基于“互联网+”的糖尿病足患者健康管理模式与效果评价

Diabetes Foot Health Management Model and Effect Evaluation Based on"Internet Plus"

目的探析对糖尿病足患者实行基于“互联网+”的健康管理模式的应用效果。方法纳入2020年1月至2020年12月在本院内分泌科住院进行治疗的90例2型糖尿病足患者为研究对象,应用双色球平均法平分两组,各45例。对照组进行院内常规电话随访,观察组在其基础上配合“互联网+”健康管理模式,运用Bates-Jensen评估伤口愈合评分、对比血糖、血脂水平、医学应对方式问卷(MCMQ)评估患者应对方式情况、用自护能力测定量表(ESCA)和生活质量综合评定问卷(GQOLI-74)评估患者的自护能力和生活质量评分。结果在出院时,观察组的伤口大小、伤口形状、伤口颜色、分泌物、疼痛等评分均低于对照组(均P<0.05);FBG、2 hPBG、HbAlc等均降低,且观察组比对照组FBG、2 hPBG、HbAlc指标更低(P<0.05);两组的TG、TC、LDL-C水平均降低,HDL-C升高,且观察组比对照组的TG、TC、LDL-C低,HDL-C高(P<0.05);两组的主动寻求信息、消极否认、积极应对评分均升高且观察组高于对照组(P<0.05),而两组消极应对评分降低且观察组低于对照组(P<0.05);在自护责任、自护技能、自我概念和健康知识等方面均升高且观察组较对照组评分高(P<0.05);于生理功能、社会功能、情感职能和精神状态等方面,观察组较对照组评分更高(P<0.05)。结论针对糖尿病足患者实行基于“互联网+”的健康管理模式更具优势,其可促进伤口愈合速度,改善血糖和血脂水平,提升医学应对效果,并使患者的自我护理能力和生活质量水平提高。

Objective To explore the application effect of health management model based on"Internet plus"for patients with diabetes foot.Methods A total of 90 patients with type 2 diabetes who were hospitalized in the Department of Endocrinology of our hospital from January 2020 to December 2020 were included in the study.They were equally divided into two groups by the bicolor average method,45 patients in each group.The control group received regular post hospital telephone follow-up,and the observation group cooperated with the"Internet plus"health management model on its basis to use Bates Jensen to assess the wound healing score,compare the blood glucose and blood lipid levels,assess the patient's coping style with the Medical Coping Modes Questionnaire,and use the self-care ability assessment scale(ESCA)and the comprehensive quality of life assessment questionnaire(GQOLI-74)to assess the self-care ability and quality of life scores of apple patients.Results At discharge,the scores of wound size,wound shape,wound color,secretion and pain in observation group were lower than those in control group(all P<0.05).FBG,2 hPBG and HbAlc were all decreased,and FBG,2 hPBG and HbAlc indexes in the observation group were lower than those in the control group(P<0.05).The levels of TG,TC and LDL-C were decreased and HDL-C was increased in both groups,and TG,TC and LDL-C were lower and HDL-C was higher in observation group than in control group(P<0.05).The scores of active information seeking,negative denial and active coping were increased in both groups,and the observation group was higher than the control group(P<0.05),while the negative coping score was decreased in both groups and the observation group was lower than the control group(P<0.05).The scores of self-care responsibility,self-care skills,self-concept and health knowledge in the observation group were higher than those in the control group(P<0.05).In terms of physiological function,social function,emotional function and mental state,the observation group had higher scores than the control group(P<0.05).Conclusions The health management model based on"Internet plus"for diabetes foot patients has more advantages.It can promote the speed of wound healing,improve the blood sugar and lipid levels,enhance the medical response effect,and improve the self-care ability and quality of life of patients.