首页|基于网络平台的个性化管理对Ⅲ~Ⅳ期糖尿病肾病患者用药效果的影响

基于网络平台的个性化管理对Ⅲ~Ⅳ期糖尿病肾病患者用药效果的影响

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目的:探讨基于网络平台的个性化管理对Ⅲ~Ⅳ期糖尿病肾病患者用药依从性的影响。方法 选择我院 2020 年9 月—2022 年 3 月收治的 90 例Ⅲ~Ⅳ期糖尿病肾病患者作为研究对象,使用随机数字表法将其分为研究组与对照组,各45例。两组在接受相同的规律诊治的基础上,出院时给予对照组常规管理,给予研究组基于网络平台的个性化管理,比较两组干预前后血糖指标、肾功能指标以及用药依从性。结果:干预后,研究组空腹血糖、糖化血红蛋白、血肌酐、UACR水平低于对照组,eGFR高于对照组(P<0。05);研究组用药依从性评分高于对照组(P<0。05)。结论:基于网络平台的个性化管理能有效提升Ⅲ~Ⅳ期糖尿病肾病患者用药依从性,改善血糖指标,延缓肾功能恶化,值得临床应用。
Effect of Personalized Management Based on Network Platform on Medication Compliance in Patients with Stage Ⅲ-Ⅳ Diabetic Nephropathy
Objective:To explore the effect of personalized management based on network platform on medication compliance of patients with stage Ⅲ-Ⅳ diabetic nephropathy.Methods:A total of 90 patients with stage Ⅲ-Ⅳ diabetic nephropathy admitted to our hospital from September 2020 to March 2022 were selected as the research objects.They were divided into study group and control group by random number table method,with 45 patients in each group.On the basis of receiving the same regular diagnosis and treatment,the two groups were given routine management at discharge,and the study group was given personalized management based on the network platform.The blood glucose index,renal function index and medication compliance before and after intervention were compared between the two groups.Results:After intervention,the levels of fasting blood glucose,glycosylated hemoglobin,serum creatinine and UACR in the study group were lower than those in the control group,and eGFR was higher than that in the control group(P<0.05).The medication compliance score of the study group was higher than that of the control group(P<0.05).Conclusion:The personalized management based on the network platform can effectively improve the medication compliance of patients with stage Ⅲ-Ⅳ diabetic nephropathy,improve blood glucose index,delay the deterioration of renal function,and is worthy of clinical application.

Network platformPersonalized managementDiabetic nephropathyMedication complianceKidney function

吕改、鲁冰、吕小草、陈辉

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南阳市中心医院肾内科,河南 南阳 473005

网络平台 个性化管理 糖尿病肾病 用药依从性 肾功能

南阳市科技发展计划项目

2018KJGG108

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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