互联网自我管理模式对2型糖尿病患者血糖控制和自我管理水平的影响

The effects of internet-based self-management mode on blood glucose control and self-management level in patients with type 2 diabetes mellitus

目的探讨基于互联网的自我管理模式对2型糖尿病(T2DM)患者血糖控制和自我管理水平的影响。方法选取我院2021年6月至2022年12月收治的138例T2DM患者,经随机数字表法分为试验组(n=69)及对照组(n=69),对照组予以常规健康管理,试验组予以基于互联网的自我管理模式。比较两组血糖、血压及体重控制情况、干预前后代谢指标、自我管理水平[采用中文版糖尿病自我管理活动问卷(SDSCA)]及生活质量[采用糖尿病生存质量量表(DSQL)]。结果干预后,两组糖化血红蛋白、空腹血糖(FPG)、餐后2 h血糖、舒张压、收缩压、体质量指数均低于干预前,且试验组低于对照组(P<0.05);两组低密度脂蛋白胆固醇、总胆固醇及甘油三酯均低于干预前,且试验组低于对照组(P<0.05);两组足部护理、血糖监测、运动及饮食等维度评分均高于干预前,且试验组高于对照组(P<0.05);两组治疗、社会关系、心理、生理功能等维度评分均低于干预前,且试验组低于对照组(P<0.05)。结论基于互联网的自我管理模式有利于T2DM患者控制血糖、血压及体重控制,能改善患者代谢指标,提高管理水平及生活质量。

Objective To explore the effects of Internet-based self-management mode on blood glucose control and selfmanagement level in patients with type 2 diabetes mellitus(T2DM).Methods A total of 138 patients with T2DM in our hospital between June 2021 and December 2022 were enrolled.According to random number table method,they were divided into an experimental group and a control group,69 in each group.The control group was given routine health management.The experimental group was given Internet-based self-management mode.The blood glucose,blood pressure and weight control,metabolism indexes,self-management level estimated by Summary of Diabetes Self-care Activities(SDSCA)and quality of life estimated by Diabetes Specific Quality of Life Scale(DSQL)were compared before and after intervention between the two groups.ResultsAfter intervention,glycosylated hemoglobin(HbAlc),fasting blood glucose(FPG),2h postprandial blood glucose(2hPG),diastolic blood pressure,systolic blood pressure and body mass index in both groups were decreased,and the experimental group was lower than the control group(P<0.05).After intervention,low-density lipoprotein cholesterol(LDL-C),total cholesterol(TC)and triglyceride(TG)in both groups were decreased,and the experimental group was lower than the control group(P<0.05).Affer intervention,scores of foot care,blood glucose monitoring,exercise and diet in both groups were increased,and the experimental group was higher than the control group(P<0.05).After intervention,scores of treatment,social relationship,psychological and physiological function in both groups were decreased,and the experimental group was lower than the control group(P<0.05).Conclusions Internet-based self-management mode is beneficial to control blood glucose,blood pressure and weight.It can also improve metabolism indexes,selfmanagement level and quality of life in T2DM patients.