基于物联网技术糖尿病管理模式效果分析

Effectiveness analysis of community diabetes management based on the Internet of things technology

目的观察利用物联网技术对2型糖尿病患者进行社区健康管理的效果,探索社区糖尿病管理新模式,提高管理效率,提升治疗效果。方法选取已在本社区建立健康档案的2型糖尿病患者,将符合条件的120例患者纳入本次随访研究,按照随机数字表法分为干预组(采用基于物联网技术的糖尿病管理,n=60)和对照组(采用常规糖尿病管理,n=60)。分别于研究开始及研究6个月时进行随访。随访时测定2组患者血糖、血脂、腰围等指标;记录患者糖尿病防治相关知识、态度、行为,包括:糖尿病症状、血糖控制适宜值、吸烟等共11项回答,比较2组的差异。结果干预组患者空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇、低密度脂蛋白、三酰甘油、腰围、体质指数较对照组差异有统计学意义(P<0.05)。干预组患者在了解糖尿病症状、餐后血糖适宜值、糖尿病并发症、预防并发症措施的相关知识知晓率(98.33%、100.00%、95.00%、70.00%)高于对照组(58.33%、48.33%、25.00%、30.00%),差异有统计学意义(P<0.05)。干预组在按医嘱坚持服药、控制饮食、定期检测血糖、规律锻炼的比例(100.00%、93.33%、95.00%、96.67%)较对照组(48.33%、50.00%、40.00%、30.00%)明显上升,差异有统计学意义(P<0.05)。结论基于物联网的糖尿病管理模式提高了患者对糖尿病的认知程度和自我管理能力,使代谢指标控制更加理想,是一种比较有效的糖尿病管理方法。

Objective To observe the impact of using the Internet on managing the community health of 2 type diabetes,to explore the new pattern of community diabetes management,and to improve the efficiency of both the management and the treatment. Methods The patients with type 2 diabetes who had been in community management system were selected. A total number of 120 patients were enrolled and randomly assigned into two groups by giving out random numbers.The intervention group（ The intervention group adopted new diabetes management based on the technology of Internet,n =60） and the control group（ The control group using conventional diabetes management,n = 60）. Follow-up visits were conducted at the beginning of the study and at the 6th month of the research. During the follow-up visits,the differences of two groups patients were analyzed by comparing blood glucose,blood fat,waist circumference and other indicators. The Diabetes prevention related knowledge,attitude and behavior include： symptoms of diabetes,blood glucose control appropriate value smoking etc,were noted down. There were 11 different indicators. Results There were significant differences in FPG and 2h PG,Hb A1 C,TC,LDL-C,TG,waistline,and BMI in intervention group and control group（ P〈0. 05）. Intervention group patients had more general knowledge about diabetes,including symptoms of diabetes,implications prevention measures of knowledge（98. 33%,100. 00%,95. 00%,98. 33%）,which were higher than the control group（58. 33%,48. 33%,25. 00%,48. 33%）,and the difference was statistically significant（ P〈0. 05）. The condition of Intervention group patients by adhering the prescribed medication,controlling diet,regular testing blood sugar,the proportion of regular exercise（ 100. 00%,93. 33%,95. 00%,93. 33%）,which were higher than the control group（ 48. 33%,50. 00%,40. 00%,50. 00%） improved obviously,and the difference was statistically significant（ P〈0. 05）. The proportion of alcohol in the intervention group（10%） than the control group（50%） significantly decreased,the difference was statistically significant（ P〈0. 05）. Conclusion Diabetes management mode based on Internet is a more effective method than the previous. It can increase the cognition levels of diabetic patients and self-management ability. It is an effective approach to control of blood sugar,and to get more ideal blood lipid metabolism indexes.