“互联网+社区医师”规范化管理模式在2型糖尿病患者中的应用效果  

The effect of standardized“internet plus general practitioners”for the healthcare of Type 2 diabetics

作　　者：王伟英 周玉杰[1] 闫振娴[1] 许晓晗[1] WANG Wei-ying;ZHOU Yu-jie;YAN Zhen-xian;XU Xiao-han(Cardiovascular Ward 12,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院心血管十二病区,北京市100029

出　　处：《中国心血管病研究》2022年第8期721-725,共5页Chinese Journal of Cardiovascular Research

摘　　要：目的研究使用“互联网+社区医师”规范化管理模式在2型糖尿病患者中的应用效果。方法共入选北京安贞医院2017至2018年医院员工中的2型糖尿病患者866例。将患者随机分为对照组和试验组,每组患者各433人,对照组仅接受糖尿病的常规药物治疗,试验组则在常规药物治疗基础上接受互联网+社区医师管理模式。均干预12个月,比较两组患者干预前后糖尿病管理相关指标,包括血糖、糖化血红蛋白、尿蛋白肌酐比值、体重指数(BMI)、低密度脂蛋白、肌酐,比较两组患者干预前后糖尿病管理自我效能量表(DMSES)评分。结果对照组和试验组干预后血糖分别为(8.34±1.11)mmol/L和(7.26±0.84)mmol/L。对照组和试验组干预后糖化血红蛋白分别为(8.48±1.05)%和(6.34±0.83)%。对照组和试验组干预后低密度脂蛋白分别为(3.58±0.42)mmol/L和(3.20±0.56)mmol/L。对照组和试验组干预后BMI分别为(27.13±1.88)kg/m2和(25.61±1.13)kg/m2。对照组和试验组干预后肌酐分别为(84.7±27.69)μmol/L和(63.82±26.47)μmol/L。对照组和试验组干预后尿蛋白肌酐比分别为(298.11±13.55)和(210.83±11.18)。两组患者干预后空腹血糖、糖化血红蛋白、低密度脂蛋白、BMI、肌酐、尿蛋白肌酐比值均较干预前下降,且试验组干预后低于对照组(P均<0.05)。对照组和试验组干预后DMSES评分分别为(146.57±16.19)分和(182.37±14.38)分,均高于干预前,且试验组干预后的DMSES评分高于对照组(P均<0.001)。结论“互联网+社区医师”规范化管理模式在2型糖尿病患者中可有效控制血糖、糖化血红蛋白、尿蛋白肌酐比值、BMI、肾功能水平,提高糖尿病患者自我效能。Objective To explore the application of standardized“internet plus general practitioners”on patients with type 2 diabetes.Methods The data of a total of 866 patients with type 2 diabetes selected from the staff of Beijing Anzhen Hospital from 2017 to 2018 were collected.The patients were randomly divided into the control group and experimental group.The control group only received the conventional anti-diabetes drug treatment,while the experimental group received standardized“internet plus general practitioners”on the basis of the conventional drug treatment.Then the indices of blood glucose,glycated hemoglobin,urinary protein creatinine ratio,BMI,blood urea nitrogen,and creatinine between the 2 groups before and after 12 months of intervention were compared.In addition,the Diabetes Management Self-efficacy Scale(DMSES)scores were compared.Results After the intervention,the blood glucose levels in the control group and experimental group were(8.34±1.11)mmol/L and(7.26±0.84)mmol/L,respectively;the HBA1c was(8.48±1.05)%in the control group and(6.34±0.83)%in the experimental group;the levels of LDL in the control group and experimental group were(3.58±0.42)mmol/L and(3.20±0.56)mmol/L,respectively;the BMI was(27.13±1.88)in the control group and(25.61±1.13)kg/m2 in the experimental group;the creatinine in the control group and the experimental group were(84.7±27.69)μmol/L and(63.82±26.47)μmol/L respectively;the ratio of urinary protein creatinine was(298.11±13.55)in control group and(210.83±11.18)in the experimental group.After the intervention,all the indices above in 2 groups were decreased,and those in the experimental group were lower than those in the control group(P<0.05).The DMSES scores of the two groups after the intervention were(146.57±16.19)and(182.37±14.38),respectively,which were higher than before the intervention;and the DMSES score of experimental group was higher than that of the control group(P<0.001).Conclusion The standardized“internet plus general practitioners”for the

关 键 词：2型糖尿病 “互联网+社区医师” 规范化管理 

分 类 号：R54[医药卫生—心血管疾病]