互联网+“三一照护”模式在糖尿病居家管理中的应用  

Application of Mobile Internet&Unified-Diabetes-Care model in home management of diabetes

作　　者：吴春荣[1] 赵媛媛[2] 白丽霞 王国萍[2] WU Chunrong;ZHAO Yuanyuan;BAI Lixia;WANG Guoping(Department of Nursing,The Second Affiliated Hospital of Baotou Medical College,Baotou 014030,China;Department of Endocrine,The Second Affiliated Hospital of Baotou Medical College;Baotou Kunbei Traditional Chinese Medicine and Mongolian Medicine Community Hospital)

机构地区：[1]包头医学院第二附属医院护理部,内蒙古包头014030 [2]包头医学院第二附属医院内分泌科 [3]包头市昆北中医蒙医社区医院

出　　处：《包头医学院学报》2023年第6期78-82,共5页Journal of Baotou Medical College

摘　　要：目的:探讨互联网+“三一照护”模式在糖尿病居家管理中的应用效果。方法:选取2020年3月至2021年10月就诊的892例2型糖尿病患者,依托互联网血糖管理平台移动端,由“三一照护”团队进行全程管理,采用糖尿病相关知识认知与行为问卷调查表、自我管理能力调查量表,分别在管理前和管理6个月、12个月进行采集评定,同时比较血糖、血压达标率和空腹血糖、餐后2小时血糖、糖化血红蛋白、血脂、尿白蛋白/肌酐等代谢指标在管理前后的变化。结果:管理6个月、12个月与管理前相比,患者糖尿病相关知识的认知和行为得到提高,并随着管理时间的延长不断提高(P<0.05);饮食控制、规律运动、用药依从性、血糖检测、并发症管理及量表总得分均得到改善(P<0.05),管理12个月较管理6个月在饮食控制、规律运动、并发症管理方面得到进一步改善(P<0.05);血糖、血压达标率管理后明显提高,并随时间的推移进一步提高(P<0.05);空腹血糖、餐后2小时血糖、糖化血红蛋白、血脂、尿白蛋白/肌酐管理后均有明显下降(P<0.05),管理12个月较6个月空腹血糖、糖化血红蛋白、尿白蛋白/肌酐得到持续改善(P<0.05)。结论:通过互联网+“三一照护”模式对2型糖尿病患者居家管理,患者自我管理意识、管理行为不断增强,血糖、血脂、尿白蛋白/肌酐等代谢指标得以改善,达标率增高,新的管理模式应用大大提升了慢病管理水平。Objective:To explore the application effect of the Mobile Internet&Unified-Diabetes-Care model in the home management of diabetes.Methods:A total of 892 patients with type 2 diabetes who received medical treatment from March 2020 to October 2021 were selected for whole-process management by the Unified-Diabetes-Care team relying on the mobile terminal of the Internet blood glucose management platform.The questionnaire on cognition and behavior of diabetes-related knowledge and the self-management ability survey scale were used for collection and evaluation before and 6 and 12 months after management,respectively.At the same time,the changes of fasting blood glucose,blood glucose 2 hours after meals,glycosylated hemoglobin,blood lipid,urinary albumin/creatinine and other metabolic indexes before and after management were compared.Results:After 6 months and 12 months of management,the cognition and behavior of diabetes-related knowledge were improved compared with that before management,and increased with the extension of management time(P<0.05).Diet control,regular exercise,medication compliance,blood glucose detection,complication management and scale total score were improved(P<0.05),and the diet control,regular exercise and complication management were further improved after 12 months compared with 6 months of management(P<0.05).The up-to-standard rates of blood glucose and blood pressure were significantly increased after management,and further increased with the passage of time(P<0.05).Fasting blood glucose,2 hours postprandial blood glucose,glycosylated hemoglobin,blood lipid,urinary albumin/creatinine were significantly decreased after management(P<0.05),and fasting blood glucose,glycosylated hemoglobin,urinary albumin/creatinine were continuously improved after 12 months of management compared with 6 months of management(P<0.05).Conclusion:Home management of type 2 diabetes patients through the Mobile Internet&Unified-Diabetes-Care model has continuously enhanced the self-management awareness and managemen

关 键 词：糖尿病 移动互联网 “三一照护” 居家管理 

分 类 号：R473.2[医药卫生—护理学]