基于二维码的移动宣教对冠心病合并糖尿病患者糖脂代谢和心理状况影响的研究  

Effect of mobile education on the glycolipid metabolism and psychological status in patients with coronary heart disease and diabetes mellitus

作　　者：申梅芳[1] 郭庆平[1] 任淑琴[1] 常志红[1] 金苗苗[1] 贾敏 王润琴 刘静 常璟 SHEN Meifang;GUO Qingping;REN Shuqin;CHANG Zhihong;JIN Miaomiao;JIA Min;WANG Runqin;LIU Jing;CHANG Jing(Heji Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]长治医学院附属和济医院,山西长治046000

出　　处：《临床医药实践》2022年第9期698-702,共5页Proceeding of Clinical Medicine

基　　金：长治医学院附属和济医院院级课题(编号:1920008)。

摘　　要：目的:评价床头二维码的移动宣教应用于冠心病合并2型糖尿病患者健康教育的效果。方法:应用健康教育精准连接系统在试点科室铺设床头二维码,建立科室移动宣教中心。选择能独立使用智能手机的99例患者,根据住院时间随机分成观察组(49例)和对照组(50例)。观察组由医护人员应用床头二维码进行移动健康宣教,对照组由医护人员进行常规健康宣教及出院指导。随访3个月,比较两组患者糖脂代谢、抑郁和焦虑水平、相关知识掌握情况。结果:两组实际完成随访均为45例。经过3个月健康宣教,观察组空腹血糖(FBG)、餐后2小时血糖(2 h PG)、糖化血红蛋白(HbA1c)、总胆固醇(TC)、低密度脂蛋白(LDL-C)均优于对照组(P<0.05),但两组甘油三酯(TG)与高密度脂蛋白(HDL-C)比较差异无统计学意义;观察组抑郁自评量表(SDS)评分低于对照组(P<0.01);观察组在疾病认知、遵医用药、科学运动、自我监测方面得分均高于对照组(P<0.05);两组在控制饮食、戒烟戒酒方面比较差异无统计学意义。结论:应用床头二维码进行移动宣教,有助于冠心病合并2型糖尿病患者健康生活方式的养成,可改善其糖脂代谢,增加患者的自我管理意识。Objective:To evaluate the effect of mobile education using bedside quick response(QR)code in health education for patients with coronary heart disease and type 2 diabetes.Methods:A health education precision connection system was applied to lay bedside QR codes in pilot departments,set up mobile mission centers in departments,99 patients who could independently apply smartphones were selected as research subjects,and 49 cases were randomly divided into observation group and 50 cases in the control group according to the time of hospitalization.In the intervention group,medical staff applied bedside QR code to conduct mobile health education,and the control group conducted routine health education and discharge guidance.Follow-up for 3 months,to compare glycolipid metabolism,depression and anxiety levels,and knowledge of the two groups of patients.Results:All 45 cases were actually followed up in the observation group and 45 cases were actually followed up in the control group.After 3 months of health education,fasting blood glucose(FBG),blood glucose(2 h PG),glycated hemoglobin(HbA1c),total cholesterol(TC)and low density lipoprotein(LDL-C)were superior to the control group(P<0.05),while triglycerides(TG)and high density lipoprotein(HDL-C)were not different.The depression self-assessment scale(SDS)score of observation group were lower than the control group(P<0.01).The scores of disease cognition,compliance with medicine,scientific exercise and self-monitoring in the observation group were higher than those in the control group(P<0.05).There was no significant difference between the two groups in diet control,smoking cessation and alcohol cessation.Conclusion:The use of bedside QR code for mobile education helps patients with coronary heart disease and type 2 diabetes to develop a healthy lifestyle,improve glycolipid metabolism,and improve patients'self-management awareness.

关 键 词：床头二维码 移动宣教 冠心病 糖尿病 健康教育 

分 类 号：R47[医药卫生—护理学]