[1]李秋丽,宋 伟,董春叶.基于微信的健康教育对糖尿病患者自我护理能力及血糖水平控制的影响[J].医学信息,2023,36(15):156-159.[doi:10.3969/j.issn.1006-1959.2023.15.033]
 LI Qiu-li,SONG Wei,DONG Chun-ye.Effect of Health Education Based on WeChat on Self-care Ability and Blood Glucose Level Control in Patients with Diabetes Mellitus[J].Journal of Medical Information,2023,36(15):156-159.[doi:10.3969/j.issn.1006-1959.2023.15.033]
点击复制

基于微信的健康教育对糖尿病患者自我护理能力及血糖水平控制的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年15期
页码:
156-159
栏目:
护理研究
出版日期:
2023-08-01

文章信息/Info

Title:
Effect of Health Education Based on WeChat on Self-care Ability and Blood Glucose Level Control in Patients with Diabetes Mellitus
文章编号:
1006-1959(2023)15-0156-04
作者:
李秋丽宋 伟董春叶
(天津市滨海新区海滨人民医院内分泌科,天津 300280)
Author(s):
LI Qiu-liSONG WeiDONG Chun-ye
(Department of Endocrinology,Haibin People’s Hospital,Binhai New Area,Tianjin 300280,China)
关键词:
糖尿病健康教育微信自我护理能力血糖水平生活质量
Keywords:
Diabetes mellitusHealth educationWeChatSelf-care abilityBlood glucose levelQuality of life
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2023.15.033
文献标志码:
A
摘要:
目的 探究基于微信的健康教育对糖尿病患者自我护理能力及血糖水平控制的影响。方法 以2021年1月-2022年12月天津市滨海新区海滨人民医院接诊的80例糖尿病患者为研究对象,经随机数字表法分为对照组(40例)和观察组(40例),对照组行常规健康教育模式,观察组在其基础上采用基于微信的健康教育模式,比较两组血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPBG)]、糖尿病患者自我管理行为量表(SDSCA)评分、自我护理能力测定量表(ESCA)评分、血糖控制效果(血糖控制达标率、低血糖发生率)及生活质量[中国糖尿病患者生存质量特异性量表(DSQL)]。结果 两组干预后HbA1c、FPG、2hPBG水平低于干预前,且观察组HbA1c、FPG、2hPBG水平低于对照组(P<0.05);两组干预后SDSCA、ESCA评分高于干预前,且观察组SDSCA、ESCA评分高于对照组(P<0.05);观察组血糖控制达标率高于对照组,低血糖发生率低于对照组(P<0.05);两组干预后 DSQL评分低于干预前,且观察组DSQL评分低于对照组(P<0.05)。结论 基于微信的健康教育可增强糖尿病患者的自我管理水平与自护能力,改善其血糖水平,提升患者的血糖控制效果与生活质量。
Abstract:
Objective To explore the effect of WeChat-based health education on self-care ability and blood glucose level control in diabetes mellitus patients.Methods A total of 80 patients with diabetes mellitus who were admitted to Haibin People’s Hospital of Binhai New Area from January 2021 to December 2022 were selected as the research objects. They were divided into control group (40 patients) and observation group (40 patients) by random number table method. The control group received routine health education mode, and the observation group adopted the health education mode based on WeChat on the basis of the control group. The blood glucose indexes [glycated hemoglobin (HbA1c), fasting blood glucose (FPG), 2 h postprandial blood glucose (2hPBG)], self-management behavior scale (SDSCA) score, self-care ability scale (ESCA) score, blood glucose control effect (blood glucose control compliance rate, incidence of hypoglycemia) and quality of life [Chinese Diabetes Specific Quality of Life Scale (DSQL)] were compared between the two groups.Results After intervention, the levels of HbA1c, FPG and 2hPBG in the two groups were lower than those before intervention, and the levels of HbA1c, FPG and 2hPBG in the observation group were lower than those in the control group (P<0.05). The scores of SDSCA and ESCA in the two groups after intervention were higher than those before intervention, and the scores of SDSCA and ESCA in the observation group were higher than those in the control group (P<0.05). The rate of blood glucose control in the observation group was higher than that in the control group, and the incidence of hypoglycemia was lower than that in the control group (P<0.05). The DSQL scores of the two groups after intervention were lower than those before intervention, and the DSQL score of the observation group was lower than that of the control group (P<0.05).Conclusion Health education based on WeChat can enhance the self-management level and self-care ability of diabetic mellitus patients, improve their blood glucose level, and improve their blood glucose control effect and quality of life.

参考文献/References:

[1]浦雪荣,张影,范慧.医联体模式下的延续护理对糖尿病患者自我管理能力和血糖控制的影响[J].临床与病理杂志,2022,42(12):3070-3077.[2]田亚利,侯敏燕,樊宁.基于互联网的健康管理对糖尿病患者自我效能及自我管理能力的影响[J].山西医药杂志,2022,51(10):1168-1170.[3]刘金萍,韩琳,丁红英,等.“互联网+”三级联动管理模式对糖尿病患者及其家庭成员自我管理能力的影响[J].中国护理管理,2022,22(5):755-760.[4]陈静,刘茹,康格平,等.以微信健康教育为主的延续护理干预对2型糖尿病患者糖尿病足知识、态度、行为和血糖控制情况的效果观察[J].贵州医药,2021,45(10):1649-1650.[5]夏晓宏,周凤飞,张蓉,等.基于健商理念的健康教育对2型糖尿病患者健康行为能力及血糖控制水平的影响[J].中国医药导报,2021,18(16):173-176.[6]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华内分泌代谢杂志,2021,37(4):311-398.[7]杜惠萍.延续性护理对2型糖尿病患者自我效能及血糖控制的影响[J].中国药物与临床,2021,21(3):541-543.[8]张云彩.糖尿病患者应用联动式健康教育联合居家自我护理效果[J].实用临床医药杂志,2018,22(4):45-48.[9]罗晓琴,徐芳.基于跨理论模式的专项饮食健康教育对高龄2型糖尿病患者饮食控制及糖脂代谢和治疗依从性的影响[J].山西医药杂志,2018,47(24):3019-3021.[10]冯静,杨真真.并发症体验联合微信教育对初发中青年糖尿病患者自我管理行为和血糖水平的影响[J].昆明医科大学学报,2022,43(1):1-5.[11]臧海峡,李红新.网络互动式健康教育对2型糖尿病患者自我管理能力及血糖水平的影响[J].医学信息,2016,29(15):191-192.[12]岳海淑,周立芝,董艳青.基于微信平台的延伸护理在中青年2型糖尿病患者中的应用[J].中国煤炭工业医学杂志,2019,22(6):659-661.[13]崔梅芳,杨蓉,王亚兰.基于格林模式的健康教育对出院后2型糖尿病患者的影响[J].现代临床护理,2019,18(11):24-31.[14]李晓娟,李美妮.延续性护理模式对加强2型糖尿病患者自我管理能力的影响[J].西部中医药,2018,31(6):120-122.[15]程菊,李双双,朱枣兰.自我管理健康教育方法在老年2型糖尿病护理中的应用价值[J].广东医学,2019,40(20):2898-2901,2906.[16]马晓蕊.医护患一体化教育对老年2型糖尿病病人自我效能及健康知识掌握的影响[J].安徽医药,2019,23(8):1651-1653.[17]谭莹,杨晓梅.全程健康教育模式对糖尿病护理质量及患者血糖水平影响[J].河北医药,2019,41(6):952-955.[18]郑美辰,刘蒙蒙,王振国,等.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[J].中国医药,2020,15(2):244-247.[19]叶黎霞,盛芝仁,仇春波,等.基于互联网的居家延续性护理对糖尿病患者血糖和生活质量的影响[J].中华全科医学,2019,17(1):147-149,163.[20]杨倩.微信随访对2型糖尿病患者自我控制水平及糖尿病特异性生存质量量表评分的影响[J].中国药物与临床,2020,20(16):2802-2803.[21]曹玉凤,李菲.微信健康教育对中老年糖尿病患者健康生活方式的影响研究[J].中国健康教育,2020,36(10):954-957.[22]程远尊,祁梦君,张贤贤,等.微信集群干预对糖尿病前期病人饮食及血糖控制的影响[J].护理研究,2018,32(12):1882-1885.

相似文献/References:

[1]张西园.糖尿病与结直肠癌患者预后相关研究进展[J].医学信息,2018,31(01):55.[doi:10.3969/j.issn.1006-1959.2018.01.020]
 ZHANG Xi-yuan.Research Progress in the Relationship between Diabetes and the Prognosis of Colorectal Cancer[J].Journal of Medical Information,2018,31(15):55.[doi:10.3969/j.issn.1006-1959.2018.01.020]
[2]李志明.加强健康教育对肠道寄生虫疾病的预防作用分析[J].医学信息,2018,31(01):123.[doi:10.3969/j.issn.1006-1959.2018.01.047]
 LI Zhi-ming.Analysis on Preventive Effect of Health Education on Intestinal Parasitic Diseases[J].Journal of Medical Information,2018,31(15):123.[doi:10.3969/j.issn.1006-1959.2018.01.047]
[3]耿金萍.综合护理对甲状腺良性肿瘤并糖尿病患者手术效果的影响分析[J].医学信息,2018,31(01):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
 GENG Jin-ping.Analysis of the Effect of Comprehensive Nursing on the Surgical Effect of Thyroid Benign Tumor and Diabetic Patients[J].Journal of Medical Information,2018,31(15):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
[4]李雯婷,谈世华,余江明,等.踝肱指数检测在住院糖尿病患者中的重复性研究[J].医学信息,2018,31(03):159.[doi:10.3969/j.issn.1006-1959.2018.03.058]
 LI Wen-ting,TAN Shi-hua,YU Jiang-ming,et al.Study on Reproducibility of Ankle-brachial Index in Inpatients with Diabetes Mellitus[J].Journal of Medical Information,2018,31(15):159.[doi:10.3969/j.issn.1006-1959.2018.03.058]
[5]刘 静.冠状动脉粥样硬化性心脏病合并糖尿病的血脂检验结果分析[J].医学信息,2018,31(04):154.[doi:10.3969/j.issn.1006-1959.2018.04.057]
 LIU Jing.Analysis of Blood Lipid Test Results in Coronary Atherosclerotic Heart Disease Complicated with Diabetes Mellitus[J].Journal of Medical Information,2018,31(15):154.[doi:10.3969/j.issn.1006-1959.2018.04.057]
[6]顾晓英,刘 宇.健康教育在唐氏综合征产前诊断工作中的重要性分析[J].医学信息,2018,31(04):162.[doi:10.3969/j.issn.1006-1959.2018.04.061]
 GU Xiao-ying,LIU Yu.Analysis of the Importance of Health Education in Prenatal Diagnosis of Down's Syndrome[J].Journal of Medical Information,2018,31(15):162.[doi:10.3969/j.issn.1006-1959.2018.04.061]
[7]谢勇丽,苏晓清,张雅薇.糖尿病痛性周围神经病变患者情绪调查分析[J].医学信息,2018,31(05):14.[doi:10.3969/j.issn.1006-1959.2018.05.005]
 XIE Yong-li,SU Xiao-qing,ZHANG Ya-wei.Investigation and Analysis of Mood in Patients with Diabetic Peripheral Neuropathy[J].Journal of Medical Information,2018,31(15):14.[doi:10.3969/j.issn.1006-1959.2018.05.005]
[8]张雅薇,朱明慧.首发为动眼神经麻痹的糖尿病合并动眼神经麻痹误诊为痛性眼肌麻痹1例分析[J].医学信息,2018,31(05):23.[doi:10.3969/j.issn.1006-1959.2018.05.008]
 ZHANG Ya-wei,ZHU Ming-hui.An Analysis of a Case of Diabetes Mellitus with Oculomotor Nerve Palsy Misdiagnosed as Painful Ophthalmoplegia[J].Journal of Medical Information,2018,31(15):23.[doi:10.3969/j.issn.1006-1959.2018.05.008]
[9]张宇宁.黄酮类化合物治疗糖尿病及其并发症的研究[J].医学信息,2018,31(05):50.[doi:10.3969/j.issn.1006-1959.2018.05.018]
 ZHANG Yu-ning.Study on Flavonoids in the Treatment of Diabetes Mellitus and its Complications[J].Journal of Medical Information,2018,31(15):50.[doi:10.3969/j.issn.1006-1959.2018.05.018]
[10]柳 梅.头孢哌酮钠舒巴坦钠治疗糖尿病并发尿路感染的 临床效果观察[J].医学信息,2018,31(07):139.[doi:10.3969/j.issn.1006-1959.2018.07.047]
 LIU Mei.Clinical Efficacy of Cefoperazone Sodium and Sulbactam Sodium in Treatment of Diabetes Complicated with Urinary Tract Infection[J].Journal of Medical Information,2018,31(15):139.[doi:10.3969/j.issn.1006-1959.2018.07.047]
[11]陈 翔,刘 春,杨 锐.数据仓库技术在糖尿病健康教育中的应用研究[J].医学信息,2018,31(20):1.[doi:10.3969/j.issn.1006-1959.2018.20.001]
 CHEN Xiang,LIU Chun,YANG Rui.Application Research of Data Warehouse Technology in Diabetes Mellitus Health Education[J].Journal of Medical Information,2018,31(15):1.[doi:10.3969/j.issn.1006-1959.2018.20.001]
[12]邱文丽.医护联合查房对2型糖尿病患者实施健康教育的效果[J].医学信息,2019,32(15):185.[doi:10.3969/j.issn.1006-1959.2019.15.063]
 QIU Wen-li.Effect of Medical Combined Ward Round on Health Education for Patients with Type 2 Diabetes[J].Journal of Medical Information,2019,32(15):185.[doi:10.3969/j.issn.1006-1959.2019.15.063]

更新日期/Last Update: 1900-01-01