摘要
目的探讨基于OTO模式健康管理在社区老年2型糖尿病患者中的应用效果。方法便利选取从沈阳市某医院转介至本市5家社区的老年2型糖尿病患者196例,给予基于OTO模式的健康管理,在干预前和干预1年末测评患者空腹血糖、餐后2 h血糖、糖化血红蛋白、自我管理行为能力和生存质量结局指标。结果干预1年末,患者空腹血糖、餐后2 h血糖和糖化血红蛋白较干预前有明显下降(P<0.01)。自我管理行为量表总分及各维度得分均高于干预前(P<0.01)。生存质量总分及各维度得分均低于干预前,差异具有统计学意义(P<0.01)。结论基于OTO模式健康管理能有效控制血糖水平,提高糖尿病患者自我管理行为能力,改善生存质量。
Objective To investigate the effects of health management based online to offline model in elderly patients with type 2 diabetes in the community.Methods A total of 196 cases of elderly patients with type 2 diabetes were selected from five communities in Shenyang city by convenience sampling.Health management based online to offline model was implemented.Before and after one-year intervention,fasting blood glucose,2-hour postprandial blood glucose,HbA1c,self-management behavior ability and quality of life were evaluated.Results After one year of intervention,fasting blood glucose,2-hour postprandial blood glucose and HbA1c were significantly reduced(P<0.01).The score of each dimension and the total score of self-management behavior scale were higher after one year of intervention(P<0.01).The score of each dimension and the total score of quality of life scale were reduced after one-year intervention(P<0.01).Conclusion Health management based online to offline model in elderly patients with type 2 diabetes in the community is effective for controlling blood glucose,improving self-management behavior and quality of life.
作者
王雪
崔仁善
聂恒卓
刘海平
WANG Xue;CUI Ren-shan;NIE Heng-zhuo;LIU Hai-ping(School of Nursing,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Department of Nursing,Medical College,Jiaxing University,Jiaxing 314001,China;Xinglin College of Liaoning University of Traditional Chinese Medicine,Shenyang 110167,China;General Hospital of Northern Theater Command,Shenyang 110003,China)
出处
《护理学报》
北大核心
2022年第19期65-69,共5页
Journal of Nursing（China）
基金
2019年度辽宁省社会科学规划基金项目(L19CTY004)
2020年度辽宁中医药大学教学改革研究项目(LNZYJG2020093)。
关键词
OTO模式
健康管理
2型糖尿病
online to offline model
health management
type 2 diabetes
