Abstract: Objective　To explore the role of WeChat official account in community-based diabetes management.Methods　This study was conducted from May to November 2017 in 220 patients with type 2 diabetes，who were selected from the registered patients receiving the management of Huangpu District Ruijin 2nd Road Community Health Center（HDRSRCHC），and those individuals participated in the activity of "Concern about Physical Examination" initiated by HDRSRCHC.Using the random number table，the participants were equally divided into the control group receiving the conventional health management，and the observation group receiving the conventional health management，plus peer support from the WeChat self-health management group，and management（including regular health education of diabetes-related knowledge，blood glucose monitoring，instructions for individual health-related behaviors and medication） from health management group（consisting of physicians，nurses and dietitians） established on the platform of the WeChat official account set up and run by the HDRSRCHC.We compared the levels of glycemic and blood lipid indices，and scores of MOS 36-item short-form health survey（SF-36） between the groups before and after a 6-month intervention.Moreover，the level of satisfaction with the management was also compared between the groups at the end of intervention.Results　Before intervention，two groups showed similar average levels of glycosylated hemoglobin（HbA1c），total cholesterol（TC），triacylglycerol（TG），and low-density lipoprotein cholesterol（LDL-C），as well as similar average scores of all the domains of SF-36（physical functioning，physical role functioning，bodily pain，general health perceptions，vitality，social role functioning，emotional role functioning，mental health）（P>0.05）.However，after intervention，compared with the control group，the observation group demonstrated much lower average levels of HbA1c，TC，TG and LDL-C，and significantly higher average scores of all the domains of SF-36（P<0.05）.Furthermore，the observation group presented obviously higher average level of satisfaction with management（P<0.05）.Conclusion　WeChat official account plays an important role in enhancing the participation in self-management，promoting glycemic control，and improving the quality of life among community-dwelling patients with type 2 diabetes.In addition，it achieves high level of patient satisfaction.

Key words: Diabetes mellitus, Health management, WeChat official account, Application effect

摘要： 目的　探讨“微信公众号”在社区糖尿病管理中的应用效果。方法　于2017年5—11月，在瑞金二路街道社区卫生服务中心在册管理和参加“关爱体检”的人群中，选取2型糖尿病患者220例。采用随机数字表法，将纳入患者分为对照组和观察组，每组110例。对照组患者接受常规健康管理；观察组患者在常规健康管理的基础上，基于“微信公众号”成立患者自我健康管理小组，开展同伴支持教育，同时由医师、护士、营养师组成健康管理小组，通过“微信公众号”为患者提供定期知识宣教、血糖监测、个体化健康行为指导和用药指导。比较两组患者干预前和干预6个月后的血糖和血脂指标、健康调查简表（SF-36）得分以及对管理服务的满意度。结果　干预前两组患者糖化血红蛋白（HbA1c）、总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）比较，差异无统计学意义（P>0.05）；干预后观察组患者HbA1c、TC、TG、LDL-C均低于对照组，差异有统计学意义（P<0.05）。干预前两组患者SF-36中生理功能、生理职能、躯体疼痛、总体健康、生命活力、社会功能、情感职能、精神健康维度得分比较，差异无统计学意义（P>0.05）；干预后观察组患者各维度得分均高于对照组，差异有统计学意义（P<0.05）。观察组患者对管理服务的满意度高于对照组，差异有统计学意义（P<0.05）。结论　利用“微信公众号”对社区糖尿病患者进行健康管理，可以有效提高患者对糖尿病自我管理的参与度，帮助患者控制病情，提高患者的生活质量，患者满意度较高。

关键词: 糖尿病, 健康管理, 微信公众号, 应用效果