2型糖尿病出院患者基于云门诊的虚拟管理
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The virtual management based on cloud outpatient service in discharged patients with type 2 diabetes
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    摘要:

    目的 探讨基于“云门诊”的虚拟管理模式在2型糖尿病出院患者自我管理中的应用效果,为院外延伸护理提供新方案。方 法 将96例2型糖尿病出院患者按随机数字表法分为观察组与对照组各48例。对照组实施门诊个体化诊疗及健康指导,电话随 访每2周1次。观察组采用 App线上咨询结合“云门诊”视频问诊的管理模式。出院前、出院后3、6个月测评两组糖代谢指标和 自我管理行为。结果 两组餐后2h血糖、自我管理行为得分比较,组间效应、时间效应、交互效应差异有统计学意义(P<0.05, P<0.01);出院后6个月糖化血红蛋白达标率显著高于对照组(P<0.05)。结论 对糖尿病患者实施基于“云门诊”的虚拟管理可 改善患者血糖,提高其自我管理行为。

    Abstract:

    Objective To explore the application effect of a virtual management mode based on "cloud outpatient service" in the self-management of discharged patients with type 2 diabetes, and to provide new programs for transitional care. Methods Totally 96 discharged patients with type 2 diabetes were randomized into an experimental group and a control group, with 48 patients in each group.The control group accepted individualized diagnosis, treatment and health guidance in outpatient department, and they were followed-up using phone every 2 weeks.While the experimental group was managed using App online consultation and "cloud outpatient service" video inquisition.The glucose metabolism indicators and self-management behavior of the two groups before discharge, 3 and 6 months after discharge were mearsured. Results When compared with the 2h postprandial blood sugar and the score of self-management behavior between the two groups, there were significant group effect, time effect and group by time effect (P<0.05,P<0.01), and the standard reaching rate of glycosylated hemoglobin in the experimental group was significantly higher than that of the control group (P<0.05). Conclusion Conducting the management mode based on "cloud outpatient service" in diabetes patients can improve patients′ blood sugar, and enhance their self-management behavior.

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黄文贞,韦伟,李德霞,王洁,马建新,李莉,吕英华,李俊芳,葛艳红.2型糖尿病出院患者基于云门诊的虚拟管理[J].护理学杂志,2019,34(17):1-4

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  • 收稿日期:2019-02-15
  • 最后修改日期:2019-03-28
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  • 在线发布日期: 2022-08-09