互联网+三级联动对糖尿病家庭饮食结构影响的研究

Impact of the Internet+three-level linkage on the dietary structure of diabetes family

目的:评价互联网+三级联动管理模式对糖尿病家庭饮食结构及患者血糖的影响。方法:选取2016年4—7月在某三级甲等医院内分泌科确诊且血糖控制不佳的2型糖尿病患者43人及其子女43人,持续给予互联网+三级联动管理模式,时间为18个月。分别于初筛、第3、6、9、12、18个月收集糖尿病家庭饮食结构以及糖尿病患者血糖改变的数据,采用单组时间序列重复测量资料方差分析,同时与推荐量进行比较,观察糖尿病家庭生活模式及血糖改变的趋势。结果:通过为期18个月的干预,糖尿病患者的畜产品、水产品、食用油6次重复测量方差分析结果差异均有统计学意义(P<0.05)。糖尿病家庭成员的主食、蔬菜、水果、水产品、蛋类、豆制品、食用油6次重复测量方差分析结果差异均有统计学意义(P≤0.05)。患者空腹血糖干预前后差异无统计学意义(P>0.05),但从干预前(8.23±1.95)mmol/L到干预18个月时下降为(7.91±2.02)mmol/L。结论:互联网+三级联动管理模式可以督促糖尿病家庭改善现有生活方式,使糖尿病患者更好地控制血糖。

Objective:To evaluate the effect of the Internet+three-level linkage management model on the dietary structure and patient's blood glucose in diabetic family.Methods:From April to July 2016,43 families of type 2 diabetes(including 43 patients with type 2 diabetes and 43 family numbers)diagnosed in the Endocrinology Department of a tertiary grade A hospital and with poor blood glucose control were recruited.The International+three-level linkage management model was applied to the subjects for 18 months.Data on dietary structure and changes in blood glucose in diabetic patients were collected at preliminary screeing,3,6,9,12,and 18 months respectively,and compare with the recommended amount.A single set of time series was used for ANOVA of repeated measuring.The trend of family lifestyle sedatives and of blood glucose changes were observed.Results:Through the 18-month intervention,six repeated ANOVA results of diabetes patient's animal products,aquatic products and edible oil were statistically significant(P<0.05).There were significant statistical differences in family member's staple food,vegetables,fruits,aquatic products,eggs,soy products,and edible oil(P≤0.05).The fasting blood glucose of the patients decreased from 8.23±1.95 mmol/L to 7.91±2.02 mmol/L at 18 months of intervention.Conclusion:The Internet+three-level linkage management model can urge diabetic families to improve their current lifestyles,helping diabetic patients control blood sugar better.