摘要目的探讨微信平台进行健康指导在2型糖尿病患者中的应用效果。方法选取2015年6月～2016年6月我院收治的200例2型糖尿病患者作为研究对象，将其随机分为电话组（对照组）和微信组（观察组），每组各100例。对照组患者予常规健康指导加电话随访，观察组患者在此基础上建立微信平台对家属进行健康指导。随访1年，比较两组患者的用药依从性、FBG、2 h PG、GHb指标水平、不良反应及用药偏差情况。结果观察组患者的用药总依从率（98.00%）高于对照组（90.00%），差异有统计学意义（P＜0.05）。 干预后，两组患者的 FBG、2 h PG、GHb值均明显低于本组干预前，且观察组患者的FBG、2 h PG、GHb值均明显低于对照组，差异均有统计学意义（P＜0.05）。两组患者的用药不良反应发生率比较，差异无统计学意义（P＞0.05）。观察组患者的用药偏差发生率（5.00%）低于对照组（17.00%），差异有统计学意义（P＜0.05）。结论微信平台对家属进行健康指导可以提高2型糖尿病患者用药依从性，对2型糖尿病患者的血糖控制具有重要意义。
Abstract：ObjectiveTo investigate the application effect of We-Chat platform for health guidance in patients with type 2 diabetes.Methods200 cases of patients with Type 2 diabetes treated in our hospital from June 2015 to June 2016 were selected as research objects and were divided into telephone group (control group)and We-chat group(observation group)rantomly,each group has 100 cases of patients.The patients in the control group were given regular health guidance and telephone follow-up,and the We-Chat platform was established of patients in the observation group to guide their families.The drug compliance,the level of FBG,2 h PG and GHb,the adverse reaction and the incidence of drug bias after one year follow-up were compared between the two groups.ResultsThe total compliance rate in the observation group(98.00%)was higher than that in the control group(90.00%),and the difference was statistically significant(P＜0.05).After intervention,two groups of patients of FBG,2 h PG and GHb were obviously lower than those before intervention,and the observation group of patients with FBG,2 h PG and GHb were significantly lower than those in the control group,the differences were statistically significant(P＜0.05).The incidence of adverse drug reactions in the two groups was not statistically significant(P＞0.05).The incidence of drug bias in the observation group(5.00%)was lower than that in the control group (17.00%),and the difference was statistically significant(P＜0.05).ConclusionWe-Chat platform can improve drug compliance in patients with type 2 diabetes by health guidance and can better control blood glucose in patients with type 2 diabetes.
黄笑娣. 微信平台进行健康指导在2型糖尿病患者中的应用效果[J]. 中国当代医药, 2018, 25(3): 114-116.
HUANG Xiao-di. Application effect of We-Chat platform for health guidance in patients with type 2 diabetes. 中国当代医药, 2018, 25(3): 114-116.
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