移动互联网血糖监测技术对优化糖尿病社区管理的效果

The optimization effect of mobile internet blood glucose monitoring technique on community management for diabetes

目的:探讨移动互联网血糖监测技术对优化糖尿病社区管理的效果。方法:选取在社区建立档案的86例老年2型糖尿病患者,按照随机数表法将其分为观察组(42例)和对照组(44例)。两组患者均给予常规2型糖尿病饮食、运动疗法治疗以及常规药物治疗,观察组在此基础上利用移动互联网血糖检测技术进行干预。观察两组患者空腹血糖(FPS)、餐后2 h血糖(2hPG)、糖化血红蛋白(GHb)、血糖指标以及血糖控制水平,对患者自我管理功能、生存质量以及心理状态进行评分。结果:干预后,观察组的FPS、2hPG及GHb水平低于对照组,其差异有统计学意义(t=2.4058,t=6.8247,t=7.6463;P<0.05);观察组患者血糖控制水平明显优于对照组患者,其差异有统计学意义(x^2=13.8739,P<0.05);观察组患者在合理饮食、合理用药、合理运动、足部护理以及血糖监测自我管理能力评分显著高于对照组患者,其差异有统计学意义(t=7.8106,t=5.1028,t=10.7167,t=5.4538,t=8.7326;P<0.05);干预后,观察组的生理功能、心理功能、治疗维持度、社会关系及总生存质量评分均高于对照组,其差异有统计学意义(t=2.6796,t=2.2881,t=3.5060,t=3.5786,t=4.9079;P<0.05);观察组的焦虑评分和抑郁评分均明显低于对照组,其差异有统计学意义(t=13.8370,t=26.3574;P<0.05)。结论:移动互联网血糖监测技术对糖尿病社区管理的优化效果显著,可提高患者血糖控制水平,改善患者自我管理能力和生存质量,减轻心理负担,具有较好的应用前景。

Objective:To investigate the optimization effect of mobile internet blood glucose monitoring technique on community management for diabetes.Methods:Eighty-six elderly patients with type 2 diabetes mellitus whose archives were established in the community were randomly divided into observation group(42 cases)and control group(44 cases)according to randomly number table.Both two groups were given routine type 2 diabetes diet,the treatment of exercise therapy,and the routine drug treatment.The observation group adopted mobile internet blood glucose detection technique to implement intervention on the basis of above treatments.The blood glucose indicators such as fasting blood-glucose(FPS),2 h plasma glucose(2 hPG)and glycosylated hemoglobin(HbAlc),and the level of controlling blood glucose of two groups were observed.The function of self-management,quality of life and psychological states of patients were scored.Results:After the intervention,the levels of FPS,2 hPG and GHb of observation group were significantly lower than those of control group(t=2.4058,t=6.8247,t=7.6463,P<0.05).And the level of controlling blood glucose of observation group was significantly better than that of control group(x^2=13.8739,P<0.05).And the scores of reasonable diet,reasonable medication,reasonable exercise,feet care and self-management ability of blood glucose monitoring of observation group were significantly higher than those of control group(t=7.8106,t=5.1028,t=10.7167,t=5.4538,t=8.7326,P<0.05).At the same time,the scores of the physiological function,psychological function,treatment maintenance degree,social relationships and total quality of life of observation group were significantly higher than those of control group(t=2.6796,t=2.2881,t=3.5060,t=3.5786,t=4.9079,P<0.05).And both anxiety score and depression score of observation group were significantly lower than those of control group after the intervention(t=13.8370,t=26.3574,P<0.05).Conclusion:The mobile internet blood glucose monitoring technique has a significant optimization effect on the community management of diabetes.It can enhance the level of controlling blood glucose of patients,and improve the self-management ability of patients,and improve the quality of life,and relieve the psychological burden of patients,and it has a better application prospects.