QQ群微课宣教模式对社区2型糖尿病患者自我管理行为及血糖水平的影响  

The Effect of the QQ Group Microeducation Model on Self-management Behavior and Blood Sugar Level in Patients with Type 2 Diabetes

作　　者：罗霜[1] 

机构地区：[1]菏泽医学专科学校,山东菏泽274000

出　　处：《菏泽医学专科学校学报》2017年第2期63-65,共3页Journal of Heze Medical College

摘　　要：目的探讨QQ群微课宣教模式对社区2型糖尿病患者的自我管理能力和血糖控制水平的影响。方法社区2型糖尿病患者132例,随机分为两组。QQ群微课宣教组68例为观察组,常规健康教育组64例为对照组。对照组仅接受常规糖尿病健康教育。观察组在常规糖尿病健康教育的基础上建立QQ群,定时发放糖尿病宣教微课,3个月后评价两组患者干预后自我管理水平情况。两组干预前、后抽晨起静脉血检测血糖。应用SPSS 21.0软件,所获数据采用方差分析、t检验和2检验。结果对照组干预前后空腹血糖、糖化血红蛋白比较,P均>0.05;对照组干预前后餐后2 h血糖比较,P<0.0005。观察组干预前后空腹血糖比较,P<0.005;观察组干预前后餐后2h血糖、糖化血红蛋白比较,P均<0.0005。两组干预后空腹血糖、餐后2h血糖、糖化血红蛋白比较,P均<0.0005。两组干预前普通饮食、特殊饮食、运动、血糖监测、足部护理、药物、总分比较,P均>0.05。对照组干预前后普通饮食比较,P<0.05;特殊饮食比较,P<0.001;运动、足部护理、总分比较,P均<0.0005;血糖监测、药物比较,P均>0.05。观察组干预前后普通饮食、特殊饮食、运动、血糖监测、足部护理、药物、总分比较,P均<0.0005;血糖监测比较,P<0.05;足部护理比较,P<0.01。两组干预后普通饮食、药物比较,P均<0.01;特殊饮食运动比较,P均<0.005;血糖监测比较,P<0.05;足部护理比较,P>0.05;总分比较,P<0.0005。结论 QQ群微课宣教模式在提高2型糖尿病患者相关知识知晓率、自我管理能力与改善血糖水平等方面优于常规健康教育模式。Objective To explore the effect of the teaching mode of QQ group microclass on self-management and blood sugar control in people with type 2 diabetes. Methods 132 patients with type 2 diabetes were randomly divided into two groups. In the group, 68 cases were observed, and the normal healthy education group was in the control group. The control group received only regular diabetes health education. Observation group in conventional diabetes health edu-cation based on QQ group, diabetes propaganda and education in distributed micro lessons regularly, after 3 months evalua- tion of two groups of patients after the intervention self management level. The two groups were followed by blood tests before and after the intervention. Apply SPSS 21.0 software. The data obtained were analysis of variance, t and Z2. Resuits The control intervention was compared with fasting glucose and glycosylated hemoglobin. The control intervention was followed by a comparison of 2h blood sugar, P〈0.0005; The observation group interfered with the fasting glucose comparison before and after the intervention, and P〈0.005; After the intervention of the observed group, the postprandial 2h blood sugar and glycosylated hemoglobin were compared to P〈0.0005. After two groups of intervention, fasting blood sugar, 2h blood sugar and glycosylated hemoglobin were compared, P〈0.0005.The two groups of subjects were normal di- et, special diet, exercise, blood sugar monitoring, foot care, drug, total score, and P all 〉0.05. Compared to the normal diet of the control group, P〈0.05; Special diet comparison, P〈0.001; Sports, foot care, total score, P〈0.0005; Blood glucose monitoring, drug comparison, P all 〉0.05. The observation group interfered with normal diet, special diet, exercise, blood sugar monitoring, foot care, medicine, total score, P〈 0.0005; Blood glucose monitoring comparison, P〈0.05; Foot care compari- son, P〈0.01. After two groups of intervention, normal diet, drug comparison, P〈0.01; Compared to the special diet,

关 键 词：糖尿病 自我管理 生活质量 社区 QQ群微课 医学教育 

分 类 号：R47[医药卫生—护理学] R589.1[医药卫生—临床医学]