基于电子网络督导系统的健康管理对糖尿病患者自我效能行为习惯及血糖水平的影响

Effect of health management based on electronic network supervision system on self-efficacy,behavior habits and blood glucose level of diabetes patients

目的探讨基于电子网络督导系统的健康管理对糖尿病患者自我效能、行为习惯及血糖水平的影响。方法将180例糖尿病患者按干预意愿分为研究组97例与对照组83例。对照组给予常规健康管理,研究组给予基于电子网络督导系统的健康管理,干预前后采用糖尿病授权中文简化量表评定两组患者的自我效能,采用2型糖尿病患者自我管理行为量表评定两组患者的行为习惯及自我管理能力,比较两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平,采用健康调查简表评定两组患者的生活质量。结果干预后两组糖尿病授权中文简化量表评分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。干预后两组2型糖尿病患者自我管理行为量表各维度评分合格率均显著高于干预前(P<0.05),研究组显著高于对照组(P<0.05或0.01)。干预后两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均显著低于干预前(P<0.01),研究组显著低于对照组(P<0.01)。干预后两组健康调查简表各维度评分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。结论基于电子网络督导系统的健康管理可明显改善糖尿病患者的血糖水平和行为习惯,提高其自我效能感与生活质量,值得临床推广与应用。

Objective To investigate the effect of health management based on electronic network supervision system on self-efficacy,behavior habits and blood glucose level of diabetes patients.Methods A total of 180 diabetic patients were divided into study group(97 cases)and control group(83 cases)according to their willingness to intervene.The control group was given routine health management,and the study group was given health management based on electronic network supervision system.Before and after the intervention,the Chinese version diabetes empowerment scale-short form(C-DES-SF)was used to evaluate the self-efficacy of the two groups of patients,and the self-management behavior scale for patients with type 2 diabetes was used to evaluate the behavior habits and self-management ability of the two groups of patients.The levels of fasting plasma glucose(FPG),2 h postprandial blood glucose(PBG)and hemoglobin A1c(HbAlc)were compared between the two groups.The quality of life of the patients in the two groups was assessed by the Mos 36-item short form health survey(SF-36).Results After the intervention,the C-DES-SF scores of the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).After the intervention,the qualified rate of each dimension of the self-management behavior scale in the two groups of patients with type 2 diabetes was significantly higher than that before the intervention(P<0.05),and the study group was significantly higher than the control group(P<0.05 or 0.01).After the intervention,the levels of FPG,2 h PBG and HbAlc in the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).After the intervention,the scores of each dimension of SF-36 in the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).Conclusions Health management based on electronic network supervision system can significantly improve the blood glucose level and behavioral habits of diabetes patients,and improve their self-efficacy and quality of life,which is worthy of clinical promotion and application.