Intervention content and methods
chronic disease
METABOLIC SYNDROME, BLOOD, CHRONIC DISEASE
Patients in the control group received routine chronic disease management in village clinics/township health centers. After baseline data collection, patients who were interested in participating in the study after the last data collection were informed that they could get a copy of the “Handbook” and corresponding health consultations for free. On the basis of routine management in the control group, patients in the intervention group received MS health self-management education intervention, mainly including the following:Group teaching: a total of 8 times, once a week, for 8 consecutive weeks. The specific content and arrangement are shown in Log records: MS health self-management logbooks were distributed to guide patients to record daily so that patients could reflect on self-management, and it was also convenient for researchers to find problems and provide timely feedback.WeChat online help/telephone follow-up: WeChat online help was used to solve the problems of the intervening subjects online at any time during the course and within 4 weeks after the end of the course. At the same time, the intervention subjects received 4 weeks of telephone/face-to-face follow-up once a week at the end of the course. The telephone/face-to-face follow-up was carried out according to the follow-up record sheet. The content mainly included assessing the patient’s self-management practice at various stages, checking the completion of expected management goals, giving patients self-management support and encouragement, and helping patients solve the practice process difficulties and problems encountered.Health self-management intervention program for patients with metabolic syndrome.◇ □ Importance of monitoring of MS metabolic indicators◇ □ MS control target value of each metabolic index◇ □ Monitoring time point and significance of blood sugar, blood pressure, etc.◇ □ The difference between blood glucose monitoring and HbA1c monitoring◇ □ Blood glucose, blood pressure, waist circumference and weight monitoring frequency and precautions