摘要
目的探讨基于糖尿病足APP的出院后远程管理对糖尿病高危足患者自我管理行为的效果。方法选取2019年1月—2019年6月吉林省人民医院糖尿病足诊治中心诊治后的糖尿病高危足患者116例,出院后随机分为对照组58例(给予电话随访)与研究组58例(给予糖尿病足APP的出院后远程管理),干预后均进行为期6个月的随访。记录并比较两组患者干预前后血糖等控制情况、患者依从性、患者满意度的评分、发生糖尿病足的例数。结果干预6个月后两组患者空腹血糖(fasting blood glucose,FBG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)、总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)水平均降低,且研究组患者降低更为显著,研究组定期血糖监测、定期复诊患者例数、远程医疗满意度均显著高于对照组,差异有统计学意义(均P<0.05)。结论对糖尿病高危足患者给予糖尿病足APP的出院后管理,可有效控制血糖及血脂等糖尿病足危险因素,提高患者依从性,提高患者自我管理行为,该APP的使用可预防糖尿病足的发生,值得广泛推广。
Objective To investigate the effect of post-discharge remote management based on diabetic foot APP on selfmanagement behavior of patients with high-risk diabetic foot.Methods From January 2019 to June 2019,116 patients with high-risk diabetic footwere selected from Diabetic Foot Diagnosis and Treatment Center of Jilin Provincial People’s Hospital.After discharge,they were randomly divided into control group(58 patients were given telephone follow-up)and study group(58 patients were given post-discharge management of diabetic foot APP).All patients were followed up for 6 months after intervention.The biochemical control of blood glucose,compliance,satisfaction and the number of diabetic foot cases were recorded and compared between the two groups before and after intervention.Results After 6 months of intervention,FBG,HbA1c,TC and TG decreased in both groups,and the levels decreased more significantly in the study group.The regular blood glucose monitoring,the number of patients with regular follow-up and the satisfaction of telemedicine in the study group were significantly higher than those in the control group(all P<0.05).Conclusion The post-discharge management of APP for patients with high-risk diabetic foot can effectively control blood glucose,blood lipid and other risk factors of diabetic foot,improve patients'compliance and self-management behavior.The use of APP can prevent the occurrence of diabetic foot and is worth of wide promotion.
作者
李可心
封岩
孙梦婷
崔艳方
宫雪
段文燕
肖燕
蒋立军
Li Kexin;Feng Yan;Sun Mengting;Cui Yanfang;Gong Xue;Duan Wenyan;Xiao Yan;Jiang Lijun(Geriatric Medicine,Jilin People’s Hospital,Changchun 130021,China;Clinic Medical College,Changchun University of Chinese Medicine,Changchun 130117,China)
出处
《足踝外科电子杂志》
2021年第1期27-31,共5页
Electronic Journal of Foot and Ankle Surgery
基金
2020年吉林省科技发展计划项目(20200403108SF)。
关键词
糖尿病足
高危足
远程医疗
diabetic foot
high-risk foot
telemedicine
