信息平台管理在糖尿病健康管理中的作用
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摘要
为探讨信息平台管理在糖尿病健康管理中的作用,在湖北理工学院附属医院门诊患者中选取90例糖尿病患者为研究对象,随机分为2组,对照组45例,进行门诊常规管理;观察组45例,利用手机短信、微信和QQ信息平台进行管理,6个月后比较分析2组患者的空腹血糖(FPG)、糖化血红蛋白(HbA1c)、血压、血脂等健康指标。2组患者与6个月前相比,FPG,HbA1c、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三酯(TG)明显好转,差异有统计学意义(P <0. 05); 6个月后,观察组FPG,HbA1c,SBP,DBP显著改善,与对照组比较差异有统计学意义(P <0. 05)。但2组患者TC和TG水平较6个月前无显著差异(P> 0. 05)。信息平台管理在糖尿病健康管理中作用明显,值得推广。
Objective: To explore the role of information platform management in diabetes health management.Methods: 90 patients with diabetes were randomly divided into the control group and the observation group,with45 cases each. The control group were treated with routine management while the observation group were managed by mobile phone short message,We Chat and QQ information platform. After 6 months,fasting plasma glucose( FPG),glycosylated hemoglobin( Hb A1 c),blood pressure,blood lipid and other health indicators were compared between the two groups. Results: FPG,Hb A1 c,systolic pressure( SBP),diastolic pressure( DBP),total cholesterol( TC),triglyceride( TG) were significantly improved compared with those 6 months ago( P <0. 05). After 6 months,FPG,Hb A1 c,SBP,DBP in the observation group were significantly improved compared with the control group( P < 0. 05). However,there was no significant difference in TC and TG after 6 months between the two groups( P > 0. 05). Conclusion: Information platform management plays a significant role in diabetes health management and is worthy of promotion.
Objective: To explore the role of information platform management in diabetes health management.Methods: 90 patients with diabetes were randomly divided into the control group and the observation group,with45 cases each. The control group were treated with routine management while the observation group were managed by mobile phone short message,We Chat and QQ information platform. After 6 months,fasting plasma glucose( FPG),glycosylated hemoglobin( Hb A1 c),blood pressure,blood lipid and other health indicators were compared between the two groups. Results: FPG,Hb A1 c,systolic pressure( SBP),diastolic pressure( DBP),total cholesterol( TC),triglyceride( TG) were significantly improved compared with those 6 months ago( P <0. 05). After 6 months,FPG,Hb A1 c,SBP,DBP in the observation group were significantly improved compared with the control group( P < 0. 05). However,there was no significant difference in TC and TG after 6 months between the two groups( P > 0. 05). Conclusion: Information platform management plays a significant role in diabetes health management and is worthy of promotion.
引文
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[2]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志,2014,22(8):2-42.
[3]WAGNER E H.The role of patient care teams in chronic disease management[J].British Medical Association,2000,320(7234):569-572.
[4]杨姗姗,杨晓玲,杨秀娟,等.网络工具在糖尿病管理中的研究进展[J].重庆医学,2016,45(27):3872-3875.
[5]LIANG X,WANG Q,YANG X.et al.Effect of mobile phone intervention for diabetes on glycaemic control:a meta-analysis[J].Diabetic Medicine,2011,28(4):455-463.
[6]PETROVSKI G,ZIVKOVIC M,STRATROVA SS.Social media and diabetes:can Facebook and Skype improve glucose control in patients with type 1 diabetes on pump therapy?One‐year experience[J].Diabetes Care,2015,38(4):e51-e52.
[7]MCANDREW L M,NAPOLITANO M A,POGACH LM,et al.The impact of self‐monitoring of blood glucose on a behavioral weight loss intervention for patients with type 2 diabetes[J].Diabetes Educator,2013,39(3):397-405.
[8]WEYMANN N,HRTER M,DIRMAIER J.A tailored,interactive health communication application for patients with type 2 diabetes:study protocol of a randomised controlled trial[J].BMCMedical Informatics and Decision Making,2013,13(1):24.
[9]SIMINERIO L,RUPPERT K,Huber K,et al.Telemedicine for reach,education,access,and treatment(TREAT):linking telemedicine with diabetes selfmanagement education to improve care in rural communities[J].Diabetes Educator,2014,40(6):797-805.
[10]ABSETZ P,OLDENBURG B,HANKONEN N,et al.Type 2 diabetes prevention in the real world:three-year results of the GOAL lifestyle implementation trial[J].Diabetes Care,2009,32(8):1418-1420.