微信的应用对糖尿病慢性创面患者自我管理能力的影响  

Effect of WeChat platform on self-management ability of diabetic patients with chronic wound

作　　者：刘丽丽[1] 胡婧[1] 刘卓 LIU Lili;HU Jing;LIU Zhuo(Department of Micropic Orthopaedics, Zhongnan Hospital, Wuhan University, Wuhan 430071 , China)

机构地区：[1]武汉大学中南医院显微骨科

出　　处：《现代医学》2019年第7期796-800,共5页Modern Medical Journal

基　　金：湖北省卫生计生委项目(WJ2017H0019)

摘　　要：目的:评价微信对改善糖尿病慢性创面患者自我管理能力的影响。方法:采用便利抽样法选择武汉大学中南医院显微骨科收治的糖尿病慢性创面患者92例为研究对象,随机分为观察组和对照组,各46例。对照组给予常规护理,观察组在常规护理的基础上,出院后通过微信给予为期6个月的延续护理干预。分别于出院前,出院后3、6个月评估患者的自我管理能力,比较两组血糖和糖化血红蛋白等指标以及出院后3、6个月患者的创面愈合率。结果:出院前两组患者的自我管理能力评分、血糖和糖化血红蛋白值水平差异均无统计学意义(均P> 0. 05)。观察组患者出院后3、6个月自我管理能力评分均高于对照组,差异均有统计学意义(均P <0. 05);出院后3个月和6个月观察组患者空腹血糖、餐后2 h血糖及糖化血红蛋白水平低于对照组,差异均有统计学意义(均P <0. 05);观察组患者出院后3、6个月糖尿病创面愈合率均高于对照组,差异均有统计学意义(均P <0. 05)。结论:微信的应用能够提高患者的自我管理能力,有助于患者血糖水平的控制和糖尿病慢性创面的愈合。Objective: To evaluate the effect of WeChat on the self-management ability of patients with chronic wounds. Methods: A total of 92 patients with chronic diabetic wounds admitted to Microscopic Orthopedic Department of Zhongnan Hospital Afliliated to Wuhan University were selected by convenient sampling method.They were randomly divided into observation group and control group,with 46 cases in each group. The control group received routine care and the observation group was given a 6 months extended care intervention through WeChat on the basis of routine care. The self-management ability of the two groups was evaluated before discharge,3 months and 6 months after discharge,respectively. The blood glucose,glycosylated hemoglobin levels and the wound healing rate were compared between the two groups 3 and 6 months after discharge. Results: There were no significant differences in self-management ability scores,blood glucose and glycosylated hemoglobin values between the two groups before discharge( P > 0. 05). The self-management ability scores of the observation group were higher than those of the control group at 3 and 6 months after discharge. The difference was statistically significant( P < 0. 05). The fasting blood glucose,postprandial 2 h blood glucose and glycosylated hemoglobin levels of the observation group were lower than those of the control group at 3 months and 6 months after discharge( P < 0. 05).The wound healing rate of the patients in the observation group was higher than that of the control group at 3 and 6 months after discharge( P < 0. 05). Conclusion: Application of We Chat can improve the patient’s self-care ability and help the patient’s blood sugar level control and the healing of chronic diabetic wounds.

关 键 词：糖尿病慢性创面 微信 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]