督导强化模式下微信支持管理在新诊断早发2型糖尿病患者中的应用  

Application of WeChat Support Management in Newly Diagnosed Early Onset Type 2 Diabetes Mellitus Patients under the Enhanced Supervision Mode

作　　者：袁霄 张婧秋 许茜 陈春光 YUAN Xiao;ZHANG Jingqiu;XU Qian;CHEN Chunguang(Department of Endocrinology,Suqian First Hospital,Suqian 223800,Jiangsu,China)

机构地区：[1]宿迁市第一人民医院内分泌科,江苏宿迁223800

出　　处：《糖尿病新世界》2024年第18期149-152,共4页Diabetes New World

摘　　要：目的探讨督导强化模式下微信支持管理在新诊断早发2型糖尿病(early onset type 2 diabetes mellitus,EOT2DM)患者中的应用。方法回顾性选取2020年1月—2022年6月宿迁市第一人民医院收治的98例新诊断的EOT2DM患者的临床资料,按照护理方法不同分为观察组(49例)与对照组(49例)。对照组采用常规延续性护理,观察组采用督导强化模式下的微信支持管理,比较两组血糖控制水平、应对方式及生存质量。结果干预3个月后,两组糖化血红蛋白、空腹血糖、餐后2 h血糖水平较首诊时下降,且观察组低于对照组,差异有统计学意义(P均<0.05)。干预3个月后,两组消极应对评分低于首诊时、积极应对评分高于首诊时,且观察组消极应对评分低于对照组,积极应对评分高于对照组,差异有统计学意义(P均<0.05)。干预3个月后,两组生理及社会关系评分较首诊时下降,且观察组低于对照组,差异有统计学意义(P均<0.05)。结论针对新诊断EOT2DM患者,采取督导强化模式下微信支持管理可有效帮助其控制血糖,提高疾病知识认知,促进患者积极应对,提高整体生存质量。Objective To explore the application of WeChat support management in newly diagnosed early onset type 2 diabetes mellitus(EOT2DM).Methods The clinical data of 98 patients with newly diagnosed EOT2DM admitted to Suqian First Hospital from January 2020 to June 2022 were retrospectively selected,and divided into observation group(49 cases)and control group(49 cases)according to different nursing methods.The control group was treated with routine continuous nursing,and the observation group was treated with WeChat support management under enhanced supervision mode.The blood glucose control levels,coping style and quality of life of the two groups were compared.Results After 3 months of intervention,the levels of glycated hemoglobin A1c,fasting plasma glucose and 2-hour postprandial plasma glucose in two groups were decreased compared with the first diagnosis,and the observation group were lower than the control group,the differences were statistically significant(all P<0.05).After 3 months of intervention,the negative coping score of the two groups was lower than that at the first diagnosis,and the positive coping score of the two groups was higher than that at the first diagnosis,and the negative coping score of the observation group was lower than that of the control group,and the positive coping score was higher than that of the control group,the differences were statistically significant(all P<0.05).After 3 months of intervention,the physiological and social relationship scores of two groups decreased compared with the first diagnosis,and the observation group were lower than the control group,the differences were statistically significant(all P<0.05).Conclusion For newly diagnosed EOT2DM patients,WeChat support and management under the enhanced supervision mode can effectively help them control blood glucose,improve their disease knowledge,promote patients to respond actively,and improve the overall quality of life.

关 键 词：早发2型糖尿病 督导强化模式 微信支持管理 血糖水平 生存质量 应对方式 

分 类 号：R587.1[医药卫生—内分泌]