“互联网+”糖尿病健康管理站在2型糖尿病患者管理中的应用  

Application of Internet-based Health Station in the Management of Patients with Type 2 Diabetes

作　　者：王莉 付阿丹[1] 易兰 杨静[1] 张娟[1] 熊莺 税桂英 付莎莉 WANG Li;FU Adan;YI Lan;YANG Jing;ZHANG Juan;XIONG Ying;SHUI Guiying;FU Shali(Department of Endocrinology,the Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science andTechnology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉市中心医院内分泌科,湖北省武汉市430014

出　　处：《中国全科医学》2019年第15期1836-1841,共6页Chinese General Practice

基　　金：湖北省自然科学基金资助项目(2017CFC849);武汉市卫健委医疗卫生科研项目(S201811210140)

摘　　要：背景糖尿病是一种以高血糖为特征的慢性疾病,其导致的相关并发症严重影响患者的生活质量。本研究就糖尿病健康管理的最优模式进行探讨,为科学有效地控制疾病发生、发展,提高糖尿病患者生活质量起到重要指导意义。目的探讨基于"互联网+"糖尿病健康管理站对2型糖尿病患者的干预效果。方法 2017年5月—2018年5月选择于华中科技大学同济医学院附属武汉市中心医院糖尿病诊疗中心住院的240例2型糖尿病患者为研究对象,采用随机数字表法分为研究组和对照组,每组各120例。研究组采用"互联网+"糖尿病健康管理站闭环式管理,对照组进行常规糖尿病管理。干预12个月后,分别检测两组空腹血糖、餐后2 h血糖、糖化血红蛋白、三酰甘油、总胆固醇、BMI,评估患者自我管理能力,并进行比较。结果两组患者干预前空腹血糖、餐后2 h血糖、糖化血红蛋白、三酰甘油、总胆固醇、BMI比较,差异无统计学意义(P>0.05)。干预后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白、三酰甘油、总胆固醇、BMI均低于对照组(P<0.05)。干预后研究组遵医用药合格率、血糖达标合格率、饮食控制合格率均高于对照组(P<0.05)。结论 "互联网+"糖尿病健康管理站闭环式管理模式能改善2型糖尿病患者血糖、糖化血红蛋白、血脂、BMI,提高患者自我管理能力。Background Diabetes is a kind of chronic disease characterized by high blood sugar.Its associated complications severely impairs the life quality of the patients.To provide an important reference for scientific and effective control of the occurrence and development of diabetes,and for improving the quality of life of diabetic patients,we explored an optimal mode of diabetes management.Objective To explore the effect of health station on the management of type 2 diabetes patients.Methods Two hundred and forty inpatients with type 2 diabetes from Diabetes Diagnosis and Treatment Center of the Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,were selected from May 2017 to May 2018.They were evenly divided into research group and control group by the random number table,receiving closed-loop diabetes management delivered by Internet-based health station,routine diabetes management,respectively.The intervention effect was evaluated by levels of fasting blood glucose(FBG),2-hour postprandial blood glucose(2 h PG),glycosylated hemoglobin(HbA1c),serum triacylglycerol(TG),total cholesterol(TC),body mass index(BMI),and selfmanagement ability at the end of a 12-month intervention.Results At baseline,FBG,2 h PG,HbA1c,TG,TC and BMI in the research group were not significantly different from those of the control group(P>0.05).After the intervention,the levels of all the 6 indices in the research group were significantly lower than those of the control group(P<0.05).Furthermore,the adherence to medication,meeting glycemic control targets,and rates of eating a controlled diet of the research group were all better than those of the control group(P<0.05).Conclusion Closed-loop diabetes management delivered by Internet-based health station can improve the FBG,HbA1c,blood lipid and BMI,as well as self-management ability in type 2 diabetic patients.

关 键 词：糖尿病 2型 疾病管理 计算机通信网络 健康管理站 闭环式管理 

分 类 号：R587.1[医药卫生—内分泌]