基于“互联网+”糖尿病视网膜病变患者延续护理模式的构建和应用  

Construction and Application of an Internet-based Continuity of Care Model for Patients with Diabetic Retinopathy

作　　者：林姿含 陶永健[1] 王康 李静[1] LIN Zihan;TAO Yongjian;WANG Kang;LI Jing(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2025年第2期195-200,共6页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A03210)。

摘　　要：目的基于“互联网+”构建糖尿病视网膜病变(DR)延续护理平台,探索该模式应用于DR患者的效果。方法纳入2023年11月—2024年1月在中国中医科学院眼科医院住院治疗的DR患者60例,按随机数字表法分为干预组和对照组,各30例。对照组患者予以常规护理;干预组患者在对照组的基础上应用“互联网+”延续护理平台干预,干预时间为患者入院至出院后3个月。分别在患者入院第1天(干预前)及出院3个月后(干预后)检测患者血糖控制情况[空腹血糖(FBG)及餐后2 h血糖(2 h PG)]、2型糖尿病患者自我管理行为量表(SDSCA)得分和生活质量综合评定量表(GQOLI-74)得分。结果(1)血糖:干预后2组FBG及2 h PG水平均较干预前降低(干预组:t_(FBG)=10.912、t_(2 h PG)=13.097,均P=0.000;对照组:t_(FBG)=5.918、t_(2 hPG)=8.599,均P=0.000),且干预组FBG及2 h PG水平均低于对照组(t_(FBG)=5.570、t_(2 h PG)=5.318,均P=0.000),差异均有统计学意义。(2)自我管理行为得分:干预后干预组4个维度得分及总分均较干预前提高,差异均有统计学意义(t_(合理饮食)=8.522、t_(规律运动)=9.442、t_(血糖监测)=9.012、t_(足部护理)=10.398、t_(总得分)=19.077,均P=0.000);对照组干预前后4个维度得分及总分比较,差异无统计学意义(P>0.05)。干预后,干预组4个维度得分及总分均高于对照组,差异均有统计学意义(t_(合理饮食)=9.111、t_(规律运动)=9.197、t_(血糖监测)=9.618、t_(足部护理)=13.167、t_(总分)=23.296,均P=0.000)。(3)生活质量:干预后干预组3个维度得分均较干预前升高,差异均有统计学意义(t_(躯体功能)=11.521、t_(社会功能)=12.021、t_(心理功能)=12.677,均P=0.000);对照组干预前后3个维度得分比较,差异无统计学意义(P>0.05)。干预后,干预组3个维度得分均高于对照组,差异均有统计学意义(t_(躯体功能)=3.251、t_(社会功能)=3.959、t_(心理功能)=5.115,均P=0.000)。结论应用基于“互联网OBJECTIVE To construct an Internet-based platform for continuity of care for diabetic retinopathy(DR)patients and explore the effectiveness of this model in clinical application.METHODS A total of 60 DR patients hospitalized at Eye Hospital,China Academy of Chinese Medical Sciences between November 2023 and January 2024 were enrolled and randomly divided into an intervention group and a control group,with 30 patients(60 eyes)in each group.The control group received routine nursing care,while the intervention group received care through an Internet-based continuity of care platform in addition to routine nursing.The intervention lasted from the time of hospital admission until three months after discharge.Blood glucose levels[fasting blood glucose(FBG)and 2-hour postprandial blood glucose(2 hPG)],self-management behaviors(Summary of Diabetes Self-care Activities,SDSCA),and quality of life(General Quality of Life Inventory-74,GQOLI-74)were assessed on the first day of hospitalization(pre-intervention)and three months after discharge(post-intervention).RESULTS(1)Blood glucose:Both FBG and 2 hPG levels decreased significantly in both groups post-intervention compared to pre-intervention(intervention group:t_(FBG)=10.912,t_(2 h PG)=13.097,both P=0.000;control group:t_(FBG)=5.918,t_(2 h PG)=8.599,both P=0.000).Post-intervention,FBG and 2 hPG levels were significantly lower in the intervention group compared to the control group(t_(FBG)=5.570,t_(2 h PG)=5.318,both P=0.000).(2)Self-management behaviors:In the intervention group,scores across four dimensions and total scores of SDSCA increased significantly post-intervention(t_(diet)=8.522,t_(exercise)=9.442,t_(blood glucose monitoring)=9.012,t_(foot care)=10.398,t_(total score)=19.077,all P=0.000).No significant differences were observed in the control group across all dimensions and total scores pre-intervention and post-intervention(P>0.05).Post-intervention,scores across four dimensions and total scores in the intervention group were significantly higher than those in

关 键 词：糖尿病视网膜病变 “互联网+” 延续护理 生活质量 

分 类 号：R473.77[医药卫生—护理学]