糖尿病患者随访管理数据库的应用效果研究

摘要

目的 探讨应用随访管理数据库进行系统化随访管理在糖尿病患者干预中的效果.方法 将住院的120例2型糖尿病患者随机分成观察组和对照组,各60例.两组患者均在住院期间接受糖尿病教育,观察组患者出院后运用随访管理数据库进行强化随访管理,对照组患者常规门诊随访.评价干预前和实施强化随访管理6个月后两组患者糖脂代谢等指标及糖尿病知识、自我管理水平的变化.结果 经过6个月的管理,观察组和对照组患者的体质量、腰围、体质指数(BMI)及血脂(总胆固醇、三酰甘油、低密度脂蛋白胆固醇)水平均较干预前显著降低(P＜0.05),但组间比较差异无统计学意义(P＞0.05);两组患者随访6个月后,糖化血红蛋白(HbA1c)水平均较干预前显著下降,并且观察组HbA1c较对照组下降更为明显(P＜0.05).干预6个月后,观察组患者糖尿病知识、自我管理效能和技能总分高于对照组,差异均有统计学意义(P＜0.05).结论 运用随访管理数据库进行系统化随访管理,能发挥患者的主观能动性,增强患者自我管理的信心,提高患者的治疗依从性,提高血糖及各项代谢指标的达标率,对提高患者的生活质量有促进作用.%Objective To evaluate the intervention effect of systematic follow - up management on diabetes patients by using follow - up management database. Methods 120 in - patients with type 2 diabetes mellitus were randomly divided into observation group and control group, with each group 60 cases. Patients of the two groups were all given diabetic education while in the hospital. Follow - up management database was used to strengthen follow - up management of patients in observation group after discharge, while patients in control group were given routine following up. Glycolipid metabolism, diabetic knowledge and self - management of the two groups before intervention and six months after strengthening follow - up management were evaluated. Results After six months management, the body weight, waistline, BMI and blood lipid ( TC, TG, LDL - C ) were significantly decreased compared with those before the intervention ( P < 0. 05 ), but the differences between two groups were not statistically significant ( P >0. 05 ). After six months following up, the levels of HbA,,. in the two groups were both significantly decreased compared with before the intervention, and the decrease in observation group was more significant than that of the control group ( P < 0. 05 ). After six months intervention, the diabetic knowledge, self - management efficiency and skills score were significantly better than those of the control group ( P < 0. 05 ). Conclusion Systematic follow - up management using follow -up management database can bring patients' subjective initiative into full play, enhance patients' confidence for self - management, improve patients' treatment compliance, improve target rate of blood glucose and other metabolism indicators and improve patients' life quality as a whole.