线上线下联动教育在基础胰岛素治疗患者中的应用  

Application of online and in-person joint education mode to patients on basal insulin therapy

作　　者：李芹芹 刘敏[1] 潘爱红[2] 余梅[2] 何蕾[3] 王琎[3] Li Qinqin;Liu Min;Pan Aihong;Yu Mei;He Lei;Wang Jin(Department of Endocrinology,Binhu Branch of Hefei First People′s Hospital,Hefei 230000,China)

机构地区：[1]合肥市第一人民医院滨湖院区内分泌科,安徽合肥230000 [2]合肥市第一人民医院护理部 [3]合肥市第一人民医院滨湖院区护理部,安徽合肥230000

出　　处：《护理学杂志》2022年第6期81-84,91,共5页Journal of Nursing Science

摘　　要：目的 探讨线上线下联动教育模式对使用基础胰岛素治疗患者的影响。方法 将100例起始基础胰岛素治疗患者随机分为对照组和干预组各50例。对照组采用传统教育方式进行院内及出院指导,干预组采用线上线下联动教育进行干预,3个月后比较两组患者血糖、自我管理能力、胰岛素注射意愿、胰岛素注射不良事件发生率。结果 最终完成97例患者的调查研究。干预后干预组患者空腹血糖、餐后2 h血糖、糖化血红蛋白、胰岛素注射不良事件发生率显著低于对照组,自我管理能力、胰岛素注射意愿显著高于对照组(P<0.05,P<0.01)。结论 线上线下联动教育可改善患者的血糖水平,提高自我管理能力,减轻对胰岛素的抗拒,同时可降低胰岛素注射不良事件发生率。Objective To explore the effect of online and in-person joint education mode on patients on basal insulin therapy. Methods Totally, 100 patients starting basal insulin therapy were evenly randomized into 2 groups. The control group received conventional in-hospital and discharge education, while the intervention group received online and in-person joint education. Plasma glucose levels, self-management ability, insulin injection willingness and the incidence rate of injection-related adverse events were compared between the two groups after 3 months. Results Ninety-seven patients finally completed the research. After the intervention, the levels of fasting plasma glucose(FPG), 2-hour postprandial blood glucose(2 hPG) and hemoglobin A1 c(HbA1 c) and the incidence rate of insulin injection-related adverse events in the intervention group were significantly lower in the intervention group than those in the control group;self-management ability and insulin injection willingness in the intervention group were significantly higher than in the controls(P<0.05, P<0.01). Conclusion The online and in-person joint education mode can improve blood glucose control, self-management ability and insulin injection willingness among patients on basal insulin therapy, while reducing the incidence rate of insulin injection adverse events.

关 键 词：2型糖尿病 胰岛素 线上线下 健康教育 自我管理 

分 类 号：R473.5[医药卫生—护理学] R193[医药卫生—临床医学]