Effect Of Intervention In Patients With Type 2 Diabetes Self-management Network

Objective:By means of two groups of patients with type 2 diabetes self-management behavior intervention,explore network technology as the medium for patients with type 2 diabetes self-management behavior intervention,the feasibility of the designed to increase patients self management ability,for effective management in patients with type 2 diabetes to provide policy recommendations.Methods:This study is based on the patient as the center and through authorization of self management behavior intervention,the patient in February 2015-July will volunteered for the study of 174 patients with type 2 diabetes were randomly divided into intervention group and control group,each group of 87 people.In intervention group using QQ group to self management combined with clinical care,patient centered,integrating online health education and individualized instruction intervention intervention in patients with type 2 diabetes self-management network mode,make the boring before health education becomes vivid,health education becomes a long time for a short period of time before the interaction between doctors and patients.The control group using conventional tertiary hospital management interventions.Studies were performed before the start of two groups of KAB simplify inventory to fill in and related physiological indexes(fasting blood sugar,triglyceride,cholesterol,glycosylated hemoglobin,blood pressure,body mass index)measurement,at the end of the two groups of KAB simplify the scale of the fill in again and related physiological indexes of measurement.First normal distribution test was carried out on the acquisition of data,accord with normal distribution data using t test,does not conform to the normal distribution of data using rank and inspection,the number of target before and after the intervention trial by chi-square test.Chi-square test was applied to test the two groups after the index standard condition is analyzed,and the intervention trial for diabetes related issues for the last six months of outpatient number and hospitalization days for t test,compare two methods of self-management intervention effect.Using single factor ANOVA and multiple linear regression analysis method to explore the factors that influence the effect of intervention.Results:(1)In terms of disease self-management:the KAB rating score of intervention group increased from 71.89 to 71.89,which the knowledge score increased from 38.16 to 38.16,and attitude score increased from 8.22 to 8.77,the behavior score increased from 25.46 to 25.46,the knowledge,attitude and behavior improvement are significant(P<0.05).(2)In the aspects of physiological indexes:body mass index from 24.50 kg/m2 to reduce to 24.36 kg/m2,fasting blood sugar from tendency tendency for reduced to 6.469 L/7.249 L,glycosylated hemoglobin,down from 8.2%to 6.8%,triglycerides from tendency tendency for reduced to 1.75 L/1.78 L,cholesterol from tendency tendency for reduced to 6.08 L/6.31 L,the inspection body mass index(bmi),fasting glucose,glycated hemoglobin,triglycerides,and cholesterol levels were significantly lower(P<0.05).(3)In index mark:at the start of the fasting blood glucose control is at target from 42 people were increased to 65 people,glycosylated hemoglobin standard number increased from 22 to 55 people,standard increasing number of fasting blood sugar and glycated hemoglobin are statistically significant(P<0.05).(4)Outpatient number and average hospitalization days are 0.57 and 0.44 in intervention group,respectively,the control of the number of outpatient and hospitalization days were 1.39 and 0.87 respectively.The health services utilization of patients with type 2 diabetes can reduce after intervention.(5)The influence factors of self management,through the method of multiple linear regression analysis of the difference of KAB scores before and after the intervention of the findings:the intervention effect of women better than that of men regression coefficient 0.757,the higher the degree of cultural intervention,the better the effect of regression coefficient is 0.936,the higher the monthly income the better of the effect of the intervention,the regression coefficient of 0.283,the better the longer the course of the intervention effect of regression coefficient is 0.662,the better of intervention effect more complications of regression coefficient is 0.475.Conclusion:Based on the network management model more routine intervention can significantly improve the sugar metabolic indices in patients with type 2 diabetes,improve blood sugar control success rate,increase the self management ability,reduce the health service utilization,alleviate the difficult problem,is worth popularization and application,but the long-term effect still need to study.