微信互动式健康教育对2型糖尿病高危足患者各项指标的影响(1)
[摘要]目的 探討微信互动式健康教育对2型糖尿病(T2DM)高危足患者各项指标的影响。方法 选取2017年1月～2018年1月我院住院的100例T2DM高危足患者作为研究对象，按照随机数字表法分为对照组和干预组，每组各50例。对照组出院前给予常规的药物治疗及糖尿病知识健康宣教，干预组在对照组的基础上实施微信互动式健康教育。比较两组干预前及出院干预6个月后的专科知识、自我效能、踝肱指数(ABI)、糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)的变化及足部损伤情况。结果 干预前，干预组糖尿病专科知识及自我效能得分与对照组比较，差异无统计学意义(P>0.05);干预6个月后，干预组的足部护理知识得分和自我效能得分均高于对照组(P<0.05);干预6个月后，干预组的血糖及血脂水平均低于对照组，ABI水平高于对照组，差异均有统计学意义(P<0.05);干预6个月后，干预组的足部皮肤不良反应总发生率低于对照组，差异有统计学意义(P<0.05)。结论 微信互动式健康教育能有效改善T2DM高危足患者的各项指标，提高生活质量。
[关键词]糖尿病足;健康教育;微信互动式
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)3(c)-0227-05
[Abstract] Objective To investigate the effect of Wechat interactive health education on the indexes of type 2 diabetes (T2DM) with high-risk foot patients. Methods A total of 100 cases of high-risk foot patients with T2DM hospitalized in our hospital from January 2017 to January 2018 were selected as objects of study. They were divided into control group and intervention group according to the random number table method， 50 cases in each group. The control group was given routine drug treatment and diabetes knowledge health education before discharge， and the intervention group was given interactive health education on the basis of Wechat on the basis of the control group. Specialist knowledge， self-efficacy， ankle brachial index (ABI)， glycated hemoglobin (HbA1c)， fasting blood glucose (FBG)， postprandial 2 hour blood glucose (2 h PBG)， total cholesterol (TC)， three acyl glycerol (TG)， low density lipoprotein cholesterol (LDL-C) and high-density fat eggs， changes in white cholesterol (HDL-C) and foot injuries were compared between the two groups of patients before and after discharge intervention. Results There were no significant differences between the two groups in diabetes knowledge， self-efficacy， ABI， blood sugar and blood lipid levels， and the skin condition of foot without Wechat intervention(P>0.05). There were significant differences between the two groups in diabetes specialist knowledge， self-efficacy， ABI， blood glucose， blood lipid level and foot skin condition with Wechat intervention(P<0.05). Self-efficacy， blood glucose， ABI， blood lipid levels and skin condition of foot in intervention group were higher than those in control group (P<0.05). Conclusion Wechat interactive health education can effectively improve the blood sugar level of patients with high risk foot of T2DM， improve the knowledge and self-efficacy of preventing diabetic foot， and reduce the occurence of complications., 百拇医药(黄玉娟 朱佩玉 穆珍珍)
[关键词]糖尿病足;健康教育;微信互动式
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)3(c)-0227-05
[Abstract] Objective To investigate the effect of Wechat interactive health education on the indexes of type 2 diabetes (T2DM) with high-risk foot patients. Methods A total of 100 cases of high-risk foot patients with T2DM hospitalized in our hospital from January 2017 to January 2018 were selected as objects of study. They were divided into control group and intervention group according to the random number table method， 50 cases in each group. The control group was given routine drug treatment and diabetes knowledge health education before discharge， and the intervention group was given interactive health education on the basis of Wechat on the basis of the control group. Specialist knowledge， self-efficacy， ankle brachial index (ABI)， glycated hemoglobin (HbA1c)， fasting blood glucose (FBG)， postprandial 2 hour blood glucose (2 h PBG)， total cholesterol (TC)， three acyl glycerol (TG)， low density lipoprotein cholesterol (LDL-C) and high-density fat eggs， changes in white cholesterol (HDL-C) and foot injuries were compared between the two groups of patients before and after discharge intervention. Results There were no significant differences between the two groups in diabetes knowledge， self-efficacy， ABI， blood sugar and blood lipid levels， and the skin condition of foot without Wechat intervention(P>0.05). There were significant differences between the two groups in diabetes specialist knowledge， self-efficacy， ABI， blood glucose， blood lipid level and foot skin condition with Wechat intervention(P<0.05). Self-efficacy， blood glucose， ABI， blood lipid levels and skin condition of foot in intervention group were higher than those in control group (P<0.05). Conclusion Wechat interactive health education can effectively improve the blood sugar level of patients with high risk foot of T2DM， improve the knowledge and self-efficacy of preventing diabetic foot， and reduce the occurence of complications., 百拇医药(黄玉娟 朱佩玉 穆珍珍)