摘要
目的探讨微信平台延续性护理在糖尿病足患者自我管理行为中应用效果。方法便利选取2018年8月-2019年8月该院诊治糖尿病足患者58例实施研究,用随机分组表法分为基础组(常规随访护理,29例)和干预组(微信平台延续性护理干预,29例),比较两组患者干预前后血糖、糖化血红蛋白水平及自我管理行为评分。结果干预前,两组患者空腹血糖、糖化血红蛋白水平差异无统计学意义(P>0.05);干预6个月,干预组空腹血糖(6.2±1.1)mmol/L、糖化血红蛋白(6.0±0.8)%低于基础组(7.0±1.8) mmol/L、(6.7±1.0)%,差异有统计学意义(t=2.042、2.943,P<0.05);干预组用药(13.5±1.6)分、运动(17.6±1.8)分、饮食(25.5±2.1)分、测量血糖(17.4±1.1)分及足部护理评分(22.7±1.3)分显著高于基础组的(11.5±1.4)分、(14.1±1.5)分、(21.6±2.0)分、(15.2±1.8)分、(20.8±1.8)分,差异有统计学意义(t=5.066、8.044、7.242、5.616、4.608,P<0.05)。结论微信平台延续性护理在糖尿病足患者中应用,能提高患者自我管理行为,提高血糖控制效果。
Objective To explore the application effect of WeChat platform continuous care in the self-management behavior of diabetic foot patients.Methods From August 2018 to August 2019,58 patients with diabetic foot were diagnosed and treated in this hospital.They were divided into basic group(routine follow-up care,29 cases)and intervention group(continued care intervention on WeChat platform,29 cases),compared the blood glucose,glycosylated hemoglobin levels and self-management behavior scores of the two groups before and after intervention.Results Before the intervention,there was no significant difference in the levels of fasting blood glucose and glycosylated hemoglobin between the two groups(P>0.05);for 6 months of intervention,the fasting blood glucose(6.2±1.1)mmol/L and glycosylated hemoglobin(6.0±0.8)%of the intervention group were lower than(7.0±1.8)mmol/L,(6.7±1.0)%,the difference was statistically significant(t=2.042,2.943,P<0.05)in the basic group;the intervention group medication(13.5±1.6)points,exercise(17.6±1.8)points,diet(25.5±2.1)points,blood glucose measurement(17.4±1.1)points and foot care score(22.7±1.3)points were significantly higher than the basic group(11.5±1.4)points,(14.1±1.5)points,(21.6±2.0)points,(15.2±1.8)points,(20.8±1.8)points,the difference was statistically significant(t=5.066,8.044,7.242,5.616,4.608,P<0.05).Conclusion The application of WeChat platform continuous care in patients with diabetic foot can improve patients’self-management behavior and improve the effect of blood glucose control.
作者
叶秋琴
余艳
YE Qiu-qin;YU Yan(Department of Hand and Foot Surgery,Huizhou Third People's Hospital,Huizhou,Guangdong Province,516001 China)
出处
《中外医疗》
2021年第4期172-174,共3页
China & Foreign Medical Treatment
基金
惠州市科技计划项目(190330234579902)。
关键词
糖尿病足
微信平台
延续性护理
自我管理
Diabetic foot
WeChat platform
Continuous care
Self-management
