Volume 22 Issue 9
Sep.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(9): 1550-1554
SHI Junjing, CHEN Shirong, DING Chunmei, JIANG Hua. Study on community type 2 diabetes mellitus management model based on intelligent medical care under the background of normalization of anti-epidemic[J]. Chinese Journal of General Practice, 2024, 22(9): 1550-1554. doi: 10.16766/j.cnki.issn.1674-4152.003680
Citation: SHI Junjing, CHEN Shirong, DING Chunmei, JIANG Hua. Study on community type 2 diabetes mellitus management model based on intelligent medical care under the background of normalization of anti-epidemic[J]. Chinese Journal of General Practice, 2024, 22(9): 1550-1554. doi: 10.16766/j.cnki.issn.1674-4152.003680
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Study on community type 2 diabetes mellitus management model based on intelligent medical care under the background of normalization of anti-epidemic

doi: 10.16766/j.cnki.issn.1674-4152.003680
  • 1.

    Department of General Practice, Tongji University School of Medicine, Shanghai 200092, China

Funds:

 202140248

  • Received Date: 2023-12-11
    Abstract
  •   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 glucose 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 decreased by about 0.7 mmol/L, and blood glucose decreased by about 1.3 mmol/L two hours after meals), blood lipid index (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 lower 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.

     

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    • References(20)
  • [1]
    ELSAYED N A, ALEPPO G, ARODA V R, et al. 2. Classification and diagnosis of diabetes: standards of care in diabetes-2023[J]. Diabetes Care, 2023, 46(Suppl 1): S19-S40.
    [2]
    AHMAD E, LIM S, LAMPTEY R, et al. Type 2 diabetes[J]. Lancet, 2022, 400(10365): 1803-1820. doi: 10.1016/S0140-6736(22)01655-5
    [3]
    HU S S, Writing Committee of the Report on Cardiovascular Health and Diseases in China. Cardiovascular risk factors in China[J]. J Geriatr Cardiol, 2024, 21(2): 153-199. doi: 10.26599/1671-5411.2024.02.008
    [4]
    牟红安, 鲍勇. 远程智慧医疗防控慢性病管理政策和措施的建议[J]. 中阿科技论坛(中英文), 2020(4): 149-151.

    MOU H A, BAO Y. Suggestions on Policies and Measures for Prevention and Control of Chronic Diseases in Tele-Intelligent Medical Care[J]. China-Arab States Science and Technology Forum, 2020(4): 149-151.
    [5]
    PHILLIP M, BERGENSTAL R M, CLOSE K L, et al. The digital/virtual diabetes clinic: the future is now-recommendations from an International Panel on Diabetes Digital Technologies Introduction[J]. Diabetes Technol Ther, 2021, 23(2): 146-154. doi: 10.1089/dia.2020.0375
    [6]
    HUANG Z, LUM E, JIMENEZ G, et al. Medication management support in diabetes: a systematic assessment of diabetes self-management apps[J]. BMC Med, 2019, 17(1): 127. doi: 10.1186/s12916-019-1362-1
    [7]
    韦伟, 黄文贞, 王洁, 等. 专科护士主导的线上随访管理系统在2型糖尿病出院患者中的应用[J]. 中国实用护理杂志, 2020, 36(36): 2812-2817. doi: 10.3760/cma.j.cn211501-20200312-01099

    WEI W, HUANG W Z, WANG J, et al. Application of online follow-up management system led by specialist nurses in discharged patients with type 2 diabetes mellitus[J]. Chinese Journal of Practical Nursing, 2020, 36(36): 2812-2817. doi: 10.3760/cma.j.cn211501-20200312-01099
    [8]
    FOONG H F, KYAW B M, UPTON Z, et al. Facilitators and barriers of using digital technology for the management of diabetic foot ulcers: a qualitative systematic review[J]. Int Wound J, 2020, 17(5): 1266-1281. doi: 10.1111/iwj.13396
    [9]
    李鑫, 孙坤, 张文, 等. 物联网技术在老年糖尿病病人健康管理中的应用现状[J]. 护理研究, 2021, 35(9): 1642-1643.

    LI X, SUN K, ZHANG W, et al. Application status quo of Internet of things technology in health management of elderly diabetes patients[J]. Chinese Nursing Research, 2021, 35(9): 1642-1643.
    [10]
    王欢, 陆惠慧, 李介华, 等. 基于物联网的POCT信息化管理系统在医院便携式血糖仪质量管理体系中的应用[J]. 中国医药科学, 2018, 8(11): 117-120.

    WANG H, LU H H, LI J H, et al. Application of POCT information management system based on Internet of things in hospital portable blood glucose meter quality management system[J]. China Medicine And Pharmacy, 2018, 8(11): 117-120.
    [11]
    SUNG J H, LEE D Y, MIN K P, et al. Peripartum management of gestational diabetes using a digital health care service: a pilot, randomized controlled study[J]. Clin Ther, 2019, 41(11): 2426-2434. doi: 10.1016/j.clinthera.2019.09.005
    [12]
    李昂, 郭晓蕙, 张俊清. 互联网+糖尿病共同照护模式的线上自我管理支持对规律复诊2型糖尿病患者代谢指标影响的研究[J]. 中国糖尿病杂志, 2021, 29(4): 275-278.

    LI A, GUO X H, ZHANG J Q. Influence of remote diabetes self-management support in the background of internet plus diabetes shared care model on metabolic profiles in regularly follow-up patients with type 2 diabetes mellitus[J]. Chinese Journal of Diabetes, 2021, 29(4): 275-278.
    [13]
    周志衡, 黄志杰, 郑晓芬, 等. "互联网+"糖尿病三方共管健康管理模式构建与应用研究[J]. 中华全科医学, 2020, 18(10): 1707-1710. doi: 10.16766/j.cnki.issn.1674-4152.001599

    ZHOU Z H, HUANG Z J, ZHENG X F, et al. Construction and application of internet-based combining with patient-family-general practitioner group co-management model for diabetes[J]. Chinese Journal of General Practice, 2020, 18(10): 1707-1710. doi: 10.16766/j.cnki.issn.1674-4152.001599
    [14]
    赵娟, 关雅心, 梁丽芳, 等. 2型糖尿病血糖波动指标与体脂分布的关系[J]. 山东医药, 2023, 63(10): 36-39.

    ZHAO J, GUAN Y X, LIANG L F, et al. Relationship between fluctuation of blood glucose and adipose tissue distribution in type 2 diabetes mellitus[J]. Shandong Medical Journal, 2023, 63(10): 36-39.
    [15]
    朱员群, 樊凌云, 周颖. 微信平台远程动机性访谈在产科2型糖尿病患者延续护理中的应用[J]. 齐鲁护理杂志, 2022, 28(6): 152-155.

    ZHU Y Q, FAN L Y, ZHOU Y. Application of Wechat platform remote motivational interview in extended care of obstetric patients with type 2 diabetes[J]. Journal of Qilu Nursing, 2022, 28(6): 152-155.
    [16]
    武园园, 张亚伟, 朱淑青. COM-B模型为基础的管理平台干预对2型糖尿病病人健康素养水平、自我管理能力及自我效能的影响[J]. 全科护理, 2022, 20(8): 1095-1098.

    WU Y Y, ZHANG Y W, ZHU S Q. Effects of COM-B model-based management platform intervention on health literacy level, self-management ability and self-efficacy in patients with type 2 diabetes[J]. Chinese General Practice Nursing, 2022, 20(8): 1095-1098.
    [17]
    LI J, PARROTT S, SWEETING M, et al. Cost-effectiveness of facilitated access to a self-management website, compared to usual care, for patients with type 2 diabetes (HeLP-Diabetes): randomized controlled trial[J]. J Med Internet Res, 2018, 20(6): e201.
    [18]
    杨婉琪, 卢阿芬, 陈霞飞, 等. 新冠疫情常态化防控下运用云端平台结合同伴教育管理糖尿病的效果[J]. 现代临床医学, 2023, 49(3): 202-205.

    YANG W Q, LU A F, CHEN X F, et al. Effect of using cloud platforms to manage diabetes combined with peer education under the normalized prevention and control of COVID-19 epidemic[J]. Journal of Modern Clinical Medicine, 2023, 49(3): 202-205.
    [19]
    方园, 王晓玲, 徐姗姗, 等. Orem自护模式在老年糖尿病护理中的应用效果分析[J]. 中华全科医学, 2019, 17(8): 1424-1426. doi: 10.16766/j.cnki.issn.1674-4152.000960

    FANG Y, WANG X L, XU S S, et al. Analysis of the application effect of Orem self-care mode in the nursing of elderly patients with diabetes[J]. Chinese Journal of General Practice, 2019, 17(8): 1424-1426. doi: 10.16766/j.cnki.issn.1674-4152.000960
    [20]
    王伟英, 周玉杰, 闫振娴, 等. "互联网+社区医师"规范化管理模式在2型糖尿病患者中的应用效果[J]. 中国心血管病研究, 2022, 20(8): 721-725.

    WANG W Y, ZHOU Y J, YAN Z X, et al. The effect of standardized"internet plus general practitioners"for the healthcare of Type 2 diabetics[J]. Chinese Journal of Cardiovascular Research, 2022, 20(8): 721-725.
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