|
|
Intervention effect of "Internet plus" technology optimized medical care model on elderly diabetic patients |
GUO Yan-qing CHEN Si-ping PENG Fang-yi |
Department of Endocrinology,Pingxiang People′s Hospital,Jiangxi Province,Pingxiang 337055,China |
|
|
Abstract Objective To explore the intervention effect of "Internet plus" technology optimized medical care model on elderly diabetic patients.Methods One hundred patients with diabetes mellitus in Pingxiang Huayuan Community and Jiangwan Community from May 2019 to August 2019 were selected as research subjects,and were divided into the control group(n=50)and the observation group(n=50)according to the odd and even number grouping method.Routine medical care combined with old-age care model was given to the control group,and "Internet plus" optimized medical care model was given to the observation group.The fasting blood glucose(FPG),blood glucose 2 h after breakfast(2 h PG)and glycosylated hemoglobin(HbA1c)in the two groups before intervention and 3,6 months after intervention were compared.The incidence of hypoglycemia was compared between the two groups after 6 months of intervention.The scores of self-management behavior after 6 months of intervention were compared between the two groups.Results There were no statistically significant differences in FPG,2 h PG or HbA1c between the two groups before the intervention(P>0.05).The levels of FPG,2 h PG and HbA1c at 3 months after the intervention in the observation group were lower than those in the control group,with statically significant differences(P<0.05).The levels of FPG,2 h PG and HbA1c at 6 months after the intervention in the observation group were lower than those in the control group,with statically significant differences(P<0.05).The levels of FPG,2 h PG and HbA1c at 3 months and 6 months after the intervention in the observation group were lower than those in the control group,with statically significant differences(P<0.05).After 6 months of intervention,the self-management behavior scores of observation group were higher than those in the control group,such as reasonable diet,proper exercise,blood glucose monitoring,foot care,taking medicine as prescribed by the doctor,and the differences were statistically significant(P<0.05).Conclusion The implementation of"Internet plus" technology optimized medical care model can effectively improve the blood glucose compliance rate of elderly diabetic patients,reduce the HbA1c level of patients,reduce the incidence of hypoglycemia,and improve the self-management behavior of diabetic patients.
|
|
|
|
|
[1] |
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,2018,4(38):331.
|
[2] |
国际血管联盟中国分会糖尿病足专业委员会.糖尿病足诊治指南[J].介入放射学杂志,2013,22(9):705-708.
|
[3] |
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].中华糖尿病杂志,2018,10(1):4-67.
|
[4] |
梁玮,赵慧华,黄慧群,等.老年糖尿病患者自我管理行为量表的汉化及信效度评价[J].护士进修杂志,2019,34(12):1075-1078.
|
[5] |
Zaroudi M,Yazdani Charati J,Mehrabi S,et al.Dietary Patterns are associated with risk of diabetes type 2:a Populationbased case-control study[J].Arch Iran Med,2016,19(3):166-172.
|
[6] |
Carallo C,Scavlli FB,Cipolla M,et al.Management of type 2 diabetes mellitus through telemedicine[J].PLoS One,2015,10(5):e0126858.
|
[7] |
赵芳,袁丽,楼青青,等.健康教育与2 型糖尿病患者血糖控制和自我护理行为的相关性研究[J].中华糖尿病杂志,2013,5(10):598-603.
|
[8] |
杨红云.中医临床护理路径对老年糖尿病肾病患者疗效及血糖水平、体质指数的影响[J].西部中医药,2020,33(1):136-139.
|
[9] |
成传芳,陈园园,郭善萍,等.社区中老年2 型糖尿病患者自我管理知信行水平与生存质量相关性分析[J].中国医药导报,2019,16(30):54-57,65.
|
[10] |
邓燕群,饶岚芬,王营.精准护理干预对老年2 型糖尿病患者血糖水平及生活质量的影响[J].中国医药科学,2020,10(4):169-172.
|
[11] |
陈国伶,沈勤,卢晓杰,等.2 型糖尿病患者医养护一体化签约服务管理效果评价[J].预防医学,2019,31(1):100-102.
|
[12] |
郭志红,曾倩,郭秀琪,等.以全科医生为主体的糖尿病社区管理模式的应用价值分析[J].继续医学教育,2017,31(8):159-160.
|
[13] |
贾孙玉,沈健,李婉儿,等.社区糖尿病患者家庭管理的效果[J].浙江预防医学,2014,26(2):199-202.
|
[14] |
曾长佑,胡志勇,李秋华,等.山区居民2 型糖尿病危险因素的病例对照研究[J].浙江预防医学,2014,26(2):119-122.
|
[15] |
项松英,吴文俊.应用手机APP 对2 型糖尿病患者远程随访的实践[J].护理学报,2016,22(1):22-24.
|
[16] |
王莉,付阿丹,易兰,等.“互联网+”糖尿病健康管理站在2 型糖尿病患者管理中的应用[J].中国全科医学,2019,22(15):1836-1841.
|
[17] |
付阿丹,王莉,熊莺,等.基于互联网平台的2 型糖尿病患者健康管理模式研究[J].护理学杂志,2019,24(11):1-4.
|
[18] |
周莹.基于“互联网+”理念的医院社区一体化管理模式对2 型糖尿病患者血糖及自我管理效能的影响[J].实用糖尿病杂志,2019,15(5):52-53.
|
[19] |
韩云,徐宇红,叶新华,等.“互联网+”慢性病管理模式在2 型糖尿病患者中的应用[J].中华护理杂志,2018,53(7):789-794.
|
[20] |
戴莉敏,霍孝蓉,莫永珍.互联网+居家护理移动APP 在中青年2 型糖尿病病人中的应用及效果评价[J].护理研究,2018,32(20):3207-3213.
|
|
|
|