2型糖尿病出院患者基于云门诊的虚拟管理  

The virtual management based on cloud outpatient service in discharged patients with type 2 diabetes

作　　者：黄文贞 韦伟[1] 李德霞[2] 王洁 马建新[1] 李莉[1] 吕英华[1] 李俊芳[1] 葛艳红 Huang Wenzhen;Wei Wei;Li Dexia;Wang Jie;Ma Jianxin;Li Li;Lv Yinghua;Li Junfang;Ge Yanhong(Endocrinology Department,Henan Provincial People′s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院内分泌科,河南郑州450003 [2]河南省人民医院公共事业发展部,河南郑州450003

出　　处：《护理学杂志》2019年第17期1-4,共4页Journal of Nursing Science

摘　　要：目的探讨基于"云门诊"的虚拟管理模式在2型糖尿病出院患者自我管理中的应用效果,为院外延伸护理提供新方案。方法将96例2型糖尿病出院患者按随机数字表法分为观察组与对照组各48例。对照组实施门诊个体化诊疗及健康指导,电话随访每2周1次。观察组采用App线上咨询结合"云门诊"视频问诊的管理模式。出院前、出院后3、6个月测评两组糖代谢指标和自我管理行为。结果两组餐后2h血糖、自我管理行为得分比较,组间效应、时间效应、交互效应差异有统计学意义(P<0.05,P<0.01);出院后6个月糖化血红蛋白达标率显著高于对照组(P<0.05)。结论对糖尿病患者实施基于"云门诊"的虚拟管理可改善患者血糖,提高其自我管理行为。Objective To explore the application effect of a virtual management mode based on "cloud outpatient service" in the self-management of discharged patients with type 2 diabetes,and to provide new programs for transitional care. Methods Totally 96 discharged patients with type 2 diabetes were randomized into an experimental group and a control group,with 48 patients in each group.The control group accepted individualized diagnosis,treatment and health guidance in outpatient department,and they were followed-up using phone every 2 weeks.While the experimental group was managed using App online consultation and "cloud outpatient service" video inquisition.The glucose metabolism indicators and self-management behavior of the two groups before discharge,3 and 6 months after discharge were mearsured. Results When compared with the 2h postprandial blood sugar and the score of self-management behavior between the two groups,there were significant group effect,time effect and group by time effect ( P < 0.05,P <0.01),and the standard reaching rate of glycosylated hemoglobin in the experimental group was significantly higher than that of the control group ( P <0.05). Conclusion Conducting the management mode based on "cloud outpatient service" in diabetes patients can improve patients′ blood sugar,and enhance their self-management behavior.

关 键 词：2型糖尿病 出院患者 云门诊 虚拟管理 延伸护理 健康教育 自我管理能力 血糖 

分 类 号：R473.5[医药卫生—护理学] R197.1[医药卫生—临床医学]