2020 年第 2 期 第 15 卷

基于微信平台的健康宣教对初诊糖尿病患者血糖控制效果的影响

Influence of health education based on WeChat platform on blood glucose control in patients with newly diagnosed diabetes

作者：郑美辰1刘蒙蒙1王振国2赵琳3

英文作者：

单位：1中国人民武装警察部队特色医学中心内分泌与血液科，天津300162;2中国人民武装警察部队特色医学中心脑科中心，天津300162；3上海市第四人民医院老年医学科200081

英文单位：

关键词：糖尿病；血糖控制；微信平台；健康宣教

英文关键词：

• 摘要：

• 【摘要】目的    探究基于微信平台的健康宣教对初诊糖尿病患者血糖控制效果的影响。方法    筛选2016年12月至2017年12月于中国人民武装警察部队特色医学中心门诊体检筛查出的初诊糖尿病患者900例，按照随机数表法分为观察组与对照组，各450例。对照组采用常规健康宣教干预，观察组在对照组基础上基于微信平台开展健康宣教干预。比较2组干预前后血糖代谢指标水平变化、自我管理行为评分及治疗依从性，并记录2组干预过程中低血糖发生率。结果    干预3、6个月后观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组［干预3个月后：（9.5±2.1）mmol/L比（10.1±2.1）mmol/L、（11.8±4.5）mmol/L比（13.2±4.3）mmol/L、（7.7±1.7）%比（8.3±1.8）%；干预6个月后：（7.8±1.6）mmol/L比（8.6±1.5）mmol/L、（9.2±3.3）mmol/L比（11.3±3.7）mmol/L、（6.8±1.2）%比（7.8±2.0）%］，差异均有统计学意义（均P<0.01）。干预6个月后观察组自我管理行为各项评分高于对照组，差异均有统计学意义（均P<0.01）。观察组治疗依从性明显高于对照组［93.8%(422/450)比87.8%(395/450)］，差异有统计学意义（P=0.002）。观察组低血糖发生率明显低于对照组［7.1%（32/450）比13.6%（61/450）］，差异有统计学意义（P=0.001）。结论    对初诊糖尿病患者应用基于微信平台的健康宣教干预或可通过提高患者自我管理行为及治疗依从性，起到提高血糖控制效果的作用。

• 【Abstract】Objective    To explore the influence of health education based on WeChat platform on blood glucose control in newly diagnosed diabetic patients. Methods    A total of 900 patients with newly diagnosed diabetes in Featured Medical Center of the Chinese People′s Armed Police Forces from December 2016 to December 2017 were randomly divided into observation group and control group, with 450 cases in each group. The control group had routine health education and the observation group was given health education intervention using WeChat platform. Changes of blood glucose metabolism indexes and self-management behavior scores, patients′ compliance and the incidence of hypoglycemia during intervention were analyzed. Results    At 3 and 6 months after intervention, fasting blood glucose, postprandial 2 h blood glucose and glycosylated hemoglobin levels in the observation group were significantly lower than those in the control group［3 months: （9.5±2.1）mmol/L vs （10.1±2.1）mmol/L, （11.8±4.5）mmol/L vs （13.2±4.3）mmol/L, （7.7±1.7）% vs （8.3±1.8）%; 6 months: （7.8±1.6）mmol/L vs （8.6±1.5）mmol/L, （9.2±3.3）mmol/L vs （11.3±3.7）mmol/L, （6.8±1.2）% vs （7.8±2.0）%］(all P<0.05). Self-management behavior scores at 6 months after intervention in the observation group were significantly higher than those in the control group(all P<0.05). Patients′ compliance in the observation group was significantly better than that in the control group［93.8%(422/450) vs 87.8%(395/450)］(P=0.002). Incidence of hypoglycemia in the observation group was significantly lower than that in the control group［7.1%(32/450) vs 13.6%(61/450)］(P=0.001). Conclusion    Health education through WeChat platform can improve the blood glucose control effect on newly diagnosed diabetic patients by improving their self-management and compliance behaviors.