基于动态血糖监测系统的老年糖尿病肌少症患者远程健康管理方案的构建

Construction of remote health management program based on dynamic blood glucose monitoring system for elderly patients with diabetes and sarcopenia

目的针对老年糖尿病肌少症患者构建基于动态血糖监测系统的远程健康管理方案,为老年糖尿病肌少症健康管理提供新思路。方法通过组建团队、文献研究形成基于动态血糖监测系统的老年糖尿病肌少症患者远程健康管理方案初稿,采用德尔菲法经过2轮专家函询确定最终管理方案。结果2轮专家函询均发放16份问卷,回收有效问卷16份,问卷的有效回收率均为100%;2轮专家函询,一、二、三级项目的肯德尔协调系数分别为0.438、0.147、0.167;0.495、0.199、0.150(P<0.05)。最终确定的基于动态血糖监测系统的老年糖尿病肌少症患者远程健康管理方案包括3个一级项目(远程健康管理服务内容、远程健康管理制度、服务项目说明书)、11个二级项目和25个三级项目。结论构建的基于动态血糖监测系统的老年糖尿病肌少症患者远程健康管理方案具有较好的科学性、实用性和适用性,对临床护理具有现实意义。

Objective To construct a remote health management program based on dynamic blood glucose monitoring system for elderly patients with diabetes and sarcopenia,so as to provide new ideas for health management of elderly patients with diabetes and sarcopenia.MethodsThe first draft of remote health management program based on dynamic blood glucose monitoring system for elderly patients with diabetes and sarcopenia was formed through team building and literature research.The Delphi method was used to determine the final management program after two rounds of expert consultation.ResultsIn two rounds of expert consultation,16 questionnaires were distributed and 16 valid questionnaires were collected,with an effective recovery rate of 100%.After two rounds of expert consultation,the Kendall's coefficients of the first,second,and third level indicators were 0.438,0.147,0.167,and 0.495,0.199,0.150,respectively(P<0.05).The finally remote health management program based on dynamic blood glucose monitoring system for elderly patients with diabetes and sarcopenia included 3 first level indicators(remote health management service content,remote health management system,service project description),11 second level indicators and 25 third level indicators.ConclusionsThe remote health management program based on dynamic blood glucose monitoring system for elderly patients with diabetes and sarcopenia is scientific,practical and applicable,and has practical significance for clinical nursing.