基于微信平台的糖尿病足风险健康教育对2型糖尿病患者糖尿病足的预防效果  

Effect of health education of diabetic foot risk based on WeChat platform on prevention of diabetic foot in patients with type 2 diabetes

作　　者：黄秀芹[1] 余艳 HUANG Xiuqin;YU Yan(Department of Hand and Foot Surgery,The Third People's Hospital of Huizhou,Huizhou,Guangdong,516002,China)

机构地区：[1]惠州市第三人民医院手足外科,广东惠州516002

出　　处：《中西医结合护理（中英文）》2021年第8期5-8,共4页Journal of Clinical Nursing in Practice

摘　　要：目的将基于微信平台的糖尿病足风险健康教育应用于2型糖尿病患者糖尿病足的预防中,探讨该护理干预方法对患者糖尿病足的发生率、血糖水平及知识掌握度的影响。方法以2019年1月至2020年11月惠州市第三人民医院收治的90例2型糖尿病患者为研究对象,按数字表法随机分为对照组和观察组,每组45例。对照组给予常规糖尿病足风险健康教育,观察组给予基于微信平台的糖尿病足风险健康教育。比较2组患者在干预前和干预3个月的血糖控制水平、知识掌握度及糖尿病足发生率。结果干预3个月后,2组的空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbAlc)均降低(P均<0.05),且观察组的上述指标均低于对照组(P均<0.05);干预3个月后,2组的知识、态度和行为评分均上升(P均<0.05),且观察组均较对照组更高(P均<0.05);观察组糖尿病足发生率(2.22%)低于对照组(17.78%,P<0.05)。结论基于微信平台的糖尿病足风险健康教育能够提高2型糖尿病患者的疾病知识掌握度,控制血糖水平和糖尿病足发生率。Objective To apply the health education of diabetic foot risk based on WeChat platform to the prevention of diabetic foot in patients with type 2 diabetes,and to explore the effect of nursing intervention on the incidence of diabetic foot,blood glucose level,and knowledge mastery.Methods Ninety patients with type 2 diabetes who were admitted to the Third People's Hospital of Huizhou from January 2019 to November 2020 were divided into a control group and an observation group according to the random number table method,with 45 cases in each group.The control group was given routine health education of diabetic foot risk,and the observation group was given health education of diabetic foot risk based on WeChat platform.The blood glucose level,knowledge mastery and incidence of diabetic foot before and after 3 months of intervention were compared between the two groups.Results After 3 months of intervention,the fasting plasma glucose(FPG),2 hr postprandial plasma glucose(2hPG),and glycosylated hemoglobin(HbAlc)in the two groups were decreased(all P<0.05),and the above indicators of the observation group were lower than those of the control group(all P<0.05).After 3 months of intervention,the scores of knowledge,attitude and behavior of the two groups were increased(all P<0.05),and the scores of the observation group were higher than those of the control group(all P<0.05).The incidence of diabetic foot of the observation group was 2.22%,which was lower than 17.78%of the control group(P<0.05).Conclusion Health education of diabetic foot risk based on WeChat platform can improve the disease knowledge mastery of patients with type 2 diabetes,control the blood glucose level,and reduce the incidence of diabetic foot.

关 键 词：2型糖尿病 糖尿病足 微信平台 健康教育 知识掌握度 

分 类 号：R473.5[医药卫生—护理学]