基于微信平台的多学科协作诊疗模式应用于肥胖患者体重管理的效果  

Effect of multi-disciplinary treatment model based on WeChat platform on weight management of obesity patients

作　　者：王欣宇 吴宇婷 孙晓芳 WANG Xinyu;WU Yuting;SUN Xiaofang(School of Nursing and Public Health,Yangzhou University,Yangzhou,Jiangsu 225001,China;Department of Endocrinology,Northern Jiangsu People's Hospital Affiliated to Yangzhou University,Yangzhou,Jiangsu 225009,China)

机构地区：[1]扬州大学护理公共卫生学院,江苏扬州225001 [2]扬州大学附属苏北人民医院内分泌科,江苏扬州225009

出　　处：《医药前沿》2025年第10期106-109,113,共5页Journal of Frontiers of Medicine

基　　金：扬州市科技计划项目(YZ2015047)。

摘　　要：目的分析基于微信平台的多学科协作诊疗(MDT)模式应用于肥胖患者体重管理的效果。方法选取2020年10月—2021年6月扬州大学附属苏北人民医院收治的153例肥胖患者,采用随机数字表法分为试验组(n=78)和对照组(n=75)。对照组采用常规干预,试验组在对照组基础上采用基于微信平台的MDT模式干预。比较两组人体测量学、代谢及减重指标。结果试验组干预前后体重指数差值、腰臀比差值、内脏脂肪面积差值、体脂肪量差值、身体水分差值、肌肉量差值、空腹胰岛素(FINS)差值及干预后过剩体重减轻百分率、总体重下降百分率均优于对照组,差异有统计学意义(P<0.05)。干预后,试验组减重成功率高于对照组,空腹血糖和FINS异常率低于对照组,差异有统计学意义(P<0.05)。结论基于微信平台的MDT模式能够提升肥胖患者减重成功率,改善患者减重和代谢等指标,为肥胖患者提供便捷和有效的体重管理方法。Objective To analyze the effect of multi-disciplinary treatment(MDT)model based on WeChat platform on weight management of obesity patients.Methods A total of 153 obesity patients admitted to Northern Jiangsu People's Hospital Affiliated to Yangzhou University from October 2020 to June 2021 were selected and divided into experimental group(n=78)and control group(n=75)by random number table method.The control group was given routine intervention,and the experimental group was given MDT model intervention based on WeChat platform on the basis of the control group.The anthropometric,metabolic and weight loss indicators were compared between the two groups.Results The body mass index difference,waist to hip ratio difference,visceral fat area difference,body fat mass difference,body water difference,muscle mass difference,fasting insulin(FINS)difference before and after intervention,the percentage of excess weight loss and the percentage of tota weight loss after intervention in the experimental group were better than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the success rate of weight loss in the experimental group was higher than that in the control group,and the abnormal rates of fasting blood glucose and FINS were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusions The MDT model based on WeChat platform can improve the success rate of weight loss in obesity patients,improve the indicators of weight loss and metabolism,and provide a convenient and effective weight management method for obesity patients.

关 键 词：肥胖 微信平台 多学科协作诊疗 体重指数 腰臀比 空腹血糖 空腹胰岛素 

分 类 号：R473[医药卫生—护理学]