远程健康管理模式联合中医特色健康指导对糖尿病患者血糖水平及生活质量的影响

Effect of Remote Health Management Mode Combined with Traditional Chinese Medicine Special Health Guidance on Blood Glucose Level and Quality of Life for Patients with Diabetes Mellitus

目的:研究远程健康管理模式联合中医特色健康指导对糖尿病患者血糖水平及生活质量的影响。方法:随机数表法将2019年1月~2019年6月在本院体检科就诊的187例2型糖尿病(T2DM)患者分为94例联合组与93例常规组。常规组接受常规健康指导,联合组给予远程健康管理模式联合中医特色健康指导。观察并比较两组干预前、后血糖水平[空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)]、自我管理行为(SDSCA评分)、心理状态(SDS、SAS评分)、生活质量(DSQL评分)。结果两组干预后FPG、2hPG、HbAlc水平较干预前显著下降,且联合组干预后各指标低于常规组(P<0.05);两组干预后饮食、运动、血糖监测、足部护理、药物评分较干预前明显升高,且联合组干预后饮食、血糖监测、药物评分均高于常规组(P<0.05);两组干预后SDS、SAS评分较干预前明显下降,且联合组干预后SAS评分明显低于常规组(P<0.05);两组干预后治疗维持、心理维度、社会关系、生理功能评分较干预前明显下降,且联合组干预后治疗维持、心理维度评分均比常规组低(P<0.05)。结论对糖尿病患者采用远程健康管理模式联合中医特色健康指导能明显控制患者血糖水平,加强其自我管理能力,提高生活质量。

Objective:To study the effect of remote health management mode combined with traditional Chinese medicine(TCM)special health guidance on blood glucose level and quality of life for patients with diabetes mellitus(DM).Methods:A total of 187 patients with type 2 diabetes mellitus(T2 DM)who were diagnosed in physical examination department of the hospital from January to June 2019 were divided into a combination group(94 cases)and a routine group(93 cases)by random number table method.The routine group was given routine health guidance,while the combination group was given remote health management mode and TCM special health guidance.The levels of blood glucose[fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbAlc)],scores ofsummary of diabetes self care activities(SDSCA),psychological status[self-rating depression scale,self-rating anxiety scale(SDS,SAS)]and diabetes specific quality of life(DSQL)before and after the intervention were observed and compared between the two groups.Results:After intervention,levels of FPG,2 hPG and HbAlc in both groups were significantly decreased,which were lower in the combination group than the routine group(P<0.05).After intervention,scores of diet,exercise,blood glucose monitoring,foot care and drugs in both groups were significantly increased,and scores of diet,blood glucose monitoring and drug in the combination group were higher than those in the routine group(P<0.05).After intervention,scores of SDS and SAS in both groups were significantly decreased,and SAS score in the combination group was significantly lower than that in the routine group(P<0.05).After intervention,scores of treatment maintenance,psychological dimension,social relationship and physiological function in both were significantly decreased,and the scores of treatment maintenance and psychological dimension in the combination group were lower than those in the routine group(P<0.05).Conclusion:The application of remote health management mode combined with TCM special health guidance in DM patients can significantly control level of blood glucose,strengthen their self-management ability,and improve quality of life.