基于互联网的院外路径式宣教在1型糖尿病患者中的应用

Application of Internet-based Out-of-Hospital Pathway Education in Patients with Type 1 Diabetes

目的探讨院外加强路径式互联网宣教对1型糖尿病患者血糖控制的影响。方法选取2016年1月—2019年1月该院内分泌科住院的1型糖尿病患者97例,随机分为观察组(47例)及对照组(50例)。对照组采取院外常规式互联网护理宣教措施,而观察组则实施院外路径式互联网护理宣教。比较两组患者血糖﹑再次住院天数和费用及院外自我管理水平。结果观察组患者空腹血糖及餐后2 h血糖低于对照组,差异有统计学意义(P<0.05);观察组患者HbA1c水平明显低于对照组,差异有统计学意义(t=5.821,P<0.001);与对照组相比,观察组患者的再次住院天数更短,费用更低,差异有统计学意义(P<0.001);观察组6周及12周自我管理评分均显著高于对照组,差异有统计学意义(P<0.05)。结论对1型糖尿病患者进行院外路径式互联网宣教能提升患者院外自我管理水平,使患者更好地控制血糖,减少再次住院天数,降低住院费用,延缓并发症的发生。

Objective To explore the influence of strengthening path-based Internet education outside the hospital on blood glucose control in patients with type 1 diabetes.Methods A total of 97 patients with type 1 diabetes who were hospitalized in the endocrinology department of the Hospital from January 2016 to January 2019 were randomly divided into an observation group(47 case)and a control group(50 cases).The control group took the routine out-of-hospital Internet nursing education measures,while the observation group implemented the out-of-hospital path Internet nursing education.The blood glucose,the number of days and expenses of re-hospitalization,and the level of self-management outside the hospital were compared between the two groups.Results The fasting blood glucose and 2 h postprandial blood glucose of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05);the HbA1c level of the observation group was significantly lower than the control group,the difference was statistically significant(t=5.821,P<0.001);Compared with the control group,patients in the observation group had shorter rehospital days and lower costs,the difference was statistically significant(P<0.001);The average scores of self-management at 6 weeks and 12 weeks in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Out-of-hospital Internet education for patients with type 1 diabetes can improve the self-management level of patients outside the hospital,enable patients to better control blood glucose,reduce the number of days of re-hospitalization,reduce hospitalization costs,and delay the occurrence of complications.