互联网平台互动慢病管理模式对2型糖尿病患者血糖的影响  

Impacts of Chronic Disease Management Model via Internet Platform Interaction on Blood Glucose of Type Two Diabetes Mellitus Patients

作　　者：范英[1] 李秀铭[1] 邹冬吟[1] 邹涛[1] 望华南 杨四萍[1] 魏华[1] FAN Ying;LI Xiuming;ZOU Dongyin;ZOU Tao;WANG Hua'nan;YANG Siping;WEI Hua(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广东省中医院,广东广州510120

出　　处：《西部中医药》2023年第1期124-127,共4页Western Journal of Traditional Chinese Medicine

基　　金：2015年度国家中医临床研究基地业务建设第二批科研专项(JDZX2015134)。

摘　　要：目的:探讨基于互联网平台互动方式的慢病管理模式对2型糖尿病(type 2 diabetes mellitus,T2DM)患者血糖的影响。方法:将248例T2DM患者临床资料进行回顾性分析,按随访方式分为互联网平台互动组119例和常规组129例。互联网平台互动组通过微信互动方式进行慢病管理,常规组通过电话随访方式进行慢病管理。比较两组患者干预前后糖化血红蛋白(glycosylated hemoglobin,HbAlc)、空腹血糖(fasting blood glucose,FBG)、餐后2 h血糖(2-hour postprandial blood glucose,2h PG)及糖尿病患者自我管理行为量表(summary of diabetes self-care activities,SDSCA)评分、健康相关生活质量状况调查问卷(the MOS 36-item short-form health survey,SF-36)评分。结果:干预后互联网平台互动组HbAlc、FPG、2h PG降低幅度大于常规组,SDSCA及SF-36评分升高幅度大于常规组,差异有统计学意义(P<0.05)。结论:互联网平台互动方式的慢病管理模式可提高T2DM患者的自我管理能力及生活质量,降低患者血糖水平。Objective:To explore the effects of chronic disease management model based on internet platform interaction on blood glucose in T2DM patients.Methods:By retrospectively analyzing clinical data of 248 T2DM patients,they were allocated to 119 cases of internet platform interaction group and 129 cases of the routine group to the methods of follow-up.Internet platform interaction group carried out chronic disease management via Wechat interaction,and the routine group by telephone follow-up method.To compare the levels of HbAlc,FBG,2h PG and SDSCA scores and SF-36 scores before and after the intervention between both groups..Results:After the intervention,the decrease of HbAlc,FPG and 2h PG of internet platform interaction group was greater than that of the routine group,the increase of SDSCA scores and SF-36 scores was larger than that of the routine group,and the difference had statistical meaning(P<0.05).Conclusion:Chronic disease management model based on internet platform interaction could raise T2DM patients’self-management ability and quality of life,as well as lower the levels of blood glucose.

关 键 词：2型糖尿病 血糖 互联网平台互动 慢病管理模式 

分 类 号：R473.5[医药卫生—护理学]