微信平臺在糖尿病前期人群健康管理隨訪后血糖與睡眠狀況評價

范穎 徐玉釵

摘要?目的：研究糖尿病前期中青年人群在集體培訓教育后，運用微信平臺進行生活行為干預半年后效果評價。方法：選取2017年1月至2017年6月福建省級機關醫院體檢中心體檢的人群80例作為研究對象，按照隨機數字表法隨機分為觀察組和對照組，每組40例。2組共同開展糖尿病前期集中授課教育，觀察組結業后利用建立以同伴支持和微信群技術為基礎的干預網絡，分析比較6個月后2組的血糖控制效果及睡眠狀況。結果：無論是睡眠狀況評分、空腹血糖值還是餐后2 h血糖值及糖化血紅蛋白，觀察組比對照組呈現遞減趨勢（p<0.05），這表明糖尿病前期的個體干預行為收到實效;通過微信平臺干預對比單一參加傳統形式的健康教育，6個月后觀察組比對照組表現出顯著的血糖控制效果。結論：結合多重同伴支持及微信群持續干預方法，達到節省人力、物力，糖尿病前期人群接受程度較好。降低糖尿病患者血糖控制成本的有效手段，值得推薦。

關鍵詞?糖尿病前期;個體行為干預;微信平臺;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

中圖分類號：R338.63??文獻標識碼：A??doi：10.3969/j.issn.2095-7130.2020.09.078

2013年我國慢性病及其危險因素監測顯示，18歲及以上人群糖尿病患病率為10.4%。糖尿病前期患病率為15.5%，約1.428億人[1]。根據體檢中心2015年6月至2017年6月對來檢者統計數據顯示，達到糖病尿前期診斷標準的人數達到全體人數的19.7%，其中30～60歲之間的人數占到81.2%。研究表明糖尿病對機體的損害從糖尿病前期就已經發生，生活方式干預被認為是預防糖尿病的基石，可以有效降低糖尿病前期40%～70%的發病風險[2-3]。但中青年人群存在家庭負擔重、工作壓力大等特殊性，往往會忽略對糖尿病前期的生活干預而錯失預防糖尿病發生的機會。在通過對研究對象進行集中授課的基礎上，運用現代通信方式開展同伴間相互支持已取得較好的效果，現報道如下。

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