蒋珊珊,朱月永,肖根发,刘英,陈容.互联网+ 延续性护理模式在肝病合并糖尿病患者中应用效果研究[J].上海护理,2020,20(S1):
互联网+ 延续性护理模式在肝病合并糖尿病患者中应用效果研究
Study on the effectiveness of internet + individualized tracking nursing model in patients with liver disease and diabetes
DOI:
中文关键词:  互联网+  肝病  糖尿病  延续性护理
英文关键词:liver disease  diabetes  internet+  individualized
基金项目:
作者单位E-mail
蒋珊珊* 福建医科大学附属第一医院肝病中心 ssregina@sina.com 
朱月永 福建医科大学附属第一医院肝病中心  
肖根发 福建医科大学附属第一医院干部病房  
刘英 福建医科大学附属第一医院肝病中心  
陈容 福建医科大学附属第一医院肝病中心  
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中文摘要:
      目的:探讨“互联网+ 延续性护理模式”在肝病合并糖尿病患者中的应用效果。方法:选取2017年1月至2018年3月就诊于某三甲医院肝病中心的166例肝病合并糖尿病患者为研究对象,将所有患者随机抽样分为对照组和干预组。对照组接受肝内科责任护士进行传统的肝内科常规护理、健康宣教及出院指导, 干预组基常规护理,再通过“互联网+” 随访咨询、健康宣教与诊疗追踪的延续性护理模式的干预。在出院后6个月、12个月, 对患者的餐后2h血糖、糖化血红蛋白、低血糖发生率和护理质量满意度进行分析。结果:干预后6个月和12个月干预组患者的餐后2h血糖、糖化血红蛋白检验值较对照组同期有较明显改善,差异均有统计学意义(P<0.05);低血糖发生率明显低于对照组,差异有统计学意义(P<0.05);护理质量满意度显著高于对照组,差异有统计学意义(P<0.05)。结论:“互联网+延续性护理模式”对肝病合并糖尿病患者的餐后2h血糖、糖化血红蛋白有明显改善,低血糖发生率明显下降,护理质量满意度显著提高。
英文摘要:
      x Objective: Explore the application effectiveness of internet + individualized tracking nursing model in patients with liver disease and diabetes. Methods: A total of 166 patients with liver disease and diabetes were randomly divided into control group and intervention group. The control group received the internal hepatic responsible nurses for traditional hepatic routine nursing, health education and discharge guidance. Beside the conventional nursing, the intervention group was accepted “Internet +” based care services such as the follow-up consultation, health education and diagnosis tracking. The postprandial 2h blood glucose, glycosylated hemoglobin, hypoglycemia incidence and quality of care satisfaction of patients were evaluated at the end of 6 and 12 months after discharge. Results: The 2h postprandial blood glucose and glycosylated hemoglobin test values of the intervention group were significantly improved compared with that of the control group (P < 0.05), as well as the incidence of hypoglycemia and nursing quality. Conclusion: Internet + individualized tracking nursing model has significantly improved 2 h postprandial blood glucose and glycosylated hemoglobin in patients with liver disease and diabetes mellitus. The incidence of hypoglycemia is significantly decreased, and the satisfaction of nursing quality is significantly improved.
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