微信结合血糖监测表在中青年2型糖尿病患者院外自我管理中的应用  

Application value of WeChat combined with blood glucose mo-nitoring table for out-of-hospital self-management of young and middle-aged dia-betic patients

作　　者：陈婷 杜静[1] 赵素平 Chen Ting;Du Jing;Zhao Suping(Yellow River Conservancy Commission Yellow River Central Hospital,Zhengzhou 450003,Henan,China)

机构地区：[1]黄河水利委员会黄河中心医院,河南郑州450003

出　　处：《临床心身疾病杂志》2019年第4期104-108,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨微信结合血糖监测表在中青年2型糖尿病患者院外自我管理中的应用.方法将128例中青年2型糖尿病患者采用随机数字表法分为两组,每组64例.两组均给予糖尿病健康教育,观察组在此基础上联合微信平台及血糖监测表自我管理方法.比较干预前后两组患者空腹血糖、餐后2h血糖、糖化血红蛋白、甘油三酯、总胆固醇、低密度脂蛋白胆固醇及体质量指数.采用糖尿病自我管理及障碍问卷评定两组患者的自我管理行为,采用综合性焦虑抑郁量表评定两组患者的焦虑及抑郁状况.结果干预后两组空腹血糖、餐后2h血糖、糖化血红蛋白、甘油三酯、总胆固醇、低密度脂蛋白胆固醇及体质量指数均较干预前显著降低(P<0.05或0.01),观察组较对照组下降更显著(P<0.05或0.01).结论微信结合血糖监测表有助于中青年2型糖尿病患者控制血糖,提高自我行为管理能力,缓解焦虑及抑郁情绪,值得推广应用.Objective To investigate the application value of WeChat combined with blood glucose monitoring table for out-of-hospital self-management of young and middle-aged diabetic patients.Methods 128 young and middle-aged patients with type 2 diabetes were randomly divided into two groups,64 in each group.Both groups were given diabetes health education,and the observation group com bined with We-Chat platform and blood glucose monitoring table self-management method.FBG,PG2 h,HbA1c,TG, TC,LDL-C and BMI were compared between the two groups before and after intervention.Self-management behavior of two groups of patients assessed by diabetes self-management and disorder questionnaire. The anxiety and depression status of the two groups were assessed using the comprehensive anxiety and depression scale.Results After intervention,FBG,PG2 h,HbA1c,TG,TC,LDL-C and BM I were significantly lower than those before intervention ( P<0.05 or 0.01),and the observation group decreased more significantly than the control group (P<0.05 or 0.01).Conclusion WeChat combined with blood glucose monitoring table helps young and middle-aged patients with type 2 diabetes control blood sugar, improve self-behavioral management ability,relieve anxiety and depression,and it is worthy of popularization and application.

关 键 词：中青年 糖尿病 微信 血糖监测表 自我管理 

分 类 号：R587.1[医药卫生—内分泌]