范颖 徐玉钗

摘要 目的：研究糖尿病前期中青年人群在集体培训教育后，运用微信平台进行生活行为干预半年后效果评价。方法：选取2017年1月至2017年6月福建省级机关医院体检中心体检的人群80例作为研究对象，按照随机数字表法随机分为观察组和对照组，每组40例。2组共同开展糖尿病前期集中授课教育，观察组结业后利用建立以同伴支持和微信群技术为基础的干预网络，分析比较6个月后2组的血糖控制效果及睡眠状况。结果：无论是睡眠状况评分、空腹血糖值还是餐后2 h血糖值及糖化血红蛋白，观察组比对照组呈现递减趋势（p<0.05），这表明糖尿病前期的个体干预行为收到实效;通过微信平台干预对比单一参加传统形式的健康教育，6个月后观察组比对照组表现出显著的血糖控制效果。结论：结合多重同伴支持及微信群持续干预方法，达到节省人力、物力，糖尿病前期人群接受程度较好。降低糖尿病患者血糖控制成本的有效手段，值得推荐。

关键词 糖尿病前期;个体行为干预;微信平台;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

中图分类号：R338.63  文献标识码：A  doi：10.3969/j.issn.2095-7130.2020.09.078

2013年我国慢性病及其危险因素监测显示，18岁及以上人群糖尿病患病率为10.4%。糖尿病前期患病率为15.5%，约1.428亿人[1]。根据体检中心2015年6月至2017年6月对来检者统计数据显示，达到糖病尿前期诊断标准的人数达到全体人数的19.7%，其中30～60岁之间的人数占到81.2%。研究表明糖尿病对机体的损害从糖尿病前期就已經发生，生活方式干预被认为是预防糖尿病的基石，可以有效降低糖尿病前期40%～70%的发病风险[2-3]。但中青年人群存在家庭负担重、工作压力大等特殊性，往往会忽略对糖尿病前期的生活干预而错失预防糖尿病发生的机会。在通过对研究对象进行集中授课的基础上，运用现代通信方式开展同伴间相互支持已取得较好的效果，现报道如下。

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