联合微信群的个体化健康教育对2型糖尿病患者认知功能的影响

发布时间：2017-12-27 15:28

本文关键词：联合微信群的个体化健康教育对2型糖尿病患者认知功能的影响　出处：《中国现代医学杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的探讨联合微信群的个体化健康教育对2型糖尿病(T2DM)患者认知功能的影响。方法 53例T2DM患者,男性30例,女性23例,应用重复成套神经心理状态测验(RBANS)量表评价患者认知功能,对患者进行院内宣教、院外随访及电话随访等个体化健康教育,联合微信群进行教育,干预6个月后,观察T2DM患者教育前后空腹血糖、糖化血红蛋白及认知功能的变化,探讨认知增值的相关因素。结果联合微信群的个体化健康教育后的空腹血糖(FPG)、糖化血红蛋白(Hb A1c)值低于教育前(P0.05);联合微信群的个体化健康教育后的延迟记忆评分(86.9±13.5 vs 80.4±14.9)高于个体化健康教育前(P0.05);经6个月联合微信群的个体化健康教育后,Hb A1c下降值与延迟记忆升高值呈正相关(r=0.353,P=0.020),与重复成套神经心理状态测验标准分升高值呈正相关(r=0.327,P=0.045)。线性回归分析后,Hb A1c下降值与延迟记忆升高值的相关关系仍存在(P0.05)。结论联合微信群的个体化健康教育能明显改善T2DM患者认知功能,尤其在延迟记忆方面。
[Abstract]:Objective to investigate the effect of individualized health education on the cognitive function of type 2 diabetes (T2DM) patients with the combined WeChat group. Methods 53 cases of T2DM patients, 30 cases of male, female 23 cases, repeated application of neuropsychological status examination (RBANS) scale to evaluate the cognitive function of patients, the patients were in hospital and out hospital follow-up education and telephone follow-up of individual health education, combined with WeChat group education intervention, 6 months after the change T2DM patients were observed before and after the education of fasting blood glucose, glycosylated hemoglobin and cognitive function, to explore the related factors of cognitive value. The WeChat group and individual health education after the fasting blood glucose (FPG), glycosylated hemoglobin (Hb A1c) value is lower than the pre Education (P0.05); WeChat group combined individual delay memory scores after the health education (86.9 + 13.5 vs 80.4 + 14.9) higher than the individual health education before (P0.05); after 6 months of WeChat group and individual health education after Hb, the decrease of A1c and delay memory increased values were positively correlated (r=0.353, P=0.020), and repeated neuropsychological state test standard DL high values were positively correlated (r=0.327, P=0.045). After the linear regression analysis, the correlation between the Hb A1c decline value and the delayed memory rising value still existed (P0.05). Conclusion the individualized health education of the combined WeChat group can obviously improve the cognitive function of T2DM patients, especially in delayed memory.
【作者单位】：河北省唐山市工人医院内分泌科;河北省唐山市工人医院神经外科;河北省唐山市工人医院烧伤科;
【基金】：河北省自然科学基金(No:2015105083)
【分类号】：R587.2
【正文快照】： 2型糖尿病(type 2 diabetes,T2DM)存在认知损伤[1],目前有研究发现T2DM患者认知能力与自我管理行为有关[2];糖尿病的自我管理是糖尿病治疗的基础,能通过健康教育实现[3],随着微信进入人们的日常生活,临床护理管理不再局限于以往较为单一的模式,而是发展为有相关网络媒介介入的

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