| 屈小伶.健康教育微信群在高脂血症急性重症胰腺炎病人中的应用效果[J].安徽医药,2020,24(3):527-531. |
| 健康教育微信群在高脂血症急性重症胰腺炎病人中的应用效果 |
| Build and application effect of WeChat group in patients with hyperlipidemia and severe acute pancreatitis |
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| DOI：10.3969/j.issn.1009?6469.2020.03.027 |
| 中文关键词: 胰腺炎 高脂血症 淀粉酶类 甘油三酯类 乳酸脱氢酶类 C反应蛋白质 高脂血症急性重症胰腺炎 微信 生活质量 |
| 英文关键词: Pancreatitis Hyperlipidemias Amylases Triglycerides Lactate dehydrogenases C?reactive protein Hy? perlipidemia and severe acute pancreatitis WeChat Quality of life |
| 基金项目: |
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| 中文摘要: |
| 目的观察健康教育微信群在高脂血症急性重症胰腺炎( HLAP)病人的应用效果。方法采用方便抽样法，选取 2014年 12月至 2016年 12月于首都医科大学附属北京友谊医院住院治疗的 HLAP病人 108例，采用随机数字表法分为对照组和试验组，各 54例。对照组采用常规出院指导联合电话随访，试验组在对照组的基础上，基于微信平台建立微信群组，定期发送 HLAP相关知识、鼓励病人在微信群中分享经验、解答病人疑惑等。比较出院时和出院 3个月后两组血淀粉酶、三酰甘油、血乳酸脱氢酶、 C反应蛋白、血尿酸，另采用生活质量综合评定问卷( GQOLI?74)对两组进行评价。结果(1)与出院时相比，观察组出院 3个月后相关生化指标无明显变化［血淀粉酶:(95.09±2.84)比( 94.81±5.05)U/L；三酰甘油:(4.29±1.74)比( 4.38±1.08) μmol/L；血乳酸脱氢酶:(124.29±14.48)比( 127.61±12.80)U/L；C反应蛋白:(12.71±2.72)比( 12.28±2.70)mg/L；血尿酸:(101.81± 12.57)比( 103.45±14.73)μmol/L］(P＞0.05)，对照组出院 3个月后明显升高［血淀粉酶:(117.00±9.87)比( 94.26±5.98)U/L；三酰甘油:(11.97±2.60)比( 4.03±1.21)μmol/L；血乳酸脱氢酶:(155.72±14.23)比( 120.95±12.02)U/L；C反应蛋白:(18.04±2.60)比(12.75±1.94)mg/L；血尿酸:(118.78±11.72)比( 104.25±12.14)μmol/L］(P＜0.05)，且均高于观察组( P＜0.05)；(2)两组出院时 GQOLI?74各维度评分比较，均差异无统计学意义［躯体功能:(35.18±5.28)比( 34.81±4.81)分；心理功能:(42.69±3.39)比(43.81±3.82)分；社会功能:(54.01±3.32)比( 55.17±3.39)分；物质形态:(38.83±3.63)比( 38.07±3.42)分］(P＞0.05)；出院 3个月后，观察组 GQOLI?74各维度评分均高于对照组［躯体功能:(47.12±3.79)比( 41.52±3.67)分；心理功能:(49.30±3.25)比( 44.73± 3.18)分；社会功能:(61.25±3.50)比( 55.51±3.89)分；物质形态:(45.20±3.42)比( 40.59±3.6)分］(P＜0.05)。结论采用常规出院指导联合微信群组的健康教育可以更有效的保持 HLAP病人相关生化指标的稳定性，提高病人的生活质量。 |
| 英文摘要: |
| Objective To investigate the build and application effect of WeChat group in patients with hyperlipidemia and severe acute pancreatitis(HLAP).Methods A total of 108 patients with HLAP，selected from December 2014 to December 2016 in Bei? jing Friendship Hospital，Capital Medical University by convenient sampling method were randomly divided into the control group(n＝54)and the experimental group(n＝54)according to the random number table .The control group received routine discharge instruction with telephone follow?up，and the experimental group received routine discharge instruction with WeChat group，includ? ing establishing WeChat group and sending out HLAP knowledge regularly.The related biochemical indexes on discharge time anddischarge 3 months were compared between the two groups.The quality of life were evaluated and compared between two groups byLife quality evaluation questionnaire.Results(1)Compared with discharge time，the differences were no significant on biochemi? cal indexes discharge 3 months in the observation group［blood amylase:(95.09±2.84)vs.(94.81±5.05)U/L；TG:(4.29±1.74)vs.(4.38±1.08) μmol/L；LDH:(124.29±14.48) vs.(127.61±12.80) U/L；C?RP:(12.71±2.72)vs.(12.28±2.70)mg/L；SUA:(101.81±12.57)vs.(103.45±14.73)μmol/L］(P＞0.05).The levels of biochemical indexes were increased in the control group， which were higher than in the observation group［blood amylase:(117.00±9.87)vs.(94.26±5.98)U/L；TG:(11.97±2.60)vs.(4.03±1.21)μmol/L；LDH:(155.72±14.23)vs.(120.95±12.02)U/L；C?RP:(18.04±2.60)vs.(12.75±1.94)mg/L；SUA:(118.78±11.72) vs.(104.25±12.14)μmol/L］( P＜0.05)；(2)there were no statistically significant differences on the score of GQOLI?74 between the two groups on discharge time［body function:(35.18±5.28)vs.(34.81±4.81)score；mental function:(42.69±3.39)vs.(43.81±3.82)score；social function:(54.01±3.32)vs.(55.17±3.39)score；physical form:(38.83±3.63)vs.(38.07±3.42)score］( P＞ 0.05)，and the score of GQOLI?74 were higher on discharge 3 months in the observation group than those in the control group［bodyfunction:(47.12±3.79)vs.(41.52±3.67)score；mental function:(49.30±3.25)vs.(44.73±3.18)score；social function:(61.25±3.50) vs.(55.51±3.89)score；physical form:(45.20±3.42)vs.(40.59±3.6)score］( P＜0.05).Conclusion The healthy education basedon routine discharge instruction with WeChat group could be more effective to maintain the stability of the related biochemical in?dexes in patients with HLAP，and improve quality of life. |
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