| 王洁,莫永珍,巫海娣,戴静,胡艳,林航.基于互联网的糖尿病专科护理在2型糖尿病患者中应用的卫生经济学研究[J].上海护理,2021,21(11): |
| 基于互联网的糖尿病专科护理在2型糖尿病患者中应用的卫生经济学研究 |
| The study of the health economic benefits of diabetic specialized nursing based on internet among patients with type 2 diabetes |
| DOI： |
| 中文关键词: 2型糖尿病 互联网 卫生经济学 成本效果 成本效用 |
| 英文关键词:Type 2 Diabtes Internet health economic benefits cost effectiveness cost utility |
| 基金项目:中华护理学会课题（ZHKE201511） |
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| 中文摘要: |
| 目的 探讨基于互联网的专科护理在2型糖尿病人群中应用的卫生经济学效益。方法 根据纳入及排除标准，选取门诊2型糖尿病患者为研究对象，随机分为对照组（n=25）与干预组（n=30）。相比较于对照组，干预组除常规护理外，同时用糖尿病居家护理平台进行管理。基线和干预12个月后，收集患者的一般社会人口学特征、空腹血糖(FPG)、餐后2小时血糖(2hPBG)、糖化血红蛋白(HbA1c)及医疗费用等，进行成本效果分析、成本-效用分析及敏感度分析等统计学处理。结果 12个月后，干预组与对照组FPG、2hPBG及HbA1c均降低（P<0.05），干预组FPG、2hPBG及HbA1c低于对照组（P<0.05）。干预组降低1mmol/LFPG、降低1mmol/L2hPBG及降低1%HbA1c需分别花费2253.45元、1233.02元、1445.80元；对照组则为5809.49元、2275.88元、1512.06元。结论 基于互联网的糖尿病专科护理可改善2型糖尿病患者血糖控制水平，具有较好的卫生经济学效益。 |
| 英文摘要: |
| Objective To explore the health economic benefits of diabetic specialized nursing based on internet. Methods Fifty-five outpatients with type 2 diabetes were included and randomly divided into control group (n=25) and intervention group (n=30). The control group received routine nursing care.In addition to routine nursing care, intervention group were also managed through the diabetes home care APP. Sociodemographic characteristics, FBG, 2hPG, HbA1c and medical expenses were collected at baseline and 12 month follow-up.Health economic benefits of the diabetes home were evaluated through cost-effectiveness analysis, and cost-utility analysis.Results Decreased FPG, 2hPBG and HbA1c in both groups were observed after 12 month.FPG, 2hPBG and HbA1c in intervention group were lower than that in control group. It cost 2253.45 yuan, 1233.02 yuan, and 1445.80 yuan to reduced 1 unit FPG, 2hPBG(1mmol/L), and HbA1c(1%) in intervention group,respectively. However,it cost 5809.49 yuan,2275.88 yuan,and 1512.06 yuan in the control group, respectively. Conclusion Internet based specialized nursing diabetes can improve the blood glucose level of outpatient type 2 diabetes. It has health and economic benefits and is conductive to the optimization of medical resource allocation. |
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