电子信息管理平台在初发糖尿病强化治疗患者中的应用

Application of Electronic Information Management Platform in Patients with Newly Diagnosed Diabetes Intensive Treatment

目的探讨电子信息管理平台对初发糖尿病强化治疗患者焦虑及自我管理的影响。方法选择2019年5月—2021年5月在该科室住院的初发糖尿病强化治疗患者126例为研究对象,将2019年5月—2020年5月在该科室住院的60例患者设为对照组,住院当日采用发放健康宣教手册、床位护士床旁一对一教育、病区大课堂教育方式、出院后门诊常规随访进行健康教育;将2020年6月—2021年5月在该科室住院的66例患者为观察组,在对照组基础上采用电子信息管理平台,出院前1 d和出院后1个月采用汉密尔顿焦虑量表评估患者的焦虑水平和自我管理行为量表评估患者的行为改变。结果干预后观察组空腹血糖及餐后2 h血糖低于对照组,差异有统计学意义(P<0.05)。汉密尔顿焦虑量表得分:观察组干预后低于干预前,且显著低于对照组,差异有统计学意义(P<0.05)。干预后观察组自我管理行为水平优于对照组,差异有统计学意义(P<0.05)。结论应用电子信息管理平台对初发糖尿病强化治疗患者实施健康教育,可提高患者血糖控制水平,减轻患者焦虑水平及提高自我管理行为。

Objective To explore the effect of electronic information management platform on anxiety and self-management of patients with newly diagnosed diabetes intensive treatment.Methods 126 cases patients with intensive treatment of newly diagnosed diabetes who were hospitalized in the department from May 2019 to May 2021 were selected as the research subjects.A control group of 60 patients hospitalized in the department from May 2019 to May 2020 was selected.On the day of hospitalization,health education was conducted by issuing health education manuals,bedside nurses'one-to-one education,large classroom education in wards,and routine follow-up in outpatient clinics after discharge.The 66 patients who were hospitalized in the undergraduate room from June 2020 to May 2021 were selected as the observation group.On the basis of the control group,the electronic information management platform was adopted,the Hamilton Anxiety Scale was used to assess the patient's anxiety level and the Self-Management Behavior Scale was used to assess the patient's behavior change 1 d before discharge and 1 month after discharge.Results After the intervention,the fasting blood glucose and 2 h blood glucose after meals in the observation group were lower than those in the control group,and the differences was statistically significant(P<0.05).Hamilton anxiety scale score:in the observation group,after the intervention was lower than before the intervention,and was significantly lower than the control group,and the differences was statistically significant(P<0.05).After the intervention,the self-management behavior level of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of electronic management platform to implement health education for patients with newly diagnosed diabetes intensive treatment can improve the blood glucose control level,reduce the anxiety level of patients and improve self-management behavior.