基于互联网的居家延续性护理对糖尿病患者血糖和生活质量的影响

Effect of Internet-based Home Continuous Care on Blood Sugar and Quality of Life in Diabetic Patients

目的通过对糖尿病患者进行基于互联网的居家延续性护理,探讨其在糖尿病社区护理中的应用价值。方法选择2016年10月—2017年10月间宁波大学医学院附属医院收治的156例首次确诊为糖尿病的患者作为研究对象,根据随机数字法将患者分为2组,每组78例。对照组给予常规护理,观察组在常规护理的进行基于互联网的居家延续性护理,2组均护理6个月。比较2组护理前后血糖(FBG、PBG、Hb A1c)、治疗依从性(药物依从性、饮食控制、运动锻炼、血糖监测、足部护理)及生活质量(生理职能、生理功能、健康状况、躯体疼痛、社会职能、精力、精神健康、情感职能)的变化。结果护理后,2组FBG、PBG、Hb A1c水平均显著降低(均P <0. 05),且观察组明显低于对照组(均P <0. 05)。护理后,2组药物依从性、饮食控制、运动锻炼、血糖监测、足部护理及自我管理总分显著升高(均P <0. 05),且观察组明显高于对照组(均P <0. 05)。护理后,2组生理职能、生理功能、健康状况、躯体疼痛、社会职能、精力、精神健康及情感职能评分显著升高(均P <0. 05),且观察组明显高于对照组(均P <0. 05)。结论基于互联网的居家延续性护理在糖尿病社区护理中有着明确的效果,可提高患者血糖控制效果与治疗依从性,改善患者的生活质量,值得推广应用。

Objective To explore the value of Internet-based home care for diabetic patients in diabetes community care.Methods A total of 156 patients diagnosed with diabetes in our hospital from October 2016 to October 2017 were enrolled. The patients were divided into two groups according to the random number method,with 78 patients in each group. The control group received routine care,and the observation group performed Internet-based home continuity care,both of which were treated for 6 months. After the care,the changes of blood glucose( FBG,PBG,Hb A1c),treatment adherence( drug compliance,diet control,exercise,blood glucose monitoring,foot care) and changes in quality of life( physiological,physiological,health,physical pain,social function,energy,mental health,emotional function) were compared between the two groups. Results After treatment,the levels of FBG,PBG and Hb A1 c in the two groups were significantly lower( all P < 0. 05),and the observation group was significantly lower than the control group( all P <0. 05). After nursing,the drug compliance,diet control,exercise,blood glucose monitoring,foot care and self-management scores of the two groups were significantly increased( all P < 0. 05),and the observation group was significantly higher than the control group( all P < 0. 05). After nursing,the scores of physiological function,physiological function,health status,physical pain,social function,energy,mental health and emotional function of the two groups were significantly increased( all P < 0. 05),and the observation group was significantly higher than the control group( all P <0. 05). Conclusion Internet-based home continuity care has a clear curative effect in diabetes community care,which can improve the patient’ s glycemic control effect and treatment compliance,improve the patient’ s quality of life,and is worthy of promotion and application.