摘要
目的:探讨基于微信平台的不同血糖管理模式对2型糖尿病(T2DM)患者自我管理能力和糖脂代谢指标的影响。方法:选择2020年1月至6月就诊于太原市中心医院的2型糖尿病患者240例,随机数字表法分为常规管理组,医护管理组,同伴管理组,医护+同伴共同管理组,每组各60例,常规管理组常规门诊随访,医护管理组、同伴管理组、医护+同伴共同管理组建立微信群进行管理,采用t检验或非参数检验比较干预6个月前后各组自我管理能力和糖脂代谢指标。结果:干预后,四组饮食、运动、血糖监测、遵医嘱用药、足部检查、吸烟等自我管理能力指标和空腹血糖、糖化血红蛋白水平较前相比均有改善(均P<0.05),且医护管理组、同伴管理组、医护+同伴共同管理组与常规组相比上述指标进一步改善(均P<0.05),除吸烟外,医护+同伴共同管理组较单独医护管理组和同伴管理组上述指标差异均有统计学意义;干预后常规组、医护管理组、同伴管理组和医护+同伴共同管理组的三酰甘油(TG)较干预前均有改善[1.9(1.2,2.7)比2.3(1.6,3.5)mmol/L;1.4(1.2,2.1)比2.2(1.6,3.2)mmol/L;1.6(1.1,2.0)比2.2(1.4,3.2)mmol/L;1.5(1.0,2.1)比2.4(1.3,3.1)mmol/L];且干预后四组的总胆固醇(TC)也较干预前均有改善[(4.7±0.9)比(5.1±1.2)mmol/L;(4.2±1.1)比(5.2±1.2)mmol/L;(4.3±1.1)比(5.4±1.3)mmol/L;(4.2±1.1)比(5.0±1.4)mmol/L](均P<0.05),且医护管理组、同伴管理组、医护+同伴共同管理组TG、TC较常规组进一步降低(均P<0.05)。结论:基于微信平台的医护+同伴共同管理模式有利于T2DM患者更好地进行自我管理和血糖控制。
Objective To explore the effects of different blood glucose management modes on self-management ability and glucose and lipid metabolism in patients with type 2 diabetes mellitus(T2DM)based on the WeChat platform.Methods 240 patients with T2DM were selected in Taiyuan Central Hospital from January to June 2020 for the study.They were randomly divided into general management groups,medical care management groups,peer management groups,and medical care and peer co-management groups using random number table,with 60 cases in each group.The general management group received routine outpatient follow-up.The medical care management group,peer management group,and medical care and peer management group established WeChat groups for management,respectively.Each group′s self-management ability and glucose and lipid metabolism indexes were compared before and after six months of intervention.t-test or nonparametric tests were used to compare.Results After the intervention,self-management abilities such as diet,exercise,blood glucose monitoring,medication compliance,foot care,smoking and fasting blood glucose(FBG),and glycosylated hemoglobin(HbA1c)were improved in the four groups(all P<0.05).The medical care management,peer management,and medical care and peer co-management groups were further improved than the general group(all P<0.05).Except for smoking,the above medical care and peer co-management group indicators were statistically different from those of the separate medical care management and peer management group(all P<0.05).Triacylglycerol(TG)of the four groups were improved compared with the previous[1.9(1.2,2.7)compared with 2.3(1.6,3.5)mmol/L,1.4(1.2,2.1)compared with 2.2(1.6,3.2)mmol/L,1.6(1.1,2.0)compared with 2.2(1.4,3.2)mmol/L,1.5(1.0,2.1)compared with 2.4(1.3,3.1)mmol/L](all P<0.05),and after the intervention,the total cholesterol(TC)of the four groups was also improved compared with that before the intervention[(4.7±0.9)compared with(5.1±1.2)mmol/L,(4.2±1.1)compared with(5.2±1.2)mmol/L,(4.3±1.1)compared with(5.4±1.3)mmol/L,(4.2±1.1)compared with(5.0±1.4)mmol/L](all P<0.05),and TG and TC of the medical care management,peer management,and medical care and peer co-management groups were lower than those of the general group(all P<0.05).Conclusion Based on the WeChat platform,the management mode of medical care and peer co-management is conducive to T2DM patients′better self-management and blood glucose control.
作者
段瑞雪
刘师伟
陈晓琴
穆娇君
张晨霞
王文燕
Duan Ruixue;Liu Shiwei;Chen Xiaoqin;Mu Jiaojun;Zhang Chenxia;Wang Wenyan(Department of Endocrinology,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences Tongji Shanxi Hospital,Third Hospital of Shanxi Medical University,Taiyuan 030032,China;Department of Endocrine Metabolism Center,Taiyuan Central Hospital,Taiyuan 030009,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2022年第3期153-157,共5页
Chinese Journal of Health Management
基金
山西省重点研发计划项目(201803D31133)
山西省应用基础研究计划项目(201701D121150)
2019中国糖尿病英才研究项目(2019-N-01-28)。
关键词
糖尿病
2型
同伴影响
健康教育
Diabetes mellitus,type 2
Peer influence
Health education
