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中国初级卫生保健:2020,34(12):62-65
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实时动态血糖监测联合微信健康教育对门诊糖尿病患者治疗效果评价*
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中文摘要: 摘要 目的 探讨实时动态血糖监测联合微信咨询健康教育模式对门诊糖尿病患者的治疗效果。方法 选取2018年1—3月来门诊就诊的HbA1C>7%的 2型糖尿病患者60例,采用随机数字法分为对照组和实验组,对照组采用常规健康教育模式进行治疗、宣教和随访,实验组采用实时动态血糖监测联合微信咨询作为新的健康教育手段进行治疗、宣教和随访。 比较两组患者入组前和干预后3个月血糖、血脂水平水,并进行糖尿病自我管理行为量表(Diabetes Self-Care Scale,DSCS)问卷调查。结果 两组患者干预前FPG、HbA1C、LDL-C和TG差异无统计学意义(P>0.05),干预后3个月实验组FPG、HbA1C、LDL-C和TG 均低于对照组,两组比较FPG、HbA1C差异有统计学意义(P<0.05)。自我管理行为各维度比较,实验组饮食控制、规律锻炼、高低血糖处理以及自我管理行为总分差异高于对照组(P<0.05)。结论 实时动态血糖监测联合微信咨询作为新的健康教育手段, 可有效提高门诊糖尿病患者治疗效果,改善血糖情况。
Abstract:Abstract Objective To explore the therapeutic effect of real-time dynamic blood glucose monitoring combined with WeChat counseling and health education on outpatients with diabetes.Methods Selected from January 2018 to march to the clinic on HbA1C > 7% of 60 patients with type 2 diabetes, by using random Numbers are divided into control group and experimental group, control group treated with routine health education mode, education, follow-up, the experimental group united by real-time dynamic blood sugar monitoring WeChat consulting as a new means of health education, propaganda and education, follow-up treatment. Blood glucose and lipid levels were compared between the two groups before enrollment and 3 months after intervention, and Diabetes Self-Care Scale (DSCS) questionnaire was conducted.Results FPG, HbA1C, ldl-c and TG in the two groups were not significantly different before intervention (P>0.05). Three months after intervention, FPG, HbA1C, ldl-c and TG in the experimental group were all lower than those in the control group, and FPG and HbA1C were significantly different between the two groups (P<0.05). The differences of diet control, regular exercise, high and low blood glucose treatment and total scores of self-management behaviors in the experimental group were higher than those in the control group (P<0.05).Conclusion Real-time dynamic blood glucose monitoring combined with WeChat consultation, as a new means of health education, can effectively improve the treatment effect of outpatients with diabetes and improve blood glucose.
文章编号:3202012019     中图分类号:R587.1    文献标志码:
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