智能化系统在2型糖尿病患者院外管理中的应用  

Intelligent system in out-of-hospital management of patients with type 2 diabetes mellitus

作　　者：杨昕[1] 姚姝妍[1] 杨宏杰[2] Yang Xin;Yao Shuyan;Yang Hongjie(Department of Endocrinology, Putuo District People's Hospital of Shanghai, Shanghai 200060, China;Department of Endocrinology, Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China)

机构地区：[1]上海市普陀区人民医院内分泌科,上海200060 [2]上海中医药大学附属岳阳医院内分泌科,上海200437

出　　处：《临床荟萃》2021年第10期927-932,共6页Clinical Focus

基　　金：上海市中西医结合学会重点项目智能穿戴设备及智能医疗APP软件在内分泌科院内外管理中的应用(2018rm002);上海市卫计委面上项目促甲状腺激素通过微小RNA参与肝脏胆固醇代谢调控的作用机制探讨(201840238)。

摘　　要：目的观察智能穿戴设备及智能医疗手机App软件系统在2型糖尿病(type 2 diabetes mellitus,T2DM)患者院外管理中应用的有效性、安全性及实用性。方法选取2018年1月-2019年1月于上海市普陀区人民医院内分泌科住院的T2DM患者300例,将其随机分为常规组、对照组和观察组,每组100例。常规组仅给予常规出院健康指导;对照组在常规组基础上,给予智能穿戴设备,患者自行管理生活和监测指标;观察组在对照组基础上,安装智能医疗手机App软件系统,医护人员和患者一起管理患者生活和监测指标。3个月后,比较3组血糖、血脂、体质量指数(BMI)、生活质量(SF-36表)、自我管理能力(SDSCA量表)、护士工作满意度量表评分的差异。结果观察组和对照组的血糖、血脂、BMI改善均明显优于常规组(P<0.05),且观察组指标改善优于对照组(P<0.05);观察组和对照组的SF-36表评分、SDSCA量表评分、护士工作满意度量表评分均明显高于常规组(P<0.05),且观察组评分高于对照组(P<0.05)。结论智能穿戴设备及智能医疗手机App软件系统可以提高T2DM患者院外的生活质量及自我管理能力,提高护士工作满意度,改善患者院外期间血糖、血脂、BMI。Objective To observe the effectiveness,safety and practicability of smart wearable devices and smart medical mobile phone App software system in out-of-hospital management of patients with type 2 diabetes mellitus(T2DM).Methods Totally 300 patients with type 2 diabetes who were hospitalized in the Department of Endocrinology,People's Hospital of Putuo District,Shanghai from January 2018 to January 2019 were randomly divided into regular group,control group and observation group,100 cases in each group.The routine group was only given regular discharge health guidance.On the basis of the routine group,the control group was given smart wearable devices and patients managed their lives and monitor indicators by themselves.On the basis of the control group,the observation group installed the smart medical mobile phone App software system,and the medical staff and the patients managed the patients'life and monitored indicators together.The observation continued 3 months to compare blood glucose,blood lipids,body mass index(BMI),36-Item Short-Form Health Survey(SF-36),Summary of Diabetes Self-Care Activities(SDSCA),and nurses'job satisfaction.Results Compared with regular group,improvement of blood glucose,blood lipids,BMI in observation group and control group were better than that in routine group(P<0.05),and improvement in observation group was significantly better than that in control group(P<0.05).Scores of SF-36,SDSCA and nurses'job satisfaction increased notably in observation group and control group when compared with regular group(P<0.05),and the scores were significantly higher in observation group than in control group(P<0.05).Conclusion For T2DM patients,smart wearable devices and smart medical mobile phone App software system improved quality-of-life,self-management ability,blood glucose,blood lipids and BMI,and raised nurses'job satisfaction.

关 键 词：糖尿病 2型 人工智能 血糖 胆固醇 生活质量 

分 类 号：R587.1[医药卫生—内分泌]