Objective To explore the advantages of a community type 2 diabetes mellitus management model based on smart medical treatment under the background of anti-epidemic normalization.Methods Patients with type 2 diabetes treated in Yingbo Community Health Service Center,Pudong New Area,Shanghai during 2020 were selected as the study objects and divided into intervention group and control group by random number table.A total of 137 diabetic patients(72 in the control group and 65 in the study group)were included.The control group adopted the simple 1+1+1 contract management mode,and the research group added smart medical management on the basis of the control group.Blood glu-cose control indexes,metabolic indexes,diabetes related knowledge questionnaire(DRKQ),improvement of diabetic specific quality of life(DSQL)scale,changes in summary of diabetes self care activities(SDSCA)scale,and Morisky medication adherence scale 8(MMAS-8)scale were observed in the two groups after 6 months of intervention.Results After six months of intervention,compared with the control group,the blood glucose index(fasting blood glucose de-creased by about 0.7 mmol/L,and blood glucose decreased by about 1.3 mmol/L two hours after meals),blood lipid in-dex(TC decreased by about 0.3 mmol/L,LDL-C decreased by about 0.3 mmol/L),and blood pressure index(SBP value decreased by about 4 mmHg)in the study group were significantly improved(P＜0.05).The DRKQ scale showed that the knowledge about diabetes was improved in both groups(P＜0.001).The DSQL scale showed that the total scores of physiological,psychological,social adjustment,treatment,and quality of life in the study group were significantly low-er than those in the control group(P＜0.001).SDSCA scale showed that after the intervention,self-diet management,exercise,blood glucose monitoring,self-foot care,and medication on time in the study group were significantly better than those in the control group(P＜0.05).The MMAS-8 scale showed that the medication compliance score of the study group was significantly improved under the guidance of smart medicine(P＜0.001).Conclusion The management model based on smart medicine can better improve the clinical indicators of patients with diabetes,and improve patients'self-management ability,diabetes knowledge,quality of life,and medication compliance.
维普
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