大理大学学报 ›› 2023, Vol. 8 ›› Issue (2): 88-92.

• 护理学 • 上一篇    下一篇

基于网络平台的个体化随访指导在基础胰岛素患者中的应用分析

朱晓丽1,史婷婷2,张丽坤1,魏艳妮1,李 婷2,张晓玲3*   

  1. (1.大理大学第一附属医院内分泌科,云南大理 671000;2.大理大学护理学院,云南大理 671000;3.大理大学数学与计算机学院,云南大理 671003)

  • 收稿日期:2021-10-20 修回日期:2022-06-02 出版日期:2023-02-15 发布日期:2023-03-03
  • 通讯作者: 张晓玲,副教授,E-mail:40782268@qq.com。
  • 作者简介:朱晓丽,副主任护师,主要从事社区护理及健康教育管理研究。
  • 基金资助:
    大理市科技计划项目(2018KGB01;2019KGB069)

Application Analysis of Individualized Follow-Up Guidance Based on Network Platform in Patients with Basal Insulin

Zhu Xiaoli1, Shi Tingting2, Zhang Likun1, Wei Yanni1, Li Ting2, Zhang Xiaoling3*   

  1. (1. Department of Endocrinology, The First Affiliated Hospital of Dali University, Dali, Yunnan  671000, China; 2. College of Nursing, Dali University, Dali, Yunnan 671000, China; 3. College of Mathematics and Computer, Dali University, Dali, Yunnan 671003, China)

  • Received:2021-10-20 Revised:2022-06-02 Online:2023-02-15 Published:2023-03-03

摘要: 目的:基于网络平台的个体化随访指导对初次使用基础胰岛素患者的血糖控制效果及依从性分析。方法:对大理大学第一附属医院2018年1月至2019年5月初次使用基础胰岛素的539例患者进行网络平台个体化随访指导,回顾性分析患者的一般资料及随访各阶段患者的血糖监测数据等,并对其中多个因素进行多重线性回归分析。结果:在随访期内,空腹血糖达标率为(69.73±3.25)%,餐后2 h血糖达标率为(74.63±1.49)%;多重线性回归分析发现,初始空腹血糖与初始胰岛素剂量具有相关性(P<0.05),入组时餐后2 h血糖与病程、年龄、体质指数具有相关性(P<0.05)。结论:基于网络平台的个体化随访指导可以改善初次使用胰岛素患者的血糖控制效果,提高患者胰岛素用药依从性。

关键词: font-family:宋体, ">个体化随访指导, 基础胰岛素, 血糖达标, 依从性

Abstract: Objective: To analyze the effect and compliance of individualized follow-up guidance based on the network platform on blood glucose control in patients using basal insulin for the first time. Methods:From January 2018 to May 2019, 539 patients who first used basal insulin in the First Affiliated Hospital of Dali University were given individualized follow-up guidance on the network platform. The general information and blood glucose monitoring data at various stages of the follow-up patients were retrospectively analyzed, and multiple linear regression analysis was performed on many factors. Results: During the follow-up period, the rate of fasting blood glucose up to standard was (69.73±3.25)%, and the rate of up to 2 h postprandial blood glucose was (74.63±1.49)%. Multiple linear regression analysis found that there was a correlation between the initial fasting blood glucose and the initial insulin dose(P<0.05), and there was a correlation between the blood glucose at 2 h after meals when included in the study group and the course of disease, age and body mass index(P<0.05). Conclusion: The individualized follow-up guidance based on the network platform can improve the glycemic control effect of the first-time insulin users and improve the patient's treatment compliance with insulin medication.

Key words: font-family:Times New Roman, ">individualized follow-up guidancefont-family:Times New Roman, ">, font-family:Times New Roman, "> basal insulinfont-family:Times New Roman, ">, font-family:Times New Roman, "> blood glucose targetfont-family:Times New Roman, ">, font-family:Times New Roman, "> compliance

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