摘要
目的探讨以专科护士主导的线上随访管理系统在2型糖尿病出院患者中的应用效果,从而提高糖尿病出院患者的糖代谢指标及自我管理能力。方法构建专科护士主导的线上随访管理方案并进行临床验证。选取2018年10—12月在内分泌科出院的2型糖尿病患者63例,采用以专科护士主导的时时线上咨询及定期视频复诊的线上随访管理系统,比较患者出院1、3、6个月的糖代谢指标和自我管理能力。结果单因素重复测量方法结果显示,空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)及患者自我管理能力总分在时间效应均有统计学意义(F值为16.49~1737.59,均P<0.01)。组内进一步两两比较,患者出院6个月的FPG(mmol/L)、2 hPG(mmol/L)、HbA1c(%)及自我管理能力总分均优于出院3个月(Z值为-0.948~1.433,均P<0.01);患者出院6个月的FPG(mmol/L)、2 h PG(mmol/L)、HbA1c(%)及自我管理能力总分均优于出院1个月(Z值为-2.705~4.517,均P<0.01);患者出院3个月的FPG(mmol/L)、自我管理能力总分均优于出院1个月(Z值为-1.432、3.083,P<0.01)。结论专科护士主导的线上随访管理系统可作为2型糖尿病出院患者远程血糖管理的一种新模式。
Objective To explore the application effect of the online follow-up management system led by specialized nurses in discharged patients with type 2 diabetes,and improve the glucose metabolism index and self-management ability of discharged patients with diabetes.Methods An online follow-up management program led by a specialist nurse was constructed.Selected October-December,2018 in endocrinology of 63 patients with type 2 diabetes,which adopted the online follow-up management system led by specialized nurses,compared of sugar metabolism index and self-management ability before and after the intervention.Results The results showed that FPG(mmol/L),2hPG(mmol/L),HbA1c(%)and the total score of patients'self-management ability all had statistical significance in the time effect(F values were 16.49-1737.59,all P<0.05).Compared with 6 months after intervention,FPG(mmol/L),2hPG(mmol/L),HbA1c(%)and total scores of self-management ability of patients were all significantly better than 3 months after intervention(Z values were-0.948-1.433,all P<0.01);Compared with 6 months after intervention,FPG(mmol/L),2hPG(mmol/L),HbA1c(%)and total scores of self-management ability of patients were all significantly better than 1 months after intervention(Z values were-2.705-4.517,all P<0.01).Compared with 3 months after intervention,FPG(mmol/L)and total scores of self-management ability of patients were all significantly better than 1 months after intervention(Z values were-1.432,3.083,P<0.01).Conclusions The online follow-up management system led by specialized nurses can be used as a new model for discharged patients with type 2 diabetes.
作者
韦伟
黄文贞
王洁
马建新
戴潇雪
吕英华
李莉
李德霞
Wei Wei;Huang Wenzhzen;Wang Jie;Ma Jianxin;Dai Xiaoxue;Lyu Yinghua;Li Li;Li Dexia(Department of Endocrinology,He′nan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Disease Control and Prevention,He′nan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Financial Management,He′nan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Endocrinology Second Ward,He′nan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Endocrinology Third Ward,He′nan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Patient Experience and Service,He′nan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《中国实用护理杂志》
2020年第36期2812-2817,共6页
Chinese Journal of Practical Nursing
基金
河南省医学科技攻关计划省部共建项目(SB201901086)。
关键词
糖尿病
2型
云诊疗
延伸护理
代谢
自我管理
Diabetes mellitus,type 2
Cloud diagnosis and treatment
Extended care
Metabolism
Self-management
