目的 通过健康管理互动平台对2型糖尿病患者综合干预的效果评价,了解该措施对改善糖尿病的有效性.方法 采用方便抽样原则,选取山东省青州市某企业236例2型糖尿病患者,通过健康管理互动平台进行为期3个月的干预,干预前后分别进行体格及生化检查和自编问卷调查.结果 干预前后调查对象空腹血糖值由8.67±0.99 mmol/L下降至7.9l±1.15 mmol/L,差异有统计学意义(P＜0.05);干预前后膳食评分由90.0±18.7分增加至94.9±20.7分.更接近理想分值,油脂类和糖类评分均有所下降且较干预前远离理想分值,与理想分值差异有统计学意义(P＜0.05);干预后每周高强度运动时间减少了112分钟,中强度运动时间增加了127分钟,差异均有统计学意义(P＜0.05);干预后调查对象饮酒频率有所下降,46名饮酒者由经常喝酒转变为偶尔喝或不喝,差异有统计学意义(P＜0.05).结论 以健康管理互动平台为基础的综合干预对改善2型糖尿病患者的健康指标和生活方式具有一定的有效性.%Objective To investigate the effectiveness of health management interactive platform on intervening type 2 diabetes. Methods Through easy sampling, 236 type 2 diabetes patients in a company in Qingzhou City of Shandong Province were selected to receive 3 -month health management by interactive platform. Physical condition and blood biomedical data were monitored, and investigated by lifestyle questionnaires respectively before and after the intervention.Results The patients' fasting blood-glucose value decreased to 7. 91 ± 1.15 mmol/ L from 8. 67 ±0. 99 mmol/L, and there was statistical significant ( P ＜ 0. 05 ). The total diet marks increased to 94. 9 ± 20. 7 from 90. 0 ± 18.7, closer to the ideal value. The marks of saccharine, oil and fat were lower and worse than before to ideal value; the differences were statistical significant (P ＜0. 05). The weekly average time of thigh intensity exercise decreased by 112 minutes, and medium intensity exercise increased by 127 minutes. The differences were statistical significant (P＜0. 05). The drinking frequency was also lower, 46 of previous drinkers altered their drinking frequency to seldom or none. The differences were statistical significant ( P ＜ 0. 05 ). Conclusion The comprehensive intervention based on health management interactive platform was in evident effect to improve diabetes patients' health conditions and life styles.
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