摘要
目的:探讨基于网络医疗平台的延续护理对初始使用甘精胰岛素的糖尿病患者依从性的影响。方法:2015年7月至2015年12月本院内分泌科初始使用基础(甘精)胰岛素的2型糖尿病住院患者随机分为观察组42例和对照组40例。2组住院期间均进行常规的健康教育及出院指导,观察组在此基础上实施网络医疗平台延续性护理(如短信、电话等方式)进行干预。在出院时、出院3个月采用糖尿病生存质量特异性量表、自我管理能力调查表进行调查,并测量空腹血糖及糖化血红蛋白。结果:观察组饮食、服药的依从性优于对照组,出院3个月时空腹血糖及糖化血红蛋白测量值明显低于对照组,生存质量总分及各维度得分的改善均高于对照组(P<0.05),但运动认知差异并无统计学意义(P>0.05)。结论:借助网络医疗平台对糖尿病患者实施延续健康教育,能够显著提高依从性和自我管理能力,从而使血糖指标的控制更加理想,最终提高患者的生存质量。
[ Objective] To investigate the influence about Patient compliance with the continuous nursing care based on the medical network platform in the initial use of insulin. [ Method ] Patients with initial use of insulin were divided into observation group and control group. During hospitalization, all of patients were receiving routine health education. While discharge Observation group were receiving continuous nursing care based on the medical network platform continuity management intervention. At discharge day and 3 months after discharge, the specificity of diabetes quality of life scale, self management ability questionnaire were carded out in patients, and respectively fasting glucose and HbA1 c were monitored. [ Result ] Follow- up 3 months, compared with control group, the observation group showed well medical compliance and lower FBG and HbAlc, higher scores of Quality of Lifescores （ P 〈 0. 05） but not in exercise adherence （ P 〉 0.05）. [ Conclusion ] Based on medical network platform, health education could improve the patients compliance and self management ability, the control of blood glucose index was more ideal, and finally improve the survival quality of patients.
出处
《浙江医学教育》
2016年第6期32-34,共3页
Zhejiang Medical Education
关键词
糖尿病
胰岛素
网络医疗平台
延续护理
diabetes
insulin
medical network platform
continuous nursing care
