摘要
目的探讨医院-社区联动网络化管理模式对社区老年2型糖尿病患者的应用优势,为改善患者生命质量提供参考。方法采用随机对照研究方法。便利抽样选取2022年2—9月广州市黄埔区社区医院收治的老年2型糖尿病患者84例,按随机数字表法分为对照组及干预组,各42例。对照组采用常规医院-社区联动管理模式,干预组在常规管理基础上采用网络化血糖管理模式。干预6个月后,通过比较2组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平以及糖尿病患者自我管理行为量表(SDSCA)、糖尿病患者生命质量特异性量表(DSQL)得分评估干预效果。结果干预前2组餐后2 h血糖、空腹血糖和糖化血红蛋白以及SDSCA、DSQL得分差异均无统计学意义(均P>0.05);干预6个月后,干预组餐后2 h血糖、空腹血糖和糖化血红蛋白分别为(9.25±2.87)、(6.07±0.69)mmol/L和(7.04±1.59)%,对照组分别为(11.04±3.75)、(6.57±0.95)mmol/L和(8.02±2.25)%,差异均有统计学意义(t=2.45、2.76、2.30,均P<0.05);干预6个月后干预组SDSCA、DSQL得分分别为(34.21±10.43)、(135.64±10.71)分,对照组分别为(29.12±7.36)、(145.85±10.33)分,2组比较差异均有统计学意义(t=2.58、4.44,均P<0.05)。结论医院-社区联动网络化管理模式可改善社区老年2型糖尿病患者的血糖水平,对提高自我管理行为能力和提高生命质量具有积极作用。
Objective To explore the application advantages of hospital-community linkage network blood glucose management model for elderly type 2 diabetes patients in community in order to supply reference for improve patients′qualitye of life.Methods This study was a randomized controlled study.A total of 84 elderly patients in Huangpu Community Hospital of Guangzhou from February to September 2022 were selected and divided into control group and intervention group by a table of random numbers.The control group adopted the hospital community linkage management model,and the intervention group followed the network management mode on the basis of the routine management.After 6 months of intervention,we compared the level of fasting blood glucose,blood glucose two hours after meal and glycosylated hemoglobin,and the scores of the Summary of Diabetes Self-Care Activities(SDSCA),Diabetes Specificity Quality of Life Scale(DSQL)between the two groups to illustrate the application advantages.Results There were no significant differences in blood glucose two hours after meal,fasting blood glucose and glycosylated hemoglobin between the intervention and control groups(all P>0.05).After 6 months of intervention,the blood glucose two hours after meal,fasting blood glucose and glycosylated hemoglobin of the intervention group were(9.25±2.87)mmol/L,(6.07±0.69)mmol/L and(7.04±1.59)%,respectively,which were lower than those of the control group(11.04±3.75)mmol/L,(6.57±0.95)mmol/L and(8.02±2.25)%.The differences were statistically significant(t=2.45,2.76,2.30,all P<0.05).After 6 months of intervention,the scores of SDSCA scale and DSQL scale were(34.21±10.43)and(135.64±10.71)points,which were higher than(29.12±7.36)and(145.85±10.33)points in the control group,and the differences were statistically significant(t=2.58,4.44,both P<0.05).Conclusions The hospital-community linkage network management model can improve the blood glucose level of elderly patients with type 2 diabetes mellitus in the community and has a positive effect
作者
顾晓燕
周春兰
谢翠华
Gu Xiaoyan;Zhou Chunlan;Xie Cuihua(Department of Endocrinology,the Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510515,China;Department of Nursing,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Endocrinology and Metabolism,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中国实用护理杂志》
2023年第26期2007-2013,共7页
Chinese Journal of Practical Nursing
基金
广东省医学科学技术研究基金(C2021079)。
关键词
老年人
糖尿病
2型
社区-医院
网络化
血糖管理
Aged
Diabetes,type 2
Hospital-community
Networking
Blood glucose management
