抗疫常态化背景下基于智慧医疗的社区2型糖尿病管理模式的研究  

tudy on community type 2 diabetes mellitus management model based on intelligent medical care under the background of normalization of anti-epidemic

作　　者：施俊晶 陈史蓉 丁春梅 江华[3] SHI Junjing;CHEN Shirong;DING Chunmei;JIANG Hua(Department of General Practice,Tongji University School of Medicine,Shanghai 200092,China;不详)

机构地区：[1]同济大学医学院全科医学系,上海200092 [2]上海市浦东新区迎博社区卫生服务中心全科医学科,上海200125 [3]同济大学附属东方医院全科医学科,上海200120

出　　处：《中华全科医学》2024年第9期1550-1554,共5页Chinese Journal of General Practice

基　　金：上海市卫生健康委员会科研项目(202140248)。

摘　　要：目的 探讨抗疫常态化背景下基于智慧医疗的社区2型糖尿病管理模式的优势。方法 以2020年在上海市浦东新区迎博社区卫生服务中心全科门诊就诊的2型糖尿病137例患者为研究对象,采用随机数字表法将患者分为对照组72例,研究组65例。对照组采用单纯1+1+1签约管理模式,研究组在对照组的基础上加入智慧医疗管理。观察2组在干预6个月后的血糖控制指标、代谢指标,糖尿病相关知识问卷(DRKQ)、糖尿病患者生存质量改善情况(DSQL)量表、自我行为管理变化情况(SDSCA)量表及用药依从性(MMAS-8)量表。结果 经过6个月的干预后,研究组较对照组的血糖指标(空腹血糖降低约0.7 mmol/L,餐后2小时血糖降低约1.3 mmol/L)、血脂指标(TC降低约0.3 mmol/L、LDL-C降低约0.3 mmol/L)和血压指标(SBP降低约4 mmHg)均显著改善(P<0.05)。DRKQ量表显示2组受试者对糖尿病相关知识的知晓情况均有提高(P<0.001);DSQL量表显示研究组患者在干预后的生理、心理、社会适应、治疗以及生存质量方面的总得分均显著低于对照组(P<0.001);SDSCA量表显示干预后研究组自我饮食管理、运动、血糖监测、自我足部护理、按时用药方面均显著优于对照组(P<0.05);MMAS-8量表显示研究组在智慧医疗的指导下,用药依从性评分得到显著改善(P<0.001)。结论 基于智慧医疗的管理模式可以更好地改善糖尿病患者的临床指标,并提升患者的自我管理能力、糖尿病知识知晓情况、生存质量和用药依从性。ObjectiveTo explore the advantages of a community type 2 diabetes mellitus management model based on smart medical treatment under the background of anti-epidemic normalization.MethodsPatients with type 2 diabetes treated in Yingbo Community Health Service Center,Pudong New Area,Shanghai during 2020 were selected as the study objects and divided into intervention group and control group by random number table.A total of 137 diabetic patients(72 in the control group and 65 in the study group)were included.The control group adopted the simple 1+1+1 contract management mode,and the research group added smart medical management on the basis of the control group.Blood glucose control indexes,metabolic indexes,diabetes related knowledge questionnaire(DRKQ),improvement of diabetic specific quality of life(DSQL)scale,changes in summary of diabetes self care activities(SDSCA)scale,and Morisky medication adherence scale 8(MMAS-8)scale were observed in the two groups after 6 months of intervention.ResultsAfter six months of intervention,compared with the control group,the blood glucose index(fasting blood glucose decreased by about 0.7 mmol/L,and blood glucose decreased by about 1.3 mmol/L two hours after meals),blood lipid index(TC decreased by about 0.3 mmol/L,LDL-C decreased by about 0.3 mmol/L),and blood pressure index(SBP value decreased by about 4 mmHg)in the study group were significantly improved(P<0.05).The DRKQ scale showed that the knowledge about diabetes was improved in both groups(P<0.001).The DSQL scale showed that the total scores of physiological,psychological,social adjustment,treatment,and quality of life in the study group were significantly lower than those in the control group(P<0.001).SDSCA scale showed that after the intervention,self-diet management,exercise,blood glucose monitoring,self-foot care,and medication on time in the study group were significantly better than those in the control group(P<0.05).The MMAS-8 scale showed that the medication compliance score of the study group was significantly

关 键 词：智慧医疗 抗疫常态化 2型糖尿病 社区 

分 类 号：R587.1[医药卫生—内分泌] R197.61[医药卫生—内科学]