|
|
Application of "doctor-nurse-patient" three person mode combined with WeChat platform in self management of patients with type 2 diabetes mellitus |
YANG Liping ZHOU Min▲ FU Yahong |
Department of Endocrinology, the Second Affiliated Hospital of Nanchang University, Jiangxi Province, Nanchang 330006, China |
|
|
Abstract Objective To observe the application effect of "doctorl-nurse-patient" management mode combined with WeChat platform on patients with type 2 diabetes.Methods A total of 200 patients with type 2 diabetes mellitus hospitalized in the Second Affiliated Hospital of Nanchang University from March 2020 to December 2020 were selected as the research objects.They were divided into experimental group and control group with 100 cases in each group by random number table method.The control group was managed by routine management, and the experimental group was managed by "doctor -nurse -patient".Fasting blood glucose, glycosylated hemoglobin, self -management ability and quality of life scord were compared between the two groups.Results After intervention, fasting blood glucose and glycosylated hemoglobin in the experimental group were lower than those in the control group, and the differences were statistically significant (P<0.05).After intervention, the score of self-management ability in experimental group was higher than that in control group, and the difference was statistically significant (P<0.05).After intervention, the quality of life score of the experimental group was lower than that of the control group, and the difference was statistically significant (P<0.05).Conclusion The "doctor-nurse-patient" three-person management model can help improve the fasting blood glucose and glycosylated hemoglobin levels of patients with type 2 diabetes, improve self-management ability and quality of life, and has certain clinical application value.
|
|
|
|
|
[1] |
李成,周健.2019年ADA 糖尿病医学诊疗标准解读[J].中国医学前沿杂志(电子版),2019,11(1):66-74.
|
[2] |
中华医学会糖尿病学分会.中国2 型糖尿病防治指南(2017年版)[J].中国实用内科杂志,2018,38(4):292-344.
|
[3] |
Yu X,Limin W,Jiang H,et al.Prevalence and control of diabetes in Chinese adults[J].JAMA,2018,310(9):948-959.
|
[4] |
杨娜,张化冰,李玉秀.《美国糖尿病学会2019年版糖尿病医学诊疗标准》更新与解读[J].协和医学杂志,2019,10(5):476-480.
|
[5] |
Chan JC,Gagliardino JJ,Baik SH,et al.Multifaceted determinants forachieving glycemic control:the International Diabetes Management Practice Study (IDMPS)[J].Diabetes Care,2009,32(2):227-233.
|
[6] |
LaverniaF.Whatoptionsareavailablewhenconsideringstartinginsulin:premix or basal?[J]Diabetes Technol Ther,2011,13(Suppl1):S85-S92.
|
[7] |
Ahlfield JE,Soler NG,Marcus SD.Adolescent diabetes mellitus:parent/child perspectives of the effect of the disease on family and social interactions[J].Diabetes Care,1983,6(4):393-398.
|
[8] |
Liddy C,Dusseault JJ,Dahrouge S,et al.Telehomecare for patients with multiple chronic illnesses:Pilot study[J].Can Fam Physician,2008,54(1):58-65.
|
[9] |
谢春燕,洪伊荣,胡婷婷,等.精准健康管理模式在2 型糖尿病中的应用研究进展[J].中国全科医学,2020,23(9):1175-1180.
|
[10] |
孔璐璐.PBL 教学法在糖尿病见习教学中的应用[J].中国保健营养,2019,29(3):311.
|
[11] |
李琳,彭家华.情景体验教学法对初诊糖尿病患者血糖控制情况的干预效果[J].当代护士(下旬刊),2016(2):145-146.
|
[12] |
施雁,王西英,孙晓.糖尿病病人三元联动健康照护模式在延护理中的应用[J].中国护理管理,2012,12(9):8-11.
|
[13] |
万巧琴,尚少梅,来小彬,等.2 型糖尿病患者自我管理行为量表的信、效度研究[J].中国实用护理杂志,2008,24(3):26-27.
|
[14] |
辜静文.互联网医-护-患三人行管理模式在糖尿病患者管理中的应用效果观察[J].实用临床护理学电子杂志,2020,5(10):160.
|
[15] |
颜伟伟.基于随访系统 “医-护-患” 三人行管理模式在基层医院慢性病患者中的应用[J].当代护士(下旬刊),2019,26(3):187-188.
|
|
|
|