远程医疗模式在2型糖尿病综合管理中的应用研究

发布时间：2017-12-28 14:27

本文关键词：远程医疗模式在2型糖尿病综合管理中的应用研究　出处：《吉林大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:为探索基于网络的糖尿病综合管理模式,建立“U-Healthcare(U-健康管理)”糖尿病远程医疗服务平台,验证其有效性及实用性。方法:从于我科门诊就诊的患者中筛选出220名Hb A1c在7%~10%的2型糖尿病患者,随机分为实验组(110名)和对照组(110名),实验组用具数据传输功能的血糖仪传送血糖数据,获得医疗组药物、饮食、运动等糖尿病U-Healthcare综合管理,对照组维持传统的就诊模式,不予额外干预,两组间隔3个月接受定期随访。结果:3个月后,实验组空腹血糖较基线值[7.0(5.9,8.0)对7.9(6.5,9.3)mmol/L,P=0.001]及对照组[7.0(5.9,8.0)对7.4(6.4,8.7)mmol/L,P=0.038]均有明显改善,实验组甘油三酯较基线值明显降低[1.7(1.2,2.2)对2.0(1.5,3.2)mmol/L,P=0.000]。到6个月,实验组餐后2h血糖与对照组相比也获得明显改善[10.2(9.0,12.0)对10.5(9.0,12.3)mmol/L,P=0.034],实验组糖化血红蛋白(Hb A1c)每3个月渐进性降低,且实验组Hb A1c下降幅度明显大于对照组[(1.27对0.68)%,P=0.004]。试验结束时,实验组中80%以上的患者坚持2~3日/周的血糖监测,患者的顺应度达72%。结论:1.远程管理短期内在糖尿病血糖控制、降低糖化血红蛋白、改善血脂等代谢指标方面起着积极作用。2.糖尿病远程医疗模式可与临床上其他干预方法形成互补,提高患者自我管理能力、病人满意度及依从性,对患者的整体健康水平和生活质量有着积极作用。3.糖尿病等慢性病远程医疗模式可以为更多人提供医疗服务,服务民生,服务社会。
[Abstract]:Objective: To explore the web-based diabetes comprehensive management mode, establish the U-Healthcare (U- health management) telemedicine service platform, and verify its effectiveness and practicability. Methods: selected 220 Hb A1c 7%~10% in patients with type 2 diabetes mellitus in our outpatient clinic patients, were randomly divided into experimental group (110 cases) and control group (110), blood glucose data transmission experiment appliance group data transmission function, access to medical drugs, diet, exercise group diabetes U-Healthcare comprehensive management, control group maintain the traditional medical mode, without additional intervention, the two groups received regular follow-up interval of 3 months. Results: after 3 months, the experimental group compared with baseline fasting blood glucose [7.0 (5.9,8.0) 7.9 (6.5,9.3) mmol/L, P=0.001] and control group [7.0 (5.9,8.0) 7.4 (6.4,8.7) mmol/L, P=0.038] were significantly improved in the experimental group, triglycerides compared with baseline values significantly decreased [1.7 (1.2,2.2) 2 (1.5,3.2) mmol/L. P=0.000]. At 6 months, the experimental group 2h postprandial blood glucose compared with the control group also significantly improved [10.2 (9.0,12.0) 10.5 (9.0,12.3) mmol/L, P=0.034], experimental group (Hb A1c) HbA1c every 3 months progressive decrease, and the experimental group Hb A1c decreased significantly than that in control group [(1.27 to 0.68%, P=0.004]). At the end of the experiment, more than 80% of the patients in the experimental group adhered to 2~3 daily / week blood glucose monitoring, and the patient's compliance was 72%. Conclusion: 1. long term management plays an active role in diabetes control in the short term, reducing glycated hemoglobin and improving blood lipid metabolism. 2. diabetes telemedicine mode can complement each other in clinical intervention, improve patient self-management ability, patient satisfaction and compliance, and play a positive role in patients' overall health level and quality of life. 3. chronic diseases such as diabetes and other chronic diseases can provide medical services for more people, serve the people's livelihood and serve the society.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R587.1

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