基于“互联网+”的同质化管理模式在非内分泌科糖尿病患者中的应用

Application of Homogenous Management Model Based on"Internet plus"in Non-endocrine Diabetic Patients

目的:探讨基于“互联网+”的同质化管理模式在非内分泌科糖尿病患者中的应用效果。方法:选取2019年3月1日~5月31日非内分泌科收治的110例糖尿病患者作为对照组,采用非内分泌科室常规的糖尿病患者管理方案;选取2019年7月1日~9月30日非内分泌科收治的100例糖尿病患者为干预组,采取基于“互联网+”的同质化管理模式进行管理;对照组1例退出、2例失访,干预组2例退出,对照组107例、干预组98例纳入研究。干预1周、1个月、3个月时,分别测量比较两组空腹和餐后2 h血糖、糖化血红蛋白、自我管理能力(采用自我管理行为量表)及生活质量[采用中国糖尿病患者生存质量特异性量表(DSQL)]。结果:干预1、3个月后,干预组空腹血糖、糖化血红蛋白水平优于对照组(P<0.05);干预1、3个月后,干预组自我管理能力量表总分及饮食管理、运动管理、自我监测管理、足部管理、高低血糖管理维度得分高于对照组(P<0.05),DSQL总分及生理维度、心理维度得分高于对照组(P<0.05)。结论:基于“互联网+”理念的同质化管理模式,可改善非内分泌科糖尿病患者空腹血糖及糖化血红蛋白水平,提高患者自我管理能力及生活质量。

Objective:To explore the application effect of homogenous management based on the concept of"Internet plus"in non-endocrine diabetic patients.Methods:A total of 110 patients with diabetes admitted during March 1 to May 31,2019 were selected as the control group;the control group used a non-endocrine department routine diabetes management plan,100 patients from non-endocrinology department during July 1 to September 30,2019 were selected as the intervention group;the intervention group adopted a homogenous management model based on"Internet plus"for management.1 case withdrew,and 2 cases missed follow-up in the control group.2 case withdrew in the intervention group.107 cases in the control group and 98 cases were include in the study.At 1 week,1 month and 3 months of intervention,the fasting blood glucose and two-hour postprandial blood glucose,glycated hemoglobin,self-management ability by the self-management behavior scale and quality of life by the China quality of life specific scale for diabetic patients between the two groups were measured and compared.Results:After 1 month and 3 months of intervention,the level of blood glucose and glycated hemoglobin in the intervention group was better than that in the control group(P<0.05);the total scores of the self-management capacity scale,and diet management,exercise management,self monitoring management,foot management,high and low blood glucose management dimension scores were higher in the intervention group than those in the control group(P<0.05),and the DSQL total scores.and physical dimensions,psychological dimension scores in the intervention group were better than those in the control group(P<0.05).Conclusion:Homogenous management model based on the concept of"Internet plus"can improve the fasting blood glucose and glycated hemoglobin levels in non-endocrine diabetic patients,and improve their self-management ability and quality of life.