In this study, the five-in-one community mass prevention and mass treatment group established in Wuhan to curb novel coronavirus outbreak in 2019 to 2020 is introduced. Various public health propaganda methods are use...In this study, the five-in-one community mass prevention and mass treatment group established in Wuhan to curb novel coronavirus outbreak in 2019 to 2020 is introduced. Various public health propaganda methods are used, including community loudspeakers and community bulletin boards. In the meantime, WeChat platform account named “Wuhan neighborhood on WeChat” is registered and opened, and a Group Chat on WeChat is created for grid management. A diversity of on-line and off-line countermeasures against the novel coronavirus outbreak are implemented via the WeChat platform: three-early measures (early discovery, early reporting, and early treatment), centralized management, community-based reporting, hierarchical diagnosis, and treatment system, isolation of mild patients at designated facilities, diagnosis and treatment appointment system for patients with fever, patient transferral in special vehicles, terminal disinfection at homes, psychological support and daily caring plan for special populations. This WeChat platform allows for an all-region, all-around, all-time and entire population-coverage control of novel coronavirus outbreak, with the extension and strengthening of health propaganda, guidance for seeking medical assistance, mass prevention and mass treatment, and health self-management among the community residents. Great effect has been achieved in novel coronavirus control so far. The five-in-one community management mode of Wuhan plus “Wuhan neighborhood on WeChat” plays an important role in relieving the shortage of health service resources and resolving the problem of limited service scope of professional medical staff in Wuhan, and ultimately contributes to the overall novel coronavirus control.展开更多
目的探讨手机微信管理模式对初发老年2型糖尿病患者健康管理的效果。方法选取2014年1—2月在江西省人民医院内分泌科门诊就诊筛查出的老年初发2型糖尿病患者80例,根据随机数字表法分为试验组和对照组,每组40例。对照组采用门诊常规管理...目的探讨手机微信管理模式对初发老年2型糖尿病患者健康管理的效果。方法选取2014年1—2月在江西省人民医院内分泌科门诊就诊筛查出的老年初发2型糖尿病患者80例,根据随机数字表法分为试验组和对照组,每组40例。对照组采用门诊常规管理模式,试验组采用手机微信管理模式,均干预6个月。比较两组入组及干预后3、6个月时躯体健康监测指标和糖化血红蛋白(Hb A1c)、血压、低密度脂蛋白胆固醇(LDL-C)达标率及低血糖发生率、糖尿病控制状况。结果两组性别、年龄、文化程度、婚姻状况及高血压、高脂血症发生率间差异均无统计学意义(P>0.05)。两组空腹血糖(FPG)、Hb A1c、BMI间差异无统计学意义(P>0.05),不同时间点FPG、Hb A1c、BMI间差异有统计学意义(P<0.05),干预方法和时间在FPG、Hb A1c、BMI上存在交互作用(P<0.05);两组餐后2h血糖(2 h PG)、收缩压、舒张压、总胆固醇(TC)、三酰甘油(TG)、LDL-C间差异有统计学意义(P<0.05),不同时间点2 h PG、收缩压、舒张压、TC、TG、LDL-C间差异有统计学意义(P<0.05),干预方法和时间在2 h PG、收缩压、舒张压、TC、TG、LDL-C上存在交互作用(P<0.05)。两组干预前低血糖发生率均为0,两组干预前Hb A1c、血压、LDL-C达标率间差异无统计学意义(P>0.05);两组干预后3个月Hb A1c、血压达标率及低血糖发生率间差异无统计学意义(P>0.05),而LDL-C达标率间差异有统计学意义(P<0.05);两组干预后6个月Hb A1c、LDL-C达标率间差异有统计学意义(P<0.05),而血压达标率及低血糖发生率间差异无统计学意义(P>0.05)。两组糖尿病及并发症自觉症状得分间差异无统计学意义(P>0.05),不同时间点糖尿病及并发症自觉症状得分间差异有统计学意义(P<0.05),干预方法和时间在糖尿病及并发症自觉症状得分上存在交互作用(P<0.05);两组生活习惯、治疗情况、生存技能、治疗目标、知识结构得分间差异有统计学意义(P<0.05),不同时间点生活习惯、治疗情况、生存技能、治疗目标、知识结构得分间差异有统计学意义(P<0.05),干预方法和时间在生活习惯、治疗情况、生存技能、治疗目标、知识结构得分上存在交互作用(P<0.05)。结论手机微信管理模式对初发老年2型糖尿病患者健康管理效果较好,值得推广。展开更多
文摘In this study, the five-in-one community mass prevention and mass treatment group established in Wuhan to curb novel coronavirus outbreak in 2019 to 2020 is introduced. Various public health propaganda methods are used, including community loudspeakers and community bulletin boards. In the meantime, WeChat platform account named “Wuhan neighborhood on WeChat” is registered and opened, and a Group Chat on WeChat is created for grid management. A diversity of on-line and off-line countermeasures against the novel coronavirus outbreak are implemented via the WeChat platform: three-early measures (early discovery, early reporting, and early treatment), centralized management, community-based reporting, hierarchical diagnosis, and treatment system, isolation of mild patients at designated facilities, diagnosis and treatment appointment system for patients with fever, patient transferral in special vehicles, terminal disinfection at homes, psychological support and daily caring plan for special populations. This WeChat platform allows for an all-region, all-around, all-time and entire population-coverage control of novel coronavirus outbreak, with the extension and strengthening of health propaganda, guidance for seeking medical assistance, mass prevention and mass treatment, and health self-management among the community residents. Great effect has been achieved in novel coronavirus control so far. The five-in-one community management mode of Wuhan plus “Wuhan neighborhood on WeChat” plays an important role in relieving the shortage of health service resources and resolving the problem of limited service scope of professional medical staff in Wuhan, and ultimately contributes to the overall novel coronavirus control.
文摘目的探讨手机微信管理模式对初发老年2型糖尿病患者健康管理的效果。方法选取2014年1—2月在江西省人民医院内分泌科门诊就诊筛查出的老年初发2型糖尿病患者80例,根据随机数字表法分为试验组和对照组,每组40例。对照组采用门诊常规管理模式,试验组采用手机微信管理模式,均干预6个月。比较两组入组及干预后3、6个月时躯体健康监测指标和糖化血红蛋白(Hb A1c)、血压、低密度脂蛋白胆固醇(LDL-C)达标率及低血糖发生率、糖尿病控制状况。结果两组性别、年龄、文化程度、婚姻状况及高血压、高脂血症发生率间差异均无统计学意义(P>0.05)。两组空腹血糖(FPG)、Hb A1c、BMI间差异无统计学意义(P>0.05),不同时间点FPG、Hb A1c、BMI间差异有统计学意义(P<0.05),干预方法和时间在FPG、Hb A1c、BMI上存在交互作用(P<0.05);两组餐后2h血糖(2 h PG)、收缩压、舒张压、总胆固醇(TC)、三酰甘油(TG)、LDL-C间差异有统计学意义(P<0.05),不同时间点2 h PG、收缩压、舒张压、TC、TG、LDL-C间差异有统计学意义(P<0.05),干预方法和时间在2 h PG、收缩压、舒张压、TC、TG、LDL-C上存在交互作用(P<0.05)。两组干预前低血糖发生率均为0,两组干预前Hb A1c、血压、LDL-C达标率间差异无统计学意义(P>0.05);两组干预后3个月Hb A1c、血压达标率及低血糖发生率间差异无统计学意义(P>0.05),而LDL-C达标率间差异有统计学意义(P<0.05);两组干预后6个月Hb A1c、LDL-C达标率间差异有统计学意义(P<0.05),而血压达标率及低血糖发生率间差异无统计学意义(P>0.05)。两组糖尿病及并发症自觉症状得分间差异无统计学意义(P>0.05),不同时间点糖尿病及并发症自觉症状得分间差异有统计学意义(P<0.05),干预方法和时间在糖尿病及并发症自觉症状得分上存在交互作用(P<0.05);两组生活习惯、治疗情况、生存技能、治疗目标、知识结构得分间差异有统计学意义(P<0.05),不同时间点生活习惯、治疗情况、生存技能、治疗目标、知识结构得分间差异有统计学意义(P<0.05),干预方法和时间在生活习惯、治疗情况、生存技能、治疗目标、知识结构得分上存在交互作用(P<0.05)。结论手机微信管理模式对初发老年2型糖尿病患者健康管理效果较好,值得推广。
