Influence of Wechat follow-up on the treatment compliance and quality of life of young adult patients with type 2 diabetes mellitus

Abstract

Objective To investigate the influence of Wechat follow-up on the treatment compliance and quality of life for young adult patients with type 2 diabetes mellitus. Methods A total of 120 cases, who were able to use Wechat independently, were selected as the research objects from patients with type 2 diabetes mellitus during February 2015 to December 2015. They were randomly divided into control group (60 cases) and intervention group (60 cases) . Patients in control group received routine nursing and health education, while patients in intervention group received knowledge about type 2 diabetes mellitus and nursing care through Wechat. Data of the patients in these two groups were obtained after 6 months. And the parameters including treatment compliance, blood glucose control, the incidence of complications, sleeping quality (PSQI) , depression (SDS) , and anxiety (SAS) of these patients were analyzed. Results After intervention, the score of treatment compliance in intervention group (12.7±1.5) was higher than (8.7±1.7) of control group (t=-3.056, P 0.05) . Before intervention, there were no statistical significance between two groups in the levels of fasting blood glucose, postprandial 2 h plasma glucose and glycosylated hemoglobin, as well as PSQI, SDS and SAS (P>0.05) . However, the levels of fasting blood glucose, postprandial 2h plasma glucose and glycosylated hemoglobin, as well as PSQI, SDS and SAS were significantly decreased compared with the control group with statistical significance (P<0.05) . Conclusions Follow-up by Wechat can effectively improve the treatment compliance of young adult patients with type 2 diabetes mellitus, and improve the quality of life and patients' satisfaction. Key words: Diabetes mellitus, type 2; Quality of life; Wechat; Young adult; Treatment compliance