摘要
目的探讨基于微信平台的延续性护理在糖尿病患者院外护理中的效果。方法选取2021年1—6月郑州市某医院接诊的84例糖尿病患者为研究对象,采用随机数字表法将患者分为观察组与对照组,各42例。对照组患者实施常规延续性护理,观察组患者实施基于微信平台的延续性护理。比较2组患者出院时、出院1个月时糖尿病成人知识量表及糖尿病专科疾病患者自护行为量表(SDSCA)评分。比较2组患者并发症发生情况,包括低血糖、糖尿病酮症酸中毒(DKA)、高血糖高渗状态(HHS)等。结果出院时,2组患者糖尿病成人知识量表评分比较,差异无统计学意义(P>0.05)。出院1个月时,2组患者糖尿病成人知识量表评分均高于出院时,且观察组高于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者SDSCA中控制饮食、谨遵用药、足部护理、规律运动、低血糖预防及处理、血糖监测维度评分比较,差异无统计学意义(P>0.05)。出院1个月时,2组患者SDSCA中控制饮食、谨遵用药、足部护理、规律运动、低血糖预防及处理、血糖监测维度评分均高于出院时,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为4.76%,低于对照组的19.04%,差异有统计学意义(P<0.05)。结论基于微信平台的延续性护理在糖尿病患者院外护理中的效果显著,可有效提高患者疾病相关知识水平及自我管理能力,降低并发症发生率,值得临床推广应用。
Objective To explore the effect of continuing care based on the WeChat platform in the out-of-hospital care of diabetic patients.Methods Eighty-four cases of diabetic patients admitted to a hospital in Zhengzhou from January to June 2021 were selected as the study subjects and divided into an observation group and a control group using the random number table method,with 42 cases each.Patients in the control group received conventional continuing care,and patients in the observation group were given continuing care based on the WeChat platform.The scores of the Diabetes Adult Knowledge Scale and the The Summary of Diabetes Self-Care Activities Disorders(SDSCA)at the time of discharge and at 1 month of discharge were compared between the 2 groups of patients.The occurrence of complications,including hypoglycemia,diabetic ketoacidosis(DKA),and hyperglycemic hyperosmolar state(HHS)in the 2 groups was also compared.Results At the time of discharge,there was no statistically significant difference between the scores of the Diabetes Adult Knowledge Scale in the 2 groups(P>0.05).At 1 month of discharge,the scores of the Diabetes Adult Knowledge Scale were higher than those of the patients in the 2 groups at discharge and higher in the observation group than in the control group,with statistically significant differences(P<0.05).At the time of discharge,there was no statistically significant difference in the SDSCA scores for diet control,medication compliance,foot care,regular exercise,hypoglycemia prevention and management,and blood glucose monitoring between the 2 groups(P>0.05).At 1 month of discharge,the scores for diet control,medication compliance,foot care,regular exercise,hypoglycemia prevention and management,and blood glucose monitoring in SDSCA were higher in both groups than at discharge and higher in the observation group than in the control group,with statistically significant differences(P<0.05).The complication rate of patients in the observation group was 4.76%,lower than that of 19.04%in the control gr
作者
李明
许丽颖
Li Ming;Xu Liying(Department of Endocrinology and Metabolic Diseases, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)
出处
《保健医学研究与实践》
2022年第3期59-62,共4页
Health Medicine Research and Practice
关键词
糖尿病
延续性护理
微信平台
健康教育
自我管理
Diabetes mellitus
Continuing care
WeChat platform
Health education
Self-management
