摘要
目的探讨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。方法选取2014年1—2月在江西省人民医院内分泌科门诊就诊筛查出的老年初发2型糖尿病患者80例,根据随机数字表法分为试验组和对照组,每组40例。对照组采用门诊常规管理模式,试验组采用手机微信管理模式,均干预6个月。比较两组入组及干预后3、6个月时躯体健康监测指标和糖化血红蛋白(Hb A1c)、血压、低密度脂蛋白胆固醇(LDL-C)达标率及低血糖发生率、糖尿病控制状况。结果两组性别、年龄、文化程度、婚姻状况及高血压、高脂血症发生率间差异均无统计学意义(P>0.05)。两组空腹血糖(FPG)、Hb A1c、BMI间差异无统计学意义(P>0.05),不同时间点FPG、Hb A1c、BMI间差异有统计学意义(P<0.05),干预方法和时间在FPG、Hb A1c、BMI上存在交互作用(P<0.05);两组餐后2h血糖(2 h PG)、收缩压、舒张压、总胆固醇(TC)、三酰甘油(TG)、LDL-C间差异有统计学意义(P<0.05),不同时间点2 h PG、收缩压、舒张压、TC、TG、LDL-C间差异有统计学意义(P<0.05),干预方法和时间在2 h PG、收缩压、舒张压、TC、TG、LDL-C上存在交互作用(P<0.05)。两组干预前低血糖发生率均为0,两组干预前Hb A1c、血压、LDL-C达标率间差异无统计学意义(P>0.05);两组干预后3个月Hb A1c、血压达标率及低血糖发生率间差异无统计学意义(P>0.05),而LDL-C达标率间差异有统计学意义(P<0.05);两组干预后6个月Hb A1c、LDL-C达标率间差异有统计学意义(P<0.05),而血压达标率及低血糖发生率间差异无统计学意义(P>0.05)。两组糖尿病及并发症自觉症状得分间差异无统计学意义(P>0.05),不同时间点糖尿病及并发症自觉症状得分间差异有统计学意义(P<0.05),干预方法和时间在糖尿病及并发症自觉症状得分上存在交互作用(P<0.05);两组生活习惯、治疗情况、生存技能、治疗目标、知识结�
Objective To discuss effect of WeChat management mode on the health management of elderly patients with newly diagnosed type 2 diabetes. Methods Eighty elderly patients with newly diagnosed type 2 diabetes after screening in Endocrinology Outpatient of Jiangxi Provincial People′s Hospital from January to February 2014 were selected and divided into experiment group and control group by random number table method （n = 40）. The patients in the control group received routine management mode and the patients in the experiment group received WeChat management mode. All were intervened for 6 months. The monitoring indicators of physical health,the control rate of glycosylated hemoglobin （HbA 1c ）,blood pressure and low density lipoprotein cholesterol （LDL - C）and incidence of hypoglycemia,and the control status of diabetes at the time of enrollment and 3 months,6 months after intervention were compared. Results There were no significant differences in gender, age,educational level,marital status,incidence of hypertension and hyperlipidemia between the two groups （P 〉 0. 05）. There was no significant difference in fasting plasma glucose （FPG）,HbA 1c and BMI between the two groups （P 〉 0. 05）,there were significant differences in FPG,HbA 1c and BMI at different time points （P 〈 0. 05）,methods and time of intervention had interactive effects on FPG,HbA 1c and BMI （P 〈 0. 05）. There were significant differences in plasma glucose postprandial 2 hours （2 hPG）,systolic blood pressure,diastolic blood pressure,total cholesterol （TC）,triglyceride （TG）and LDL - C between the two groups （P 〈 0. 05）. There was significant difference in 2 hPG,systolic blood pressure,diastolic blood pressure,TC,TG and LDL - C at different time points （P 〈 0. 05）. The methods and time of intervention had interactive effects on 2 hPG,systolic blood pressure,diastolic blood pressure,TC,TG and LDL - C （P 〈 0. 05）. The incidence of hypoglycemia in both groups was 0 before intervention
出处
《中国全科医学》
CAS
北大核心
2017年第10期1245-1250,1255,共7页
Chinese General Practice
基金
江西省卫生计生委科技计划项目(20155011)
