网络平台随访服务模式在糖尿病患者血糖管理中的应用  

Application of follow-up service network platform in blood glucose management of diabetics

作　　者：王秀丽[1] 李萍[2] 侯铭[2] 

机构地区：[1]新疆维吾尔自治区人民医院米东医院护理部,乌鲁木齐830001 [2]新疆维吾尔自治区人民医院护理部

出　　处：《中华现代护理杂志》2012年第12期1394-1397,共4页Chinese Journal of Modern Nursing

基　　金：新疆维吾尔自治区科技计划项目（201142165）

摘　　要：目的探讨通过应用网络平台随访服务模式对出院糖尿病患者实施健康管理，分析此模式对糖尿病患者血糖及其行为的影响。方法将128例糖尿病患者按随机数字表法分为两组，对照组64例接受传统随访服务模式，试验组64例接受网络平台随访服务模式，两组患者分别在干预前和干预后3个月采用糖尿病患者生存质量特异性量表，糖尿病相关知识问卷，自我管理能力调查表进行测定，同时观察生化指标空腹血糖（FPG）、餐后2h血糖（PG2h）、糖化血红蛋白（HbA1c）水平。结果干预前两组患者血糖、血脂代谢指标及特异生存质量评分差异无统计学意义（P〉0．05）。3个月后试验组患者特异生存质量的三个纬度：心理纬度（-1．34±2．128）分、社会纬度（-2．38±1．554）分、治疗纬度（2．86±1．701）分，均低于对照组（-2．11±1．765）分，（-1．46±1．078）分，（2．09±1．431）分，两组比较差异有统计学意义（t分别为-3．233，-3．663，2．621，P〈0．05）；试验组经过为期3个月网络平台随访服务模式干预后，糖化血红蛋白（6．9±1．2）％、空腹血糖值（6．8±2．O）mmol／L、餐后2h血糖值（10．0±3．1）mmol／L水平较对照组糖化血红蛋白（7．9±2．6）％、空腹血糖值（8．7±3．1）mmol／L、餐后2h血糖值（12．6±4．9）mmot／L有所下降，两组比较差异具有统计学意义（t分别为-2．56，-3．67，-3．17，P〈0．05）。试验组经干预后，其认知（6．50±5．083）分、行为（-2．05±1．932）分均值高于对照组（4．62±3．344）分，（-1．93±1．628）分，两组比较差异均有统计学意义（t分别为-2．349，0．218，P〈0．05）。结论网络平台随访服务模式对糖尿病患者血糖控制是有效的，可以提高糖尿病患者认知水平及自我管理能力。Objective To investigate-the implementation of health management of diabetics through follow-up service network platform, and analyze the effect of this model on blood glucose level and behavior of diabetics. Methods 114 cases of diabetics were divided into two groups by random number table method： the control group （ n = 56 ） , which received traditional follow-up service, and the experimental group （ n = 58 ） , which received tollow-up services through network platform. Before the intervention and 3 months after the intervention, the two groups were evaluated by diabetics-specific quality of life scale, diabetes knowledge questionnaire and self-management questionnaire. Biochemical parameters of the patients were also observed, including fasting blood glucose （FPG）, 2h postprandial blood glucose （PG2h） and glycosylated hemoglobin （HbA1 c）. Results Before the intervention there were no significant differences between the two groups in terms of the blood glucose, lipid metabolism and scores of specific quality of life （ P 〉 0.05 ）. After 3 months, the scores of the experimental group in three latitudes of specific quality of life, namely psychological latitude （ - 1.34 ±2. 128）, social latitude （ -2.38 ± 1. 554）, treatment latitude （2.86 ± 1. 701 ）, were all lower than the scores of the control group [ （ - 2.11 ± 1. 765 ）, （ - 1.46 ± 1. 078）, （2.09 ± 1. 431 ）, respectively ]. The differences were statistically significant （t = - 3. 233, - 3. 663, 2.621, respectively, P 〈 0.05 ）. The biochemical parameters of the experimental group, namely level of FPG [ （6.8 ±2.0） mmol/L], PG2h [ （10.0 ±3.1） mmot/L] and HbA1c [ （6.9 ± 1.2） % ] all decreased compared with the control group [ （8.7± 3.1 ） mmol/L, （ 12.6 ± 4.9 ） rnmol/L, （7.9 ± 2.6） % ; respectively], and the differences were statistically significant （ t = - 2.56, - 3.67, - 3.17, respectively ; P 〈 0.05 ）. Average cognitive score （ 6.50± 5. 083 ） and behavior sc

关 键 词：糖尿病 2型 血糖 网络平台随访服务模式 

分 类 号：R587.1[医药卫生—内分泌]