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App平台结合精准护理干预模式对2型糖尿病患者的影响 被引量:6

Effect of App Platform Combined with Precision Nursing Intervention Model on Patients with Type 2 Diabetes
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摘要 目的:探讨App平台结合精准护理干预模式对2型糖尿病(T2DM)患者的影响。方法:将2017年1月1日~2019年1月1日收治的120例T2DM患者随机分为对照组和研究组各60例,对照组给予常规护理,研究组在常规护理基础上给予App平台结合精准护理;比较两组糖尿病知识掌握情况、自我管理能力[采用中文版糖尿病自护行为量表(SDSCA)]、血糖控制情况及生活质量[采用糖尿病生存质量特异性量表(DSQL)]。结果:护理后,两组糖尿病基础知识、饮食知识、运动知识、治疗知识及运动监测知识水平显著高于护理前(P<0.05),且研究组显著高于对照组(P<0.05);护理后,两组SDSCA中健康饮食、规律运动、血糖监测、足部护理评分及总分显著高于护理前(P<0.05),且研究组显著高于对照组(P<0.05);两组空腹血糖、餐后2h血糖、糖化血红蛋白水平显著低于护理前(P<0.01,P<0.05),且研究组显著低于对照组(P<0.05);两组DSQL中生理维度、心理/精神维度、社会关系维度、治疗维度评分均显著低于护理前(P<0.05),且研究组(除社会关系维度外)均显著低于对照组(P<0.05)。结论:App平台结合精准护理干预模式应用于T2DM患者护理中,可有效提高患者疾病认知水平与遵医行为,进而有利于血糖控制,改善患者生活质量,值得临床推广。 Objective:To explore the influence of App platform combined with precision nursing intervention model on patients with type 2 diabetes mellitus(T2DM).Methods:A total of 120 T2DM patients admitted from January 1,2017 to January 1,2019 were randomly divided into the control group and the research group with 60 cases each.The control group was given routine nursing,and the research group was given App platform combined with precision nursing on the basis of routine nursing.The two groups were compared in terms of diabetes knowledge,self-management ability(SDSCA),blood glucose control and quality of life(DSQL).Results:After nursing,the basic knowledge,diet knowledge,exercise knowledge,treatment knowledge and exercise monitoring knowledge of the two groups were significantly higher than before nursing(P<0.05),and the research group was significantly higher than the control group(P<0.05).After nursing,SDSCA score and total score of healthy diet,regular exercise,blood glucose monitoring and foot nursing in the two groups were significantly higher than before nursing(P<0.05),and the research group was significantly higher than the control group(P<0.05).The levels of fasting blood glucose,postprandial blood glucose of 2 hours and HbA1c in the two groups were significantly lower than those before nursing(P<0.05,P<0.01),and those in the research group were significantly lower than those in the control group(P<0.05).The scores of physiological dimension,psychological/spiritual dimension,social relationship dimension and treatment dimension in the DSQL of the two groups were significantly lower than before nursing(P<0.05),and the scores of the research group(except for social relationship dimension)were significantly lower than those of the control group(P<0.05).Conclusion:The application of the App platform in combination with precision nursing intervention model in the care of T2DM patients can effectively improve the patients′disease cognition level and compliance behavior,thereby contributing to blood glucose control an
作者 黄宝如 李晓冰 区女侄 Huang Baoru;Li Xiaobing;Ou Nvzhi(Jiangmen Central Hospital,Jiangmen Guangdong 529000,China)
机构地区 江门市中心医院
出处 《齐鲁护理杂志》 2019年第21期27-30,共4页 Journal of Qilu Nursing
关键词 App平台 精准护理 糖尿病 遵医行为 血糖控制 App platform Precision nursing Diabetes Compliance behavior Blood glucose control
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