[1]刘静波,黄 萍,赵 静.应用微信平台对初发中青年2型糖尿病患者进行 健康管理模式的研究[J].医学信息,2018,31(14):98-100.[doi:10.3969/j.issn.1006-1959.2018.14.028]
　LIU Jing-bo,HUANG Ping,ZHAO Jing.Study on the Health Management Model of Young and Middle-aged Patients with Type 2 Diabetes Mellitus by WeChat Platform[J].Journal of Medical Information,2018,31(14):98-100.[doi:10.3969/j.issn.1006-1959.2018.14.028]
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应用微信平台对初发中青年2型糖尿病患者进行 健康管理模式的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
98-100
栏目:
临床研究
出版日期:
2018-07-15

文章信息/Info

Title:
Study on the Health Management Model of Young and Middle-aged Patients with Type 2 Diabetes Mellitus by WeChat Platform
文章编号:
1006-1959（2018）14-0098-03
作者:
刘静波; 黄 萍; 赵 静
首都医科大学宣武医院健康管理科，北京 100053
Author(s):
LIU Jing-bo; HUANG Ping; ZHAO Jing
Department of Health Management,Xuanwu Hospital,Capital Medical University,Beijing 100053,China
关键词:
微信; 2型糖尿病; 健康管理
Keywords:
Key words：WeChat; Type 2 diabetes mellitus; Health management
分类号:
R197.65
DOI:
10.3969/j.issn.1006-1959.2018.14.028
文献标志码:
A
摘要:
目的 探讨应用微信平台对初发中青年2型糖尿病患者进行健康管理的效果。方法 选取2016 年1月~2017年6月初发中青年2型糖尿病患者275例，给予空腹血糖、糖化血红蛋白、血脂等检查。随机分为对照组140例和观察组135例，对照组给与常规的健康管理模式，观察组应用微信平台健康管理模式，两组均随访6个月，比较两组患者干预6个月后空腹血糖、糖化血红蛋白、血脂及低血糖的发生率等的区别，用糖尿病自我管理行为量表对两组患者进行评分比较。结果 初始两组患者性别、年龄、空腹血糖、糖化血红蛋白，血脂水平对比，差异无统计学意义（P＞0.05）；两组患者随访6个月后，观察组空腹血糖、HbA1c，血脂水平均低于对照组（P＜0.05），两组低血糖症的发生率，差异无统计学意义（P＞0.05）；观察组SDSCA评分大于对照组（P＜0.05）。结论 应用微信平台健康管理模式对初发中青年2型糖尿病患者进行健康管理可以取得较好的效果，能够有效降低空腹血糖和血脂水平，改善糖尿病患者自我管理行为。
Abstract:
Abstract：Objective To explore the effect of using WeChat platform to manage the health of young and middle-aged patients with type 2 diabetes mellitus.Methods 275 young and middle-aged patients with type 2 diabetes mellitus from January 2016 to June 2017 were examined with fasting blood glucose,glycosylated hemoglobin and blood lipids.They were randomly divided into control group(n=140)and observation group(n=135).The control group was given routine health management model,and the observation group was treated with WeChat platform health management model.The two groups were followed up for 6 months,and the differences in fasting blood glucose,glycated hemoglobin,blood lipid and hypoglycemia were compared in the two groups after 6 months.The scores of the two groups were compared with the diabetes self-management behavior scale.Results There was no initial difference in sex,age, fasting blood glucose,glycosylated hemoglobin and blood lipid levels between the two groups,the difference was not statistically significant(P>0.05).Two groups of patients were followed up for 6 months.The fasting blood glucose,HbA1c,and blood lipid levels in the observation group were lower than those in the control group(P<0.05).The incidence of hypoglycemia in the two groups was not statistically significant(P>0.05).The score of SDSCA in the observation group was greater than that of the control group(P<0.05).Conclusion The health management model of WeChat platform can achieve good results in the health management of the early young people with type 2 diabetes.It can effectively reduce the level of fasting blood glucose and blood lipid,and improve the self management behavior of diabetic patients.

参考文献/References:

[1]纪立农,郭晓蕙,黄金,等.中国糖尿病药物注射技术指南（2016年版）[J].中华糖尿病杂志,2017,9(2):79-105. [2]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华糖尿病杂志,2014,6(7):447-498. [3]Seaquist ER,Anderson J,Childs B,et al.Hypoglycemia and diabetes:A Report of a Workgroup of the American Diabetes Association and The Endocrine Society[J].Diabetes Care,2013,36(5):1384-1395. [4]Toobert D,Hampson S,Glasgow R.The Summary of Diabetes Self-Care Activities Measure[J].Diabetes Care,2000,23(7):943-950. [5]Creamer J,Attridge M,Ramsden M,et al.Culturally appropriate health education for Type 2 diabetes in ethnic minority groups:an updated Cochrane Review of randomized controlledtrials[J].Diabet Med,2016,33(2):169-183. [6]吕文山,杨丽丽,李莉,等.中青年糖尿病患者接受糖尿病教育现状及思考[J].中华医学教育探索杂志,2012,11(3):333-336. [7]吕丽雪,黄丽容,誉昭红,等.联合微信平台对中青年糖尿病患者实施健康教育管理[J].国际护理杂志,2016,35(2):226-228. [8]陈志雄,罗来邦,宋薇,等.手机微信管理模式对初发老年2型糖尿病患者健康管理的效果研究[J].中国全科医学,2017,20(10)1245-1250. [9]蒋春红,张研.2型糖尿病患者胰岛素治疗心理抵抗现状调查[J].医学与社会,2017,30(1):54-57. [10]Ausili D,Bezze S,Canizzaro C,et al.Self-care assessment in type-2 diabetes:the Italian translation and validation of the Summary of Diabetes Self-Care Activities[J].Prof Inferm,2015,68(1):9-18. [11]冯小芬,韦玉和,邵雪景,等.微信群管理糖尿病患者的短期观察[J].中国糖尿病杂志，2017,25(2):149-153.

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更新日期/Last Update: 2018-07-15