综合信息管理平台对糖尿病患者生活方式的影响

Effect of integrated information management platform on life style of diabetic patients

目的 评价综合信息管理平台对糖尿病患者生活方式的影响.方法 将84例糖尿病患者按照随机数字表法分为干预组和对照组各42例.2组患者均给予常规的三级管理模式,干预组在此基础上给予综合信息管理平台介导下的三级管理模式.收集2组患者干预前后生活方式、空腹血糖、糖化血红蛋白数据并进行比较.结果 经过为期9个月的干预后,干预组患者的饮食结构更符合中国营养学会推荐的饮食标准,其中谷类从干预前的（343.90±225.61）g降低到（311.71±144.46）g,肉类从干预前的（61.52±59.73）g降低到（50.07±36.16）g,油脂类从干预前的（32.67±21.31）g降低到（28.57±19.52）g,与对照组的（376.49±129.58）、（73.90±55.15）、（45.78±20.03）g比较差异有统计学意义（t=2.076、2.278、3.841,均P〈0.05）.干预组患者干预后的运动例数由干预前30例增加为37例,中等运动量例数由干预前12例增加为20例,运动量得分中位数（四分位间距）由干预前的11.000（26.500）分增加为33.000（23.500）分,与对照组的15.000（18.000）比较差异有统计学意义（Z=3.687,P〈0.01）.干预组患者干预后的空腹血糖、糖化血红蛋白分别为（7.73±1.31）mmol/L、（6.75±1.81）%,较干预前的8.000（2.200）mmol/L、7.600（1.600）%下降,与对照组的（8.60±2.25）mmol/L、（8.81±2.63）%比较差异有统计学意义（t=2.111、4.062,P〈0.05或0.01）.结论 综合信息管理平台介导下的三级管理模式可以督促糖尿病患者改善现有的生活方式,更好地控制血糖.

Objective To evaluate the impact of integrated information management platform on life style of diabetic patients. Methods A total of 84 diabetic patients were assigned to the intervention group and the control group by random digits table method with 42 cases each. All patients were in the hospital and after discharge given conventional three-tier management model. The intervention group was given comprehensive information management platform, three-tier management model mediated on this basis. The life style, fasting blood glucose, glycated hemoglobin were collected and compared between the two groups before and after intervention. Results After 9 months of intervention, the dietary pattern of the intervention group was more in line with the Chinese Dietetic Association＆#39;s recommended dietary standard, in which staple food decreased from （343.90 ± 225.61） g before intervention to （311.71 ± 144.46） g, and meat decreased from （61.52 ± 59.73） g before intervention to （50.07 ± 36.16） g, and the lipid content decreased from （32.67 ± 21.31） g before intervention to （28.57 ± 19.52） g, compared with the control group （376.49 ± 129.58）, （73.90 ± 55.15）, （45.78 ± 20.03） g, there were significant differences（t =2.076, 2.278, 3.841, all P〈0.05）. The number of physical exercises increased from 30 before intervention to 37 cases, the number of moderate exercise increased from 12 cases before intervention to 20 cases, and the median of exercise scores increased from 11.000 （26.500） points before intervention to 33.000 （23.500） points, compared with the control group 15.000（18.000） points, there was significant differences （Z =3.687, P〈0.01）. The fasting blood glucose, glycated hemoglobin were （7.73 ± 1.31） mmol/L, （6.75 ±1.81）% after intervention and 8.000（2.200） mmol/L, 7.600（1.600）%before intervention in the intervention group, compared with the control group （8.60 ± 2.25） mmol/L, （8.81 ± 2.63）%, there were significant differences（t =2.111, 4.062, P〈0.05 or 0.01）. Conclusions Integrated information management platform management mode three-mediated diabetes may urge to improve the existing way of life, better control of blood sugar.