“互联网+”健康教育模式在肥胖合并糖尿病患者减重术后的效果

Effect of"Internet+"health education model in obese patients with diabetes mellitus after bariatric surgery

目的探讨“互联网+”健康教育模式在肥胖合并糖尿病患者减重术后的效果。方法回顾性选取2022年1月至2023年6月南昌大学第一附属医院普外科收治的70例肥胖合并糖尿病患者作为研究对象,所有患者均行袖状胃切除手术。按照出院时间先后顺序将患者分为对照组(35例)和试验组(35例),对照组采取常规的随访方式,试验组采取“互联网+”健康教育模式的随访方式。分别在两组患者入院时、出院后3个月收集并比较两组患者的体重指数(BMI)、糖代谢相关指标[糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)]、荷兰饮食行为量表(DEBQ)得分和生活质量量表(SF-36)得分。结果试验组术后3个月的BMI、荷兰饮食DEBQ得分均低于对照组,差异有统计学意义(P<0.05);试验组术后3个月SF-36得分高于对照组,差异有统计学意义(P<0.05)。两组术后3个月糖化血红蛋白和胰岛素抵抗指数比较,差异无统计学意义(P>0.05)。两组患者术后3个月的HbA1c、HOMA-IR均低于本组术前,差异有统计学意义(P<0.05)。结论“互联网+”健康教育模式能改善肥胖合并糖尿病患者术后减重指标、健康饮食行为和生活质量状况,但对糖代谢指标的影响还有待研究。

Objective To explore the effect of the"Internet+"health education model in obese patients with diabetes mellitus after weight loss.Methods A total of seventy obese patients with diabetes admitted to Department of General Surgery,the First Affiliated Hospital of Nanchang University from January 2022 to June 2023 were retrospectively selected as the study objects.All patients underwent sleeve gastrectomy.The patients were divided into the control group(35 cases)and the experimental group(35 cases)according to the order of discharge time.The control group adopted the routine follow-up mode,and the experimental group adopted the follow-up mode of"Internet+"health education mode.The body mass index(BMI),glucose metabolism related indicators[glycated hemoglobin(HbA1c),insulin resistance index(HOMA-IR)],scores of Dutch eating behavior scale(DEBQ),and quality of life scale(SF-36)scores between two groups of patients at admission and 3 months after discharge were collected and compared.Results The BMI and scores of DEBQ in the experimental group at 3 months after surgery were lower than those in the control group,and the differences were statistically significant(P<0.05).The score of SF-36 at 3 months after surgery in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in glycosylated hemoglobin and insulin resistance index between the two groups at three months after surgery(P>0.05).The glycosylated hemoglobin and insulin resistance index of the two groups three months after surgery were lower than those of the same group before surgery,and the differences were statistically significant(P<0.05).Conclusion The"Internet+"health education model can improve postoperative weight loss indicators,healthy eating behaviors and quality of life in obese patients with diabetes,but the impact on glucose metabolism indicators remains to be studied.