“互联网+”慢性病管理模式在2型糖尿病患者中的应用

Application of chronic disease management model with Internet plus in patients with type 2 diabetes mellitus

目的探讨基于"互联网+"理念的慢性病管理模式对2型糖尿病患者的干预效果。方法便利选取从综合性医院转介横山桥社区的2型糖尿病患者100例,用随机数字表分为实验组和对照组。实验组由慢性病管理师采用"互联网+"医院社区一体化慢性病管理模式进行管理,对照组进行常规糖尿病管理。干预3个月、6个月、12个月时,分别测评两组空腹和餐后2h血糖、糖化血红蛋白、自我管理能力与生活质量等指标,并进行比较。结果实验组46例、对照组45例完成研究。干预3个月、6个月、12个月时,两组的空腹血糖、餐后2h血糖、糖化血红蛋白均有不同程度下降,自我管理能力和生活质量也有不同程度的提升,实验组空腹血糖、自我管理行为量表的饮食控制维度和总分、糖尿病患者生活质量量表各维度和总分优于对照组,差异具有统计学意义(均P<0.05)。干预12个月时实验组的糖化血红蛋白与对照组相比,差异有统计学意义(P<0.05)。结论基于"互联网+"理念的医院社区一体化慢性病管理模式可以有效降低血糖水平,提高糖化血红蛋白达标率和患者自我管理效能,有利于预防和延缓糖尿病并发症的发生与发展。

Objective To investigate the effects of chronic disease management model based on the concept of ＂Internet plus＂ in patients with type 2 diabetes mellitus. Methods Referred patients with type 2 diabetes mellitus （100 cases） were selected from Hengshanqiao Community,and were divided into the experimental group and the control group using random number table. The control group was given routine diabetic management,while the experimental group received hospital-community integrated chronic disease management model with ＂Internet plus＂, and chronic disease manager was responsible for disease management. One year after intervention,fasting and 2 h postprandial blood glucose,HbAlc,self-management ability and quality of life and other indicators were evaluated. Results Forty-six patients in the experimental group and 45 in the control group completed the study. Fasting and 2 h postprandial blood glucose,and HbAlc for both groups were reduced 3 months,6 months and 12 months after intervention,self-management ability and quality of life were improved. Fasting blood glucose,diet control dimension and the total score of self-management behavior scale ,each dimension and the total score of diabetic patients＇ quality of life scale at 3rd month,6th month,and 12th month in the experimental group were better than those in the control group（P〈0.05）. Twelve months after intervention,HbAlc in the experimental group was better than that in the control group （P〈0.05）. Conclusion Hospital-community integrated chronic disease management model with ＂Internet plus＂ can effectively reduce blood glucose level,improve qualification rate of HbAlc,improve self-management efficiency of patients,so as to prevent and delay the occurrence and development of complications.