基层医疗机构应用互联网+糖尿病共同照护模式管理2型糖尿病的效果及影响因素分析

Analysis of the Effect and Influencing Factors of the Application of Internet+ Diabetes Joint Care Model in Primary Medical Institutions to Manage Type 2 Diabetes Mellitus

目的 探讨基层医疗机构应用互联网+糖尿病(diabetes mellitus,DM)共同照护模式管理2型糖尿病(type 2 diabetes mellitus,T2DM)的效果及影响因素。方法 选取2020年7月—2021年7北京市朝阳区东风社区卫生服务中心采用互联网+DM共同照护模式随访超过3个月的T2DM患者367例,采用自身对照方法,比较此模式与常规管理模式的HbA1c、血压、血脂等管理指标达标率情况。结果 末次随访时,HbA1c达标率从49.84%升至59.42%,HbA1c不良率从13.7%降至4.5%,差异有统计学意义(P<0.05)。结论 互联网+DM共同照护模式可有效改善基层医疗机构2型糖尿病的管理效果。

Objective To explore the effect and influencing factors of the application of Internet + DM joint care model in primary medical institutions to manage T2DM.Methods From July 2020 to July 2021,367 T2DM patients who were followed up for more than 3 months in Dongfeng Community Health Service Center,Chaoyang District,Beijing,using the Internet + diabetes co-care model,were selected.The self-control method was used to compare the control rate of HbA1c,blood pressure,blood lipid and other management indicators between this mode and the conventional management mode.Results At the last follow-up,the HbA1c compliance rate increased from 49.84% to 59.42%,and the HbA1c unsatisfactory rate decreased from 13.7% to 4.5%,the difference was statistically significant(P<0.05).Conclusion The Internet + DM joint care model can effectively improve the management effect of type 2 diabetes in primary medical institutions.