基于微信平台的糖尿病足延续性护理路径

Continuous nursing pathway for diabetes foot based on WeChat platform

目的观察基于微信平台的糖尿病足延续性护理路径的构建及实践效果。方法选取120例糖尿病足患者为研究对象,将其随机分为观察组和对照组,每组60例。对照组给予常规电话随访和门诊教育,观察组给予微信平台随访和延续性护理。比较2组干预前后糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2 h血糖(2 hPG)水平及自我管理能力评分。结果干预前,2组自我管理能力评分及血糖水平比较,差异无统计学意义(P>0.05);干预后,2组预防及处理高低血糖、足部护理、血糖监测、合理膳食、遵医用药及规律运动评分均较干预前升高,且观察组评分高于对照组,差异有统计学意义(P<0.05)。干预后,2组HbA1c、FBG及2 hPG水平均不同程度降低,且观察组血糖水平低于对照组,差异有统计学意义(P<0.05)。结论基于微信平台的糖尿病足延续性护理能够降低糖尿病足患者的血糖,提高自我管理能力。

Objective To observe the construction of continuous nursing pathway for diabetes foot based on WeChat platform and its practice effect.Methods A total of 120 patients with diabetic foot were selected as study objects and were randomly divided into observation group and control group,with 60 cases per group.The observation group was given routine telephone follow-up and outpatient education,the control group was given WeChat platform follow-up and continuous nursing.The level of glycosylated hemoglobin(HbA1c),fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPG)level and self-management ability score of the two groups before and after intervention were compared.Results Before intervention,there was no statistically significant difference in the score of self-management ability score and blood glucose level between the two groups(P>0.05);after intervention,the prevention and treatment of high and low blood glucose,foot nursing,blood glucose monitoring,reasonable diet,medical compliance and regular exercise scores of the two groups were significantly increased,and the observation group was significantly higher than the control group(P<0.05).After intervention,the levels of HbA1c,FBG,2 hPG of the two groups significantly decreased,and the observation group was significantly lower than the control group(P<0.05).Conclusion Continuous nursing pathway for diabetes foot based on WeChat platform can reduce the blood glucose level of patients with diabetic foot and improve their self-management ability.