互动达标理论结合微信平台在糖尿病患者延续性护理中的应用研究

Research on the Continuous Nursing of Diabetic Patients by Interaction Standard Theory Combined with Wechat Platform

目的探讨互动达标理论结合微信平台延续性护理在糖尿病患者自我管理行为中的应用。方法创建名为“糖尿病护理之家”的微信公众平台,选取2020年6月—2021年6月住院的50例糖尿病患者,以电脑随机法分为干预组和对照组,各25例。两组患者均接受临床常规护理,出院时对患者和家属实施常规健康教育。干预组出院时除进行常规健康宣教外,建立互动达标理论+微信护理管理小组,出院后3个月对两组发放调查表,评价焦虑程度、服药、饮食和运动依从性和生活质量及血糖参数变化。结果干预组Morisky用药依从性问卷(MMAS-8)得分,治疗依从性、生活质量高于对照组,其空腹血糖、餐后血糖为(6.40±1.55)、(8.37±1.31)mmol/L均明显低于对照组,差异有统计学意义(P<0.05)。结论通过互动达标理论结合微信平台延续性护理可提高患者自我管理水平,改善患者治疗依从性,控制患者血糖波动水平,提高生活质量,值得实施和应用。

Objective To explore the application of interactive standard theory combined with WeChat platform continuous nursing in self-management behavior of diabetic patients.Methods A WeChat public platform called"Diabetes Nursing Home"was created,and 50 diabetic patients who were hospitalized from June 2020 to June 2021 were selected and randomly divided by computer into the intervention group and the control group,25 in each group.All patients in the group received routine clinical care,and routine health education was provided to patients and their families when they were discharged from the hospital.In addition to routine health education and education,the intervention group established an interactive standard theory+WeChat nursing management group,and questionnaires were distributed to both groups 3 months after discharge,evaluation of anxiety,medication,diet and exercise compliance and life quality and blood glucose parameters changes.Results Morisky Medication Compliance Questionnaire(MMAS-8)score,treatment compliance and quality of life in the intervention group were higher than those in the control group,and the fasting blood glucose and postprandial blood glucose were(6.40±1.55)mmol/L and(8.37±1.31)mmol/L,which were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The interactive standard theory combined with the continuous nursing on the WeChat platform can improve the patient's self-management level,improve the patient's treatment compliance,control the patient's blood glucose fluctuation level,and improve the quality of life.