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电话结合微信健康教育在出院糖尿病胰岛素泵治疗患者中的应用

ISSN号：1002-9982
期刊名称：中国健康教育
时间：2016
页码：249-252
期号：03
便笺：11-2513/R
分类：R193[医药卫生—卫生事业管理;医药卫生—公共卫生与预防医学] R587.1[医药卫生—内分泌;医药卫生—临床医学;医药卫生—内科学]
作者地址：山东大学附属省立医院;山东中医药大学护理学院;
作者机构：[1]山东大学附属省立医院,山东济南250014, [2]山东中医药大学护理学院,山东济南250014
相关基金：山东省国际科技合作项目计划（鲁科合字（2010）177号）

关键词：电话, 微信, 健康教育, 胰岛素泵治疗, 糖尿病患者, Telephone, WeChat, Health education, Insulin pump therapy, Diabetic patients

中文摘要：

目的探讨电话结合微信健康教育在出院使用胰岛素泵治疗糖尿病患者中的应用效果。方法选择60例在山东省立医院住院治疗,血糖稳定后出院继续胰岛素泵治疗的糖尿病患者,分为观察组和对照组各30例。对照组常规门诊随诊,观察组在此基础上给予电话结合微信健康教育。出院6个月时,比较2组空腹血糖、糖化血红蛋白、胰岛素泵使用知识及技能掌握水平、泵不良事件发生情况。结果出院时,2组患者空腹血糖、糖化血红蛋白、胰岛素泵使用知识和技能水平差异无统计学意义（P〉0.05）。出院6个月时,观察组空腹血糖（6.23±0.71）优于对照组（6.89±1.22）（P〈0.05）,糖化血红蛋白（6.51±0.49）明显优于对照组（6.89±0.59）（P〈0.01）;观察组患者胰岛素泵使用相关知识、技能水平高于对照组（P〈0.05）;出院6个月内,观察组发生意外低血糖、注射部位皮肤感染或硬结等的人数少于对照组（P〈0.01）,发生意外高血糖人数比对照组少（P〈0.05）。结论电话结合微信健康教育可使出院继续使用胰岛素泵治疗患者保持较高的泵使用知识、技能水平及良好的血糖控制,减少泵相关不良事件的发生。

英文摘要：

Objective To explore the validity of telephone combined with WeChat health education in discharged diabetic patients with insulin pump. Methods 60 discharged diabetic patients with stable blood sugar and insulin pump therapy were enrolled,and equally divided into experimental group and control group. The patients in the control group was given traditional outpatient follow-up method while the patients in the experimental group were given telephone combined with We Chat health education. After six months of intervention,the levels of fasting blood glucose and glycosylated hemoglobin,the use knowledge and skills of insulin pumps,the condition of adverse events were compared between 2 groups. Results After discharged,there was no significant difference between 2 groups patients on fasting blood glucose,glycated hemoglobin,the use knowledge and skills of insulin pumps（ P〉0. 05）. After discharged 6 months,the level of fasting plasma glucose in observation group（ 6. 23 ± 0. 71） was better than the control group（ 6. 89 ± 1. 22）（ P〈0. 05）,the level of glycated hemoglobin in observation group（ 6. 51 ± 0. 49） was obviously better than the control group（ 6. 89 ± 0. 59）（ P〈0. 01）. Within discharged 6 month,the occurrences of unexpected hypoglycemia,injection site skin infections or induration in the observation group were less than that of the control group,the differences in statistically were obviously significant（ P〈0. 01）,the occurrences of unexpected hyperglycemia was less than the control group（ P〈0. 05）. Conclusion Telephone combined with We Chat health education can help discharged diabetic patients with pump therapy maintain higher skills of pump use and better blood glucose control,and reduce pump-related adverse events.