运用新媒体下的“医院-社卫-家庭-自我”糖尿病健康管理

Diabetes health management by the new media under the hospital-community-family-self

目的探讨对糖尿病患者实行"医院-社卫-家庭-自我"健康管理的方法和效果。方法选择2015年5月1日~2016年4月30日在莞城医院及莞城社卫中心确诊为"2型糖尿病"且符合本次研究标准的200位患者作为采集血、尿等标本对象,采用随机数字表法将其分为对照组与干预组各100例,对照组给予常规健康教育,而干预组则另外实施新媒体下"医院-社卫-家庭-自我"糖尿病健康管理模式,观察两组糖尿病管理效果。结果干预前,组间差异对比无意义,干预后第一季度以及第二季度的空腹血糖与餐后血糖均优于对照组,且干预组遵医率、糖尿病知识知晓率以及健康行为形成率同样优于对照组,组间差异显著,P<0.05。结论运用新媒体下的"医院-社卫-家庭-自我"健康管理模式在糖尿病患者中应用效果显著,有助于提高患者的自我管理能力,从而稳定血糖水平,提高生活质量。

Objective To explore the method and effect of diabetes health management by the new media under the hospital-community-family-self. Methods 200 patients in Guancheng Hospital and Guancheng Community Health Service Center from May I, 2015 to April 30, 2016 who were diagnosed with type 2 diabetes mellitus and met the criteria of this study were selected as samples to collect blood urine and other specimens. According random numbers table all patients were divided into control group and intervention group, 100 cases in the control group were given routine health education, while 100 cases in intervention group were givendiabetes health management mode by the new media under the hospital-community-family-self. The effect of two groups of diabetes management were observed. Results Before intervention, the differences between groups were not statistically significant, the fasting blood glucose and postprandial blood glucose in the first and second quarters in intervention group were better than those in the control group, and the intervention group was also better than the control group in the rate of knowledge of diabetes and healthy behavior, the difference between the two groups was significant, P 〈 0.05. Conclusion The health management model by the new media under the hospital-community-family-self is effective in diabetic patients, it is helpful to improve patients self management ability, thus stable blood sugar level, improve the quality of life.