The Effects of Complication Experience Combined with WeChat Platform on Self-management Behavior and Blood Glucose Level of Newly Diagnosed Young and Middle-aged Diabetic Patients
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摘要:
目的 评价并发症体验联合微信教育延续护理对初发中青年糖尿病患者血糖水平的影响。 方法 选取2018 年 1月至 2020 年12月在枣庄市市中区人民医院体检科首次确诊为2型糖尿病240例患者，将患者随机分为对照组和观察组各120例。对照组予常规健康教育，观察组实施并发症体验联合微信平台干预。比较干预前后2组患者自我管理行为和血糖控制情况。 结果 干预前两组患者空腹、餐后血糖、糖化血红蛋白评分无统计学意义（P > 0.05），干预后两组患者血糖指标均低于干预前（ P < 0.05），观察组低于对照组（ P < 0.05）；干预前2组患者自我管理行为各维度评分比较，差异无统计学意义（ P > 0.05）；干预后2组患者各维度得分均高于干预前（ P < 0.05），观察组高于对照组（ P < 0.05）。 结论 并发症体验联合微信教育可以提高中青年糖尿病患者的自我管理能力，改善其血糖水平，值得临床推广。 Abstract:Objective To evaluate the effects of complication experience combined with WeChat continuation care on blood glucose levels in newly diagnosed young and middle-aged diabetes patients. Methods A total of 240 patients who were first diagnosed with type 2 diabetes in the physical examination department of our hospital from January 2018 to December 2020 were selected, and the patients were randomly divided into the control group and the observation group with 120 cases in each group. The patients in the control group received the routine health education, while the patients in the observation group received the complication experience combining with WeChat platform intervention. The self-management behavior and blood sugar control of the two groups were compared before and after the intervention. Results Before the intervention, the fasting, postprandial blood glucose and glycosylated hemoglobin scores of patients in the two groups of were not statistically significant （P > 0.05）. After the intervention, the blood glucose indexes of patients in the two groups were lower than before the intervention （ P < 0.05）, and those of the observation group were lower than those of the control group （ P < 0.05）; Before the intervention, the scores of self-management behavior in each dimension of patients in the two groups were not statistically significant （ P > 0.05）; After the intervention, the scores of self-management behavior in each dimension of patients in the two groups were higher than those before the intervention （ P < 0.05）, and those of the observation group were lower than those of the control group. Conclusion Complication experience combined with WeChat platform could improve the self-management ability of young and middle-aged diabetic patients and improve their blood sugar level, which is worthy of clinical promotion. -
表 1 两组患者自我管理行为评分比较[（
$\bar x \pm s $ ），分]（1）Table 1. Comparison of self-management behavior scores between the two groups [（
$\bar x \pm s $ ），scores]（1）组别 n 饮食 运动 血糖检测 干预前 干预后 干预前 干预后 干预前 干预后 对照组 120 21.24 ± 2.98 22.86 ± 1.98* 14.68 ± 2.52 16.26 ± 1.98* 14.64 ± 2.47 15.43 ± 1.66* 观察组 120 21.46 ± 2.37 25.22 ± 1.95*# 14.76 ± 2.36 17.25 ± 2.48*# 14.35 ± 2.55 16.26 ± 1.52*# t 1.522 4.972 1.214 1.987 0.086 3.281 P > 0.05 < 0.05 > 0.05 < 0.05 > 0.05 < 0.001 与干预前比较，*P< 0.05；与对照组比较，#P < 0.05。 
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表 1 两组患者自我管理行为评分比较（
$\bar x \pm s $ ）（2）Table 1. Comparison of self-management behavior scores between the two groups [（
$\bar x \pm s $ ），scores]（2）组别 n 遵医嘱用药 控制烟酒 预防及处理高低血糖 干预前 干预后 干预前 干预后 干预前 干预后 对照组 120 11.67 ± 1.85 13.85 ± 2.78* 17.79 ± 2.68 19.74 ± 4.25* 13.35 ± 1.68 15.53 ± 2.26* 观察组 120 11.34 ± 1.64 14.26 ± 2.65*# 17.64 ± 2.59 21.35 ± 4.35*# 13.78 ± 1.58 16.26 ± 1.16*# t −0.246 1.554 1.267 −2.286 0.886 3.144 P > 0.05 < 0.05 > 0.05 < 0.05 < 0.05 < 0.001 与干预前比较，*P< 0.05；与对照组比较，# P< 0.05。
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表 2 两组患者干预前后血糖控制情况比较（
$\bar x \pm s $ ）Table 2. Comparison of blood glucose control between the two groups before and after intervention （
$\bar x \pm s $ ）组别 n 空腹血糖（mmol/L） 早餐后2h血糖（mmol/L） 糖化血红蛋白(%) 干预前 干预后 干预前 干预后 干预前 干预后 对照组 120 11.29 ± 1.43 7.42 ± 1.12* 16.68 ± 4.21 10.34 ± 1.71* 9.26 ± 1.92 7.48 ± 1.12* 观察组 120 11.46 ± 1.24 6.61 ± 1.32*# 16.14 ± 4.10 9.27 ± 1.26*# 9.02 ± 2.13 6.16 ± 0.99*# t −0.252 2.322 −0.475 2.075 −0.326 2.076 P > 0.05 < 0.05 > 0.05 < 0.05 > 0.05 < 0.05 与干预前比较，*P < 0.05；与对照组比较， #P < 0.05。
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