以微信小程序为基础的健康追踪护理平台对体检中T1DM患者自护能力、血糖水平的影响  

Effect of WeChat Applet based Health Care Tracking Platform on the Self-care Ability and Blood Glucose Level in T1DM Patients Under Medical Examination

作　　者：吕荣德 王秀菊[1] 杨梦月 迟晓华[1] 步乃通 崔选选 Lv Rongde;Wang Xiuju;Yang Mengyue(Binzhou Medical University Hospital,Binzhhou Shandong 256600,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600

出　　处：《齐鲁护理杂志》2023年第1期13-16,共4页Journal of Qilu Nursing

基　　金：山东省医药卫生科技发展计划项目(编号:2018WS548)。

摘　　要：目的:探讨以微信小程序为基础的健康追踪护理平台对体检中1型糖尿病(T1DM)患者自护能力、血糖水平的影响。方法:选取2020年1月1日~2022年1月31日我院体检中82例T1DM患者作为研究对象,采用随机数字表法分为对照组和研究组各41例,对照组采用常规护理,研究组采用以微信小程序为基础的健康追踪护理平台;随访3个月,比较两组护理前后血糖水平(包括空腹血糖、餐后2 h血糖、糖化血红蛋白)、遵医行为、自我护理能力[采用自我护理能力测定量表(ESCA)]、生活质量[采用生活质量综合问卷(GQOLI-74)]。结果:护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于护理前和对照组同期(P<0.05),对照组餐后2 h血糖指标低于护理前(P<0.05);研究组遵医行为中自我监测、规律锻炼、遵医嘱服药、饮食控制均高于对照组(P<0.05,P<0.01);护理后,两组ESCA中健康知识、自我护理技能、自护责任感、自我概念与总分均高于护理前(P<0.05),且研究组高于对照组(P<0.05);护理后,两组GQOLI-74评分高于护理前(P<0.05),且研究组高于对照组(P<0.05)。结论:对T1DM患者应用以微信小程序为基础的健康追踪护理平台,可控制患者血糖水平,提高遵医行为,改善自我护理能力、生活质量。Objective:To explore the effect of WeChat applet based health care tracking platform on the self-care ability and blood glucose level in T1DM patients under medical examination.Methods:During January 1,2020 to January 31,2022,82 T1DM patients under physical examination were selected as the research objects,and were divided by the random number table method into the control group and the research group with 41 cases in each group,the control group adopted conventional care,and the research group adopted WeChat applet based health care tracking platform.Followed up for 3 months,comparison was made between the two groups before and after the nursing oon the blood glucose levels(including fasting blood glucose,2 h postprandial blood glucose,and glycosylated hemoglobin),the medical compliance,self care ability by self care ability scale(ESCA),the quality of life by life quality comprehensive questionnaire(GQOLI-74).Results:After nursing,the fasting glucose,2 h postprandial blood glucose,and glycosylated hemoglobin levels were lower in the research group than before nursing and the same period in the control group(P<0.05),and the postprandial blood glucose 2 h levels were lower than those before nursing(P<0.05).The self monitoring,regular exercise,prescribed medication,and diet control in the medical compliance behaviors were higher in the research group than those in the control group(P<0.05,P<0.01).After nursing,the health knowledge,self-care skills,self-protecting sense of responsibility,self concept in ESCA and total scores were higher in both groups than before nursing(P<0.05),and those in the research group were higher than those in the control group(P<0.05).After nursing,the GQOLI-74 scores were higher in both groups than those before nursing(P<0.05),and those in the research group were higher than those in the control group(P<0.05).Conclusion:Application of WeChat applet based health care tracking platform in patients with T1DM can control their blood glucose levels,improve the medical compliance behaviors,and

关 键 词：血糖 自护能力 1型糖尿病 追踪护理 微信小程序 

分 类 号：R473.58[医药卫生—护理学]