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微信远程医疗教育改善 1 型糖尿病患儿家长生活质量。

Telehealth Education via WeChat Improves the Quality of Life of Parents of Children with Type-1 Diabetes Mellitus.

机构信息

Department of Pediatrics, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian Province, China.

出版信息

Appl Clin Inform. 2022 Jan;13(1):263-269. doi: 10.1055/s-0042-1743239. Epub 2022 Mar 2.

Abstract

OBJECTIVE

The purpose of this study was to explore the effect of telehealth education and care guidance via WeChat (Tencent Ltd., Shenzhen, China; a popular smartphone-based social media application) on improving the quality of life of parents of children with type-1 diabetes mellitus.

METHODS

A prospective randomized controlled study was conducted in our hospital from March 2019 to September 2020 to compare the quality of life of parents of children with type-1 diabetes mellitus in the intervention group and the control group.

RESULTS

Six months after discharge, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of parents in the intervention group were significantly lower than those in the control group ( < 0.05). Compared with the SAS and SDS scores at discharge time, those scores of parents at 6 months after discharge time in intervention group were significantly lower ( < 0.05), while those scores of parents at 6 months after discharge time in control was similar ( > 0.05). Six months after discharge, the scores of the physiological field, psychological field, social relationship field, and environmental field in the intervention group were significantly higher than those of the control group according to the result of the World Health Organization Quality of Life Brief Scale (WHOQOL-BREF;  < 0.05).

CONCLUSION

Using WeChat to provide telehealth education and home care guidance to the parents of children with type-1 diabetes mellitus can effectively relieve the anxiety and depression of the parents and improve their quality of life.

摘要

目的

本研究旨在探讨通过微信(中国深圳腾讯有限公司,一种流行的基于智能手机的社交媒体应用程序)进行远程健康教育和护理指导对改善 1 型糖尿病患儿家长生活质量的影响。

方法

2019 年 3 月至 2020 年 9 月,我们医院进行了一项前瞻性随机对照研究,比较了干预组和对照组 1 型糖尿病患儿家长的生活质量。

结果

出院 6 个月后,干预组家长的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分明显低于对照组(<0.05)。与出院时的 SAS 和 SDS 评分相比,干预组家长在出院 6 个月时的评分明显降低(<0.05),而对照组家长在出院 6 个月时的评分则相似(>0.05)。出院 6 个月后,根据世界卫生组织生活质量简明量表(WHOQOL-BREF)的结果,干预组在生理领域、心理领域、社会关系领域和环境领域的评分明显高于对照组(<0.05)。

结论

使用微信为 1 型糖尿病患儿家长提供远程健康教育和家庭护理指导,可有效缓解家长的焦虑和抑郁情绪,提高其生活质量。

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