护理小程序在居家糖尿病患者胰岛素注射管理中的应用

Application of A Healthcare Mini App for the Management of Insulin Injection in Home-based Dia⁃betic Patients

目的 探讨护理小程序对规范糖尿病患者居家胰岛素注射及血糖管理的应用效果。方法 以2022年收治于上海市某三级甲等医院内分泌科初次确诊为2型糖尿病且需接受胰岛素治疗的患者为研究对象。以1-2月收治的53例患者作为对照组,给予常规宣教;以5-6月收治的47例患者作为观察组,在对照组基础上结合护理小程序干预。干预3个月后,比较两组患者胰岛素注射操作评分、糖尿病管理自我效能问卷评分及糖化血红蛋白监测值。结果 干预3个月后,观察组患者10项胰岛素注射操作技能评分及糖尿病管理自我效能4个维度评分均优于对照组,差异有统计学意义(P<0.05);且观察组患者干预后糖化血红蛋白水平低于对照组,差异有统计学意义(P<0.05)。结论 护理小程序可有效提升居家糖尿病患者胰岛素注射技能及疾病管理自我效能、降低其糖化血红蛋白水平,有利于患者血糖控制及疾病管理,且可节约医疗资源。

To explore the effect of a healthcare mini app on standardizing insulin injection and blood glucose management in home‐based diabetic patients.Methods Patients were selected based on the following criteria:first diagnosed with type 2 diabetes,admitted to the Endocrinology Department of a GradeⅢ-A hospital in Shanghai in 2022,and required insulin treatment.The control group(n=53,admitted from January to February)was given routine education while the observation group(n=47,admitted from May to June),on this basis,was provided with intervention through a healthcare app.After three months of intervention,the insulin injection scores,self‐efficacy scores and monitored glycosylated hemoglobin values were compared between the two groups.Results After a three‐month intervention,the insulin injection scores(10 injection skills)and diabetes management self‐efficacy scores(4 dimensions)in the observation group were significantly superior to those in the control group(P<0.05);besides,the glycosylated hemoglobin level post‐intervention in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The healthcare mini app can effectively enhance insulin injection skills and disease management self‐efficacy among home‐based diabetic patients and reduce their glycosylated hemoglobin levels.This contributes to improved blood glucose control,disease management and potential savings of medical resources.