微信随访在离院2型糖尿病患者胰岛素注射依从性中的应用
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摘要
目的探讨微信随访在离院2型糖尿病患者胰岛素注射依从性中应用的价值。方法选择2016年3-9月在我院内分泌科经胰岛素系统化治疗后出院的135例2型糖尿病患者为研究对象,将出院前自愿加入微信随访群的73例患者设为微信随访组,将62例未加入微信随访群的患者设为对照组。出院前2组患者均给予系统的胰岛素强化治疗及离院指导,离院后均定期予电话随访,微信随访组在患者离院后增加微信随访护理干预指导。随访3个月,比较2组患者胰岛素注射依从性及胰岛素治疗不良反应的发生率。结果微信随访组患者胰岛素注射的依从性优于对照组,胰岛素治疗不良反应的发生率明显低于对照组(χ~2=7.679,P=0.001)。结论对2型糖尿病患者离院后给予微信随访指导进行护理干预,有助于提高患者的胰岛素注射依从性,有效控制血糖水平,减少胰岛素治疗不良反应的发生,从而改善患者的生存质量。
Objective To explore the WeChat follow-up on the compliance of insulin injection of type-2 diabetes patients after their discharge. Methods Totally 135 patients with type-2 diabetes and treated systematically with insulin between March and September 2016 were randomly divided into a WeChat follow-up group of 73 and a control group of 62 after their permission. Both groups were given health education before their discharge and regular telephone follow-up after their discharge, while the WeChat follow-up group was additionally provided with guidance through WeChat. After 3-month intervention, the compliance of insulin injection and the rate of adverse reactions were recorded and compared between the two groups. Results The compliance of the WeChat follow-up group was significantly better than that of the control group, while the rate of adverse reactions was significantly lower than that of the control group(χ~2=7.679, P=0.001). Conclusion For type-2 diabetes patients, WeChat follow-up after their discharge helps to improve their compliance of insulin injection, control of the blood sugar level and reduce the occurrence of adverse reactions, altogether improving their life quality.
Objective To explore the WeChat follow-up on the compliance of insulin injection of type-2 diabetes patients after their discharge. Methods Totally 135 patients with type-2 diabetes and treated systematically with insulin between March and September 2016 were randomly divided into a WeChat follow-up group of 73 and a control group of 62 after their permission. Both groups were given health education before their discharge and regular telephone follow-up after their discharge, while the WeChat follow-up group was additionally provided with guidance through WeChat. After 3-month intervention, the compliance of insulin injection and the rate of adverse reactions were recorded and compared between the two groups. Results The compliance of the WeChat follow-up group was significantly better than that of the control group, while the rate of adverse reactions was significantly lower than that of the control group(χ~2=7.679, P=0.001). Conclusion For type-2 diabetes patients, WeChat follow-up after their discharge helps to improve their compliance of insulin injection, control of the blood sugar level and reduce the occurrence of adverse reactions, altogether improving their life quality.
引文
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[8]韩禄禄,叶爱琴,官林英,等.手机微信随访方式对公务事业人员体检后高血糖跟进干预的影响[J].齐鲁护理杂志,2016,22(13):102-104.
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[10]温寅林.微信在糖尿病出院患者管理中的应用[J].社区医学杂志,2015,13(24):56-57.
[11]葛啸天,花霞,吕探云.2型糖尿病患者饮食依从性及影响因素[J].护理学杂志(综合版),2007,22(7):1-4.
[12]徐芳,蔡素芬,胡阳春.互联网+护理医疗服务在糖尿病社区延续性护理中的应用效果分析[J].中国临床护理,2016,8(6):528-530.
[13]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:79.
[2]Ahmed B,Davis HT,Laskey WK.In-Hospital Mortality Among Patients With Type 2Diabetes Mellitus and Acute Myocardial Infarction:Results From the National Inpatient Sample,2000-2010[J].J Am Heart Assoc,2014,3(4):e001090.
[3]常小霞,袁丽,杨小玲.2型糖尿病老年患者胰岛素治疗依从性现状及影响因素研究进展[J].护理学报,2016,23(21):26-30.
[4]方志鑫,蔡莉白.从传播学角度看微信的兴起[J].科教导刊,2012(5):219-220.
[5]高梅英,金红弟.2型糖尿病患者饮食治疗依从性及影响因素调查[J].社区医学杂志,2012,10(23):57-58.
[6]张艳丽,周成超.老年2型糖尿病患者胰岛素注射依从性及其影响因素分析[J].蚌埠医学院学报,2015,40(2):171-173.
[7]梁雪爱,谢亚丽.护理随访对注射胰岛素治疗的糖尿病患者的影响[J].糖尿病新世界,2015(13):130-131.
[8]韩禄禄,叶爱琴,官林英,等.手机微信随访方式对公务事业人员体检后高血糖跟进干预的影响[J].齐鲁护理杂志,2016,22(13):102-104.
[9]王丽娟,高俊香,康烁,等.微信教育在2型糖尿病病人延续护理中的应用[J].护理研究,2016,30(4A):1211-1213.
[10]温寅林.微信在糖尿病出院患者管理中的应用[J].社区医学杂志,2015,13(24):56-57.
[11]葛啸天,花霞,吕探云.2型糖尿病患者饮食依从性及影响因素[J].护理学杂志(综合版),2007,22(7):1-4.
[12]徐芳,蔡素芬,胡阳春.互联网+护理医疗服务在糖尿病社区延续性护理中的应用效果分析[J].中国临床护理,2016,8(6):528-530.
[13]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:79.