfor m can better control the blood glucose level of patients with type 2 diabetes mellitus,reduce various complications and improve the quality of life of patients,whic h is worth learning from.