| 姜玉霞,黄雷,周蓉,王俊,刘旻,顾郭庆,陈瑶.互联网+社区综合护理在早期糖尿病视网膜病变中的应用[J].上海护理,2024,24(S1): |
| 互联网+社区综合护理在早期糖尿病视网膜病变中的应用 |
| Application of Internet plus Community Comprehensive Nursing in Early diabetes Retinopathy |
| DOI： |
| 中文关键词: 家庭医生签约服务 糖尿病视网膜病变 “互联网+” 社区护理 |
| 英文关键词:Family doctor signing services Diabetes retinopathy "Internet plus" Community nursing |
| 基金项目:上海市黄浦区科学技术委员会,上海市黄浦区卫生健康系统扶植项目 |
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| 中文摘要: |
| 目的：基于家庭医生签约服务,探讨互联网+社区综合护理在早期糖尿病视网膜病变(DR)患者中的应用效果。方法：随机选取2021年10月－2022年10月本中心家庭医生签约人群中早期糖尿病视网膜病变患者100例,按照随机数字表法分为研究组和对照组,对照组接受常规健康管理,研究组常规健康管理基础上接受互联网+社区综合护理模式,所有患者均干预12个月,比较两组干预前后的血糖[空腹血糖(FBG)、餐后2h血糖(PBG)、糖化血红蛋白(HbA1c)]、知识-态度-行为(KAP)水平、自我管理能力[2型糖尿病自我管理行为量表(2-DSCS)]、DR病变程度变化。结果：干预3个月、6个月、12个月时,两组的FBG、PBG、HbA1c均低于同组干预前,并且研究组的FBG、PBG、HbA1c低于对照组(P＜0.05)；两组的KAP和2-DSCS评分均高于同组干预前,并且研究组的KAP和2-DSCS评分高于对照组(P＜0.05)；研究组和对照组的干预前及干预后3个月、6个月、12个月的DR病变程度整体比较,差异均有统计学意义(P＜0.05)；其中两两比较,干预前,两组的DR病变程度差异无统计学意义(P＞0.05)。干预3个月时,两组DR病变程度与同组干预前比较,差异无统计学意义(P＞0.05),且两组间比较,差异无统计学意义(P＞0.05)；干预6个月时,研究组DR病变程度低于同组干预前(P＜0.05),且研究组与对照组比较,差异无统计学意义(P＞0.05)；对照组DR病变程度与同组干预前比较,差异无统计学意义(P＞0.05)；干预12个月时,研究组、对照组的DR病变程度低于同组干预前,且研究组低于对照组(P＜0.05)。结论：基于家庭医生签约服务,运用互联网+社区综合护理干预能够显著改善早期DR患者的血糖水平和自我管理能力,帮助其树立正确的认知,预防DR病情进展。 |
| 英文摘要: |
| Objective: Based on the signing service of family doctors, this paper discusses the application effect of Internet+community comprehensive nursing in patients with early diabetes retinopathy (DR).Methods: From October 2021 to October 2022, 100 patients with early diabetes retinopathy who were signed by family doctors in the center were randomly selected and divided into the study group and the control group according to the random number table. The control group received routine health management, and the study group received Internet plus community comprehensive care mode on the basis of routine health management. All patients were intervened for 12 months, The changes of blood glucose [fasting blood glucose (FBG), postprandial blood glucose (PBG), glycosylated hemoglobin (HbA1c)], knowledge attitude behavior (KAP) level, self-management ability [type 2 diabetes self-management behavior scale (2-DSCS)] and DR lesion degree before and after the intervention were compared between the two groups. Results: At 3 months, 6 months and 12 months after intervention, the FBG, PBG and HbA1c of the two groups were lower than those before intervention, and the FBG, PBG and HbA1c of the study group were lower than those of the control group (P < 0.05). The KAP and 2-DSCS scores of the two groups were higher than those before intervention, and the KAP and 2-DSCS scores of the study group were higher than those of the control group (P < 0.05). There were statistically significant differences in the degree of DR Lesions between the study group and the control group before intervention and 3 months, 6 months and 12 months after intervention (P < 0.05). Before intervention, there was no statistically significant difference in the degree of DR Lesions between the two groups (P > 0.05). After 3 months of intervention, there was no significant difference in the degree of DR Lesions between the two groups before and after intervention (P > 0.05), and there was no significant difference between the two groups (P > 0.05). After 6 months of intervention, the degree of DR Lesions in the study group was lower than that before intervention (P < 0.05), and there was no statistically significant difference between the study group and the control group (P > 0.05). There was no significant difference in the degree of DR Lesions between the control group and the same group before intervention (P > 0.05). After 12 months of intervention, the degree of DR Lesions in the study group and the control group was lower than that before intervention, and the study group was lower than the control group (P < 0.05). Conclusion: Based on the contracted services of family doctors, the use of Internet+community comprehensive nursing intervention can significantly improve the blood sugar level and self-management ability of early DR patients, help them establish correct cognition and prevent the progression of DR. |
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