摘要
目的:分析"互联网+个案管理"模式对2型糖尿病患者自我效能的影响。方法:利用"互联网+"理念结合糖尿病个案管理模式,选取2018年1-6月在中国人民解放军陆军第八十一集团军医院内分泌科住院的2型糖尿病患者120例,采用随机数字表法,分为研究组和对照组,每组60例。对照组采用常规糖尿病护理方案,研究组采用糖尿病个案管理小组实施的"互联网+个案管理"模式干预。由糖尿病个案管理小组应用自制的一般资料问卷、糖尿病管理自我效能量表(DMSES)于干预前、干预后第6个月评价患者自我效能,并监测患者空腹血糖、餐后2 h血糖及糖化血红蛋白。结果:干预6个月后研究组DMSES总分为(27.27±1.65)分,高于对照组(18.15+1.29)分,差异有统计学意义(t=33.712,P<0.01);干预后研究组餐后2 h血糖(9.06±1.29)mmol/L,优于对照组(10.32±1.43)mmol/L,差异有统计学意义(t=5.073,P<0.01);干预后研究组糖化血红蛋白(6.83±0.70)%,优于对照组(8.24±1.25)%,差异有统计学意义(t=7.640,P<0.01)。结论:"互联网+个案管理"模式可提高2型糖尿病患者的自我效能,能改善患者的血糖代谢指标。
Objective: To analyze the effect of "Internet+ case management" on self-efficacy of patients with Type 2 diabetes.Methods:"Internet+" concept and diabetes case management mode are combined. 120 patients with Type 2 diabetes who were admitted to Department of Endocrinology in our hospital from January to June in 2018 were selected and randomly divided into study group and control group with the random number table, with 60 cases in each group. The control group received the conventional diabetes care program, and the study group adopted the "Internet+case management" mode implemented by the diabetes case management team for intervention. The self-efficacy of patients was evaluated by self-made general information questionnaire of the diabetes case management team and Diabetes Management Self-efficacy Scale(DMSES) before intervention and 6 months after intervention. Fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin of patients were monitored.Results: After 6 months of intervention, the total DMSES score in the study group was(27.27±1.65)points, higher than(18.15±1.29)points of the control group. The difference was statistically significant(t value was 33.712;P <0.01). The 2-hour postprandial blood glucose in the study group was(9.06±1.29)mmol/L after intervention, better than that in the control group(10.32±1.43)mmol/L. The difference was statistically significant(t value was 5.073;P<0.01). After the intervention, the glycosylated hemoglobin in the study group was(6.83±0.70)%, better than that in the control group(8.24±1.25)%. The difference was statistically significant(t value was7.640;P<0.01). Conclusion: The Internet+ case management mode can improve the self-efficacy of patients with Type 2 diabetes and improve the glycemic index of patients.
作者
张帅
张红亮
郭英俊
池小锋
薛晓英
康婧
ZHANG Shuai;ZHANG Hongliang;GUO Ying-jun(The 81st Army Group Hospital of PLA,Zhangjiakou 075000,Hebei Province,P.R.C)
出处
《中国数字医学》
2019年第8期114-117,共4页
China Digital Medicine
基金
张家口市2018年科研立项课题(编号:1821114D)~~
