“互联网+”三级联动管理模式对糖尿病患者及其家庭成员自我管理能力的影响  

Effects of"Internet+"three-level linkage on self-management ability of diabetic patients and family members

作　　者：刘金萍[1] 韩琳[1] 丁红英 温玉洁[1] LIU Jinping;HAN Lin;DING Hongying;WEN Yujie(Department of Nursing,People's Hospital of Gansu province,Lanzhou,730000,China)

机构地区：[1]甘肃省人民医院护理部,兰州市730000 [2]兰州市中医院门诊部

出　　处：《中国护理管理》2022年第5期755-760,共6页Chinese Nursing Management

基　　金：国家自然科学基金项目(71363004);兰州市科技计划项目(2018-3-81)。

摘　　要：目的:探讨“互联网+”三级联动管理模式对糖尿病患者及其家庭成员自我管理能力及患者血糖指标的干预效果。方法:便利选取2017年12月至2018年12月,在兰州市某三级甲等医院糖尿病诊疗中心确诊并且血糖控制不佳的2型糖尿病患者及其家庭成员共86人(其中患者43人,家庭成员43人),应用“互联网+”三级联动管理模式进行为期18个月的干预。分别于干预前,及干预3、6、9、12、18个月后测量糖尿病患者自我管理得分、血糖相关指标及家庭成员一般自我效能得分。结果:6个时间点测量的糖尿病患者血糖监测管理、饮食管理、运动管理、处理高或低血糖、足部护理5个维度得分及总分比较,差异均具有统计学意义(P<0.05);用药管理维度得分比较,差异无统计学意义(P>0.05);糖尿病患者空腹血糖、糖化血红蛋白水平比较,差异无统计学意义(P>0.05)。6个时间点测量的糖尿病家庭成员自我效能得分比较,差异具有统计学意义(P<0.05)。结论:“互联网+”三级联动管理模式可以提升糖尿病患者及家庭成员自我管理能力,也为其他慢性病的互联网管理,提供了一定的参考价值。Objective:To explore the intervention effect of"Internet+"three-level linkage management mode on self-management ability and blood glucose index of diabetic patients and family members.Methods:From December 2017 to December 2018,43 patients and 43 first-degree relatives were conveniently selected from a diabetes diagnosis and treatment center of a tertiary grade A hospital in Gansu province.The intervention time was 18 months with"Internet+"three-level linkage management mode.Before inter vention and at 0,3,6,9,12 and 18 months after the intervention,the self-management ability scores,blood glucose-related indicators and family members'self-efficacy scores were measured.Results:There were statistically significant differences in the 5 dimensions and total scores of blood glucose monitoring management,diet management,exercise management,handling high/low blood sugar,and foot care in diabetic patients at 6 time points(P<0.05).There were statistically significant differences in the self-efficacy scores of diabetic family members measured at 6 time points(P<0.05).Conclusion:The"Internet+"three-level linkage management mode can improve the self-management ability of diabetic patients and family members,and also provides a certain reference value for the internet management of other chronic diseases.

关 键 词：“互联网+”三级联动 糖尿病患者 家庭成员 管理能力 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]