摘要
目的评价基于移动医疗的个案管理模式对T2DM患者自我管理知识、态度、行为及血糖控制的干预效果。方法选取于北京清华长庚医院内分泌科门诊就诊的T2DM患者100例,随机分为干预组与对照(Con)组,每组各50例,均使用移动医疗平台"糖护士"。干预组由个案管理师主导的团队给予为期3个月线上结合线下的个案管理干预,Con组每月门诊常规诊疗,"糖护士"仅作为血糖监测记录及自我管理工具。比较两组基线及干预3个月后的糖尿病自我管理知识、态度、行为,血糖控制指标及继续使用"糖护士"的意愿。结果干预后,干预组糖尿病自我管理态度、行为得分均高于Con组[(77.61±1.91)vs(76.40±2.22)分,(131.63±9.98)vs (126.78±7.42)分,P<0.05];HbA_1c低于Con组[(6.82±0.82)%vs(7.17±0.42)%,P<0.05];FBG、2hBG、高血糖与低血糖所占比例均低于Con组[(6.97±0.79)vs(7.40±0.76)mmol/L,(10.91±1.83)vs (12.59±2.81)mmol/L,28.6%vs36.2%,3.7%vs 14.3%,P<0.05];干预组继续使用"糖护士"的意愿强于Con组(85.7%vs 42.0%,P<0.05)。结论基于移动医疗的个案管理模式提高了T2DM患者自我管理态度与行为,有效提升了血糖控制效果,增强了患者使用移动医疗的意愿。
Objective To evaluate the effect of case management model based on mobile health on the self-management knowledge,attitude,behavior and blood glucose control in T2DM patients.Methods A total of 100 outpatients with T2DM were selected and randomly divided into intervention group（n=50）and control（Con）group（n=50）.Both groups used＂Dnurses＂mobile health application.Intervention group received case management online and offline provided by the nurse team for 3 months.Con group received routine therapy and the ＂Dnurses＂was only used as the blood glucose monitoring record and self-management tool.The self-management knowledge,attitudes,behaviors,blood glucose control indicators and willingness to continue using＂Dnurses＂were compared between the two groups at baseline and 3 months after intervention. Results After intervention,the scores of self-management attitude and behavior in intervention group were higher than Con group[（77.61±1.91）vs（76.40±2.22）scores,（131.63±9.98）vs（126.78±7.42）scores,P0.05].HbA_1c in intervention group was lower than Con group [（6.82±0.82）% vs（7.17±0.42）%,P0.05].FBG,2 hBG,the proportion of hyperglycemia and hypoglycemia in the intervention group was lower than Con group [（6.97±0.79）vs（7.40±0.76）mmol/L,（10.91±1.83）vs（12.59±2.81）mmol/L,28.6% vs 36.2%,3.7% vs14.3%,P0.05].The patients in intervention group were more willing to continue using ＂Dnurses＂than Con group（85.7% vs 42.0%,P0.05）. Conclusion The case management mode based on mobile health can improve the self-managementattitude and behavior,improve the blood glucose control and can effectively strengthen the willingness of patients to use mobile health.
作者
李彩宏
沈犁
LI Caihong;SHEN Li(Department of Nursing,BeijingTsinghua Changgung Hospital School of Clinical Medicine,Tsinghur University,Beijing 102218,China)
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2018年第11期914-918,共5页
Chinese Journal of Diabetes
基金
北京清华长庚医院研究基金(22016C1005)
关键词
移动医疗
个案管理
糖尿病
2型
Mobile health
Case management
Diabetes mellitus
type 2
