E-Coach健康教育管理模式在居家老年糖尿病患者中的应用
Application of E-Coach health education management model in elderly diabetes patients at home
刘沙沙 1陈淑媛 1孙素娟 1赵钦 1董玉霞 1姚煦1
作者信息
- 1. 063210 河北省唐山市,华北理工大学护理与康复学院
- 折叠
摘要
目的 探讨基于E-Coach管理模式对居家老年糖尿病患者血糖及自我管理的影响.方法 选取2023年1-10月在石家庄市某三甲医院内分泌科就诊的 110 例老年糖尿病患者作为研究对象,在组间主要基线特征具有可比性的基础上,按照随机数字表法分为对照组和观察组,每组 55 例.对照组实施常规电话随访,观察组实施E-Coach管理模式,对比分析两组患者血糖指标、自我管理行为及幸福感指数.结果 干预后 1 个月、3 个月、6 个月,两组患者的血糖指标明显改善,空腹血糖(fasting blood-glucose,FBG)、餐后两小时血糖(2-hour postprandial blood glucose,2hPBG)、糖化血红蛋白(glycosylated hemoglobin A1c,HbA1c)均逐渐降低,并且各观察时点均以观察组低于对照组,除3个月时的FPG外,其他组间差异均有统计学意义(P<0.05).干预后,观察组患者自我管理能力在饮食、运动、血糖监测、足部检查、正确服药或注射胰岛素等方面均高于对照组,并且IWB评分高于对照组,差异均有统计学意义(P<0.05).结论 E-Coach管理模式为老年患者节省了时间和精力,可改善患者自我管理行为,有效控制血糖水平,提升患者的幸福感.
Abstract
Objective To explore the influence of E-Coach based management model on blood glucose and self-management of elderly diabetes patients at home.Methods A total of 110 elderly patients with diabetes who visited the department of endocrinology of a tertiary hospital in Shijiazhuang from January 2023 to October 2023 were selected as the research objects,and were randomly divided into a control group and an experimental group,with 55 cases in each group.The control group received routine telephone follow-up,while the experimental group received E-Coach management mode.The blood glucose indicators,self-management behavior,and happiness index of the two groups of patients were compared and analyzed.Results At 1,3 and 6 months after intervention,the blood glucose indexes of the two groups were significantly improved,and the FPG,2hPBG and HbA1c were gradually decreased,and the observation group was lower than the control group at each observation point,and the differences between the other groups were statistically significant except for the FPG at 3 months(P<0.05).After intervention,the self-management ability of the observation group was higher than that of the control group in terms of diet,exercise,blood glucose monitoring,foot examination,correct medication or insulin injection,and the IWB score was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The E-Coach management model saves time and energy for elderly patients,improves their self-management behavior,effectively controls blood sugar levels,and enhances their sense of happiness.
关键词
老年糖尿病/居家/E-Coach健康教育管理模式/血糖指标/自我管理Key words
Senile diabetes/Stay at home/E-Coach health education management model/Blood glucose indicators/Self management引用本文复制引用
出版年
2024
NETL
NSTL
万方数据