首页|智慧化自我管理处方在糖尿病患者中的应用

智慧化自我管理处方在糖尿病患者中的应用

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目的 探讨智慧化自我管理处方在糖尿病患者中的应用效果.方法 将360例糖尿病患者随机分为对照组和干预组各180例.对照组通过智能化管理平台给予自我管理教育与支持;干预组在对照组基础上,增加自我管理处方干预,在智能管理平台嵌入智能决策系统,结合患者个体化数据自动生成自我管理处方,包括评估、饮食、运动、监测、教育及并发症防治6部分.干预6个月后,比较两组血糖水平及治疗依从性、自我管理行为.结果 干预6个月后,干预组空腹血糖、餐后2 h血糖及糖化血红蛋白显著低于对照组,治疗依从性及自我管理行为(除吸烟状态维度外)得分显著高于对照组(均P<0.05).结论 智慧化自我管理处方干预,可提高糖尿病患者的治疗依从性和自我管理水平,从而改善血糖控制.
Application of intelligent self-management prescription in diabetes patients
Objective To explore the effect of intelligent self-management prescription in patients with diabetes mellitus.Methods A total of 360 diabetes patients were randomized into two groups,with 180 in each.The control group received self-management edu-cation and support through an intelligent management platform,while their counterparts in the intervention group additionally re-ceived self-management prescription which was generated by analyzing patient's individualized conditions with an intelligent deci-sion support system.The prescription included 6 parts:assessment,diet,exercise,monitoring,education and complication preven-tion.The blood glucose,treatment compliance and self-management behaviors were compared between the two groups immediately post 6-month.Results The levels of fasting blood glucose,2 h postprandial glucose and glycosylated hemoglobin(HbA1c)were sig-nificantly lower,whereas treatment compliance and self-management behaviors(except smoking)were significantly higher in the intervention group compared with the control group immediately post intervention(all P<0.05).Conclusion Implementing intelli-gent self-management prescription in diabetes patients can enhance their treatment compliance and self-management behavior,re-sulting in improving blood glucose control.

diabetesself-management prescriptionintelligent nursingblood glucosetreatment complianceself-ma-nagement behaviorintelligent decision supporthealth education

闫朝霞、常红叶、单雨玮、谢欣蕾、程团结

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河南大学第一附属医院内分泌科(河南开封,475000)

糖尿病 自我管理处方 智慧化护理 血糖 治疗依从性 自我管理行为 智能决策 健康教育

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(23)