Management Of Patients With Prediabetes Based On WeChat Platform And Its Effect Analysis

Objectives: In this study,Wechat platform was used to implement health management for pre diabetes patients,and the feasibility and intervention effect of Wechat platform on pre diabetes patients were evaluated and analyzed.Methods: This study is an experimental study.The study subjects were selected from the prediabetes individuals who were diagnosed in the physical examination staff of the Karamay Central Hospital Health Management Center and endocrinology clinic from May 2016 to June 2017.According to the inclusion and exclusion criteria,314 subjects were included in the study.The subjects were randomly divided into the intervention group(158 cases)and the control group(156cases)by using the random number table method.The control group received traditional health education,and the intervention group implemented 30 weeks of health management with Wechat platform on the basis of traditional health education.To evaluate and compare the diet quality,physical activity level,physical measurement index,body composition index and biochemical index of prediabetes before and after the intervention,and analyze the intervention effect of Wechat platform on prediabetes.Results:(1)Among the 314 patients with prediabetes,85.6% of the patients had a moderate and high dietary imbalance,and the proportion of patients with moderate overintake and underintake were 55.4% and 53.5%,respectively.The degree of dietary imbalance and overintake in male patients were higher than those in females(P<0.05).There were six dietary patterns(A,B,D,E,G,H)in prediabetes patients.The highest proportion of model E was 43.3%,followed by model H,which accounted for 31.8%.(2)The levels of low,moderate and high physical activity in prediabetes accounted for 42.0%,51.6% and6.4%,respectively,and the physical activity level of female patients was higher than that of males(P<0.05).(3)After intervention,the scores of cereal,high bound score(HBS),low bound score(LBS)and diet quality distance(DQD)in intervention group and control group were lower than those before intervention,while the scores of vegetables and fruits,milk and legumes,animal food and food types were higher than those beforeintervention(P<0.05).After intervention,the scores of cereal,HBS,LBS and DQD in the intervention group were lower than those in the control group,while the scores of vegetables and fruits in the intervention group were higher than those in the control group.And the reduction of scores of grain,pure energy food,HBS,LBS and DQD in the intervention group were higher than those in the control group,and the increase of scores of vegetables and fruits in the intervention group were higher than those in the control group(P<0.05).(4)after intervention,the proportion of excessive intake of moderate and high diet in the intervention group decreased from 50.0% to 14.5%,the proportion of insufficient intake of moderate and high diet decreased from 50.8% to 24.6%,and the proportion of comprehensive imbalance of moderate and high diet decreased from 86.3%to 55.8%,which were higher than those in the control group(P<0.05).(5)After intervention,the physical activity levels of the intervention group and the control group were higher than those before the intervention(P<0.05),and the increase of physical activity level of patients in the intervention group was higher than that in the control group(P<0.05).The proportion of moderate and high physical activity levels of the intervention group increased from 54.3% to 69.6%,which was higher than the control group(P<0.05).(6)After intervention,the body weight,BMI,waist circumference and hip circumference of the patients in the intervention group were lower than those before intervention,while the physical measurement indexes of the control group had no difference compared with those before the intervention(P>0.05).The decreasing values of body weight,BMI,waist and hip circumference in the intervention group were higher than those in the control group(P<0.05).(7)After intervention,the visceral fat area,body fat,body fat rate,body moisture and minerals in the intervention group were lower than those before intervention(P<0.05),while the body composition indexes in the control group were not different from those before intervention(P>0.05).The reduction of visceral fat area,body fat,body fat rate,body moisture and minerals in the intervention group were higher than those in the control group(P<0.05).(8)After intervention,the fasting blood glucose and uric acid in the intervention group were lower than those before intervention,while the fasting blood glucose,total cholesterol,triglyceride and low density lipoprotein in the control group were higher than those before intervention(P<0.05).The fasting blood glucose,total cholesterol and triglyceride in the intervention group were lower than those in the control group(P<0.05).The reduction of fasting blood glucose and triglyceride in the intervention group was higher than that in the control group,and the increase of total cholesterol and low density lipoprotein were lower than those in the control group(P<0.05).Conclusions:(1)The health management of prediabetic patients based on WeChat platform is beneficial to improve the dietary quality of patients,reduce the degree of excessive and insufficient dietary intake and comprehensive dietary imbalance,and improve the level of physical activity of patients.It can effectively reduce the patient’s body weight,body fat rate and visceral fat,and control the patient’s fasting blood glucose and blood lipid level.(2)The use of WeChat platform to manage patients with prediabetes can increase patient participation,the intervention effect is better than traditional forms of health education,and it can be further promoted and applied in the population.