基于互联网的团队式体质量强化管理干预在肥胖患者中的应用效果

Application Effect of Internet-based Team-style Weight Intensive Management Intervention in Obese Patients

目的探讨基于互联网的团队式体质量强化管理干预在肥胖患者中的应用效果。方法选择2022年9月—2023年5月江苏省中医院收治的80例肥胖患者作为研究对象,按照随机数表法将其分为对照组和研究组,每组40例。对照组给予常规生活方式干预,研究组在对照组干预基础上联合开展基于互联网的团队式体质量强化管理干预,持续干预3个月后,比较两组患者人体成分指标、血脂与糖代谢指标水平及自我管理能力变化。结果干预后,研究组内脏脂肪面积(VFA)、体脂率(PBF)、体脂量(BFM)、骨骼肌肉量(SMM)及身体质量指数(BMI)均较对照组低,差异有统计学意义(P<0.05);干预后,研究组高密度脂蛋白胆固醇(HDL-C)水平较对照组高,低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)及总胆固醇(TC)水平均较对照组低,差异有统计学意义(P<0.05);干预后,研究组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、空腹胰岛素(FINS)与餐后2 h胰岛素(2 hINS)水平均较对照组低,差异有统计学意义(P<0.05);干预后,研究组慢性病患者自我管理行为量表(CDSMS)总分较对照组高,差异有统计学意义(P<0.05)。结论基于互联网的团队式体质量强化管理干预有助于调节糖脂代谢,提高患者自我管理能力,从而提高减重效果。

Objective To explore the application effect of Internet-based team-style intensive weight management intervention in obese patients.Methods A total of 80 obese patients admitted to Jiangsu Provincial Hospital of Traditional Chinese Medicine from September 2022 to May 2023 were selected as the study subjects,which were divided into control group and study group according to the random number table method,with 40 cases in each group.Patients in the control group were given routine diet and exercise intervention,and patients in the study group were jointly carried out Internet-based team-style weight intensive management intervention.After continuous intervention for 3 months,changes in body composition index,lipid and glucose metabolism index and self-management ability of patients in the two groups were compared.Results After intervention,patients in the study group had visceral fat area(VFA),percentage of body fat(PBF),body fat mass(BFM),skeletal muscle mass(SMM)and Body mass index(BMI)were lower than those of control group.Statistically significant difference(P<0.05).After intervention,the level of high density lipoprotein cholesterol(HDL-C)in the study group was higher than that in the control group.The level of low density lipoprotein cholesterol(LDL-C),triacylglycerol(TG)and total cholesterol(TC)levels were lower than those of control group,Statistically significant difference(P<0.05).After intervention,the fasting blood glucose(FPG),2h postprandial blood glucose(2 hPG),fasting insulin(FINS)and 2h postprandial insulin(2 h INS)levels were lower than the control group,with statistically significant differences(P<0.05).After the intervention,the total score of self-management behavior scale(CDSMS)of patients in the study group was higher than the control group,which the difference was significant(P<0.05).Conclusion The team weight intensive management intervention based on Internet can help to regulate glucose and lipid metabolism,improve patients'self-management ability,and thus improve the weight loss effect.