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微信平台在糖尿病前期人群健康管理随访后血糖与睡眠状况评价

2020-12-23范颖徐玉钗

世界睡眠医学杂志 2020年9期
关键词:睡眠微信平台

范颖 徐玉钗

摘要 目的:研究糖尿病前期中青年人群在集体培训教育后,运用微信平台进行生活行为干预半年后效果评价。方法:选取2017年1月至2017年6月福建省级机关医院体检中心体检的人群80例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组40例。2组共同开展糖尿病前期集中授课教育,观察组结业后利用建立以同伴支持和微信群技术为基础的干预网络,分析比较6个月后2组的血糖控制效果及睡眠状况。结果:无论是睡眠状况评分、空腹血糖值还是餐后2 h血糖值及糖化血红蛋白,观察组比对照组呈现递减趋势(p<0.05),这表明糖尿病前期的个体干预行为收到实效;通过微信平台干预对比单一参加传统形式的健康教育,6个月后观察组比对照组表现出显著的血糖控制效果。结论:结合多重同伴支持及微信群持续干预方法,达到节省人力、物力,糖尿病前期人群接受程度较好。降低糖尿病患者血糖控制成本的有效手段,值得推荐。

关键词 糖尿病前期;个体行为干预;微信平台;睡眠

WeChat Platform was Used to Evaluate Blood Glucose and Sleep Status in Pre-diabetes Patients after Health Management Follow-up

FAN Ying,XU Yuchai

(Fujian Provincial Government Hospital,Fuzhou 350003,China)

Abstract Objective:To study the effect evaluation of life behavior intervention after half a year of pre-diabetes middle-aged and young people using group WeChat platform after collective training and education.Methods:Eighty study subjects were selected and divided into observation group and control group by the principle of random number.Each group had 40 cases.The two groups were jointly taught in pre-diabetes education.After the observation group was completed,peer support and WeChat group technology were used.Based on a basic intervention network,the effect of glycemic control in both groups was analyzed after 6 months.Results:In terms of sleep status score,fasting blood glucose level,blood glucose level two hours after meal and hemoglobin a1c,the observation group showed a decreasing trend compared with the control group(P<0.05),indicating that the intervention behavior of individuals with pre-diabetes was effective.After 6 months,the observation group showed significant glycemic control effect compared with the control group through WeChat platform intervention ratio.Conclusion:Combining multiple peer support and WeChat group continuous intervention methods can save manpower and material resources,and the pre-diabetes population has better acceptance.Effective means to reduce the cost of blood glucose control in patients with diabetes is worth recommending.

Keywords Pre-diabetes; Individual behavioral intervention; WeChat platform; Sleep

中图分类号:R338.63  文献标识码:A  doi:10.3969/j.issn.2095-7130.2020.09.078

2013年我国慢性病及其危险因素监测显示,18岁及以上人群糖尿病患病率为10.4%。糖尿病前期患病率为15.5%,约1.428亿人[1]。根据体检中心2015年6月至2017年6月对来检者统计数据显示,达到糖病尿前期诊断标准的人数达到全体人数的19.7%,其中30~60岁之间的人数占到81.2%。研究表明糖尿病对机体的损害从糖尿病前期就已經发生,生活方式干预被认为是预防糖尿病的基石,可以有效降低糖尿病前期40%~70%的发病风险[2-3]。但中青年人群存在家庭负担重、工作压力大等特殊性,往往会忽略对糖尿病前期的生活干预而错失预防糖尿病发生的机会。在通过对研究对象进行集中授课的基础上,运用现代通信方式开展同伴间相互支持已取得较好的效果,现报道如下。

参考文献

[1]Yang W,Lu J,Weng J,et al.Prevalence of Diabetes among Men and Wonen in China[J].The New England,2010,362:1090-1101.

[2]Vatankhah N,Khamseh ME,Noudeh YJ,et al.The effectiveness of foot care education on people with type 2 diabetes in Tehran,Iran[J].Prin Care Diabetes,2009,3(2):73-77.

[3]Prediabetes and the potential to prevent diabetes.Lancet 2012,379(9833):2213.

[4]Zhong X,Wang Z,Fisher EB,et al.Peer Support for Diabetes Managenent in Primary Community Settings in Anhui Province China[J].Ann Fam Med,2015,13(suppl1):S50-S58.

[5]滕云,劉美丽,张雪梅.医院-家庭一体化延续性护理在老年糖尿病病人中的应用效果[J].护理研究,2018,32(21):3461-3462.

[6]Spiegel K,Leproult R,Van Cauter E.Impact of sleep debt on metabolic and endocrine function[J].Lancet,1999,354(9188):1435-1439.

[7]Mallon L,Broman JE,Hetta J.High incidence of diabetes in men with sleep complaints or short sleep duration:a 12-year follow-up study of a middle-aged population[J].Diabetes Care,2005,28(11):2762-2767.

[8]Trento M,Broglio F,Riganti F,et al.Sleep abnormalities in type 2 diabetes may be associated with glycemic control[J].Acta Diabetol,2008,45(4):225-229.

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