The Comparison Of Network Follow-Up And Traditional Follow-Up In Diabetes Glucose Management

ObjectiveTo compare the effect and value of traditional follow-up pattern and Internet-based network follow-up pattern in diabetes blood glucose management,and to verify the effectiveness and practicability of the network follow-up pattern in clinical practice.The aim is to provide valuable evidence for medical staff to better manage the blood glucose level of diabetics,and to further improve the overall level of blood glucose management.MethodsA total of 337 patients with diabetes mellitus(DM)admitted to the endocrinology department of Yankuang Group General Hospital from April 2017 to December 2018 were selected as the subjects of study.All patients were followed up for 6 months after discharge.The subjects were divided into two groups according to different follow-up patterns,171 patients received traditional follow-up as the traditional group,and 166 were followed up on the Internet as a network group.We retrospectively analyzed DM knowledge,compliance,self-care ability,self-management change,blood glucose level control and quality of life in those subjects.ResultsThere was no significant difference between the two groups in the baseline data including sex,age,disease duration,education level and residential(P>0.05).The qualified rate of knowledge acquisition in network group was 61.15%,which was significantly higher than 47.10%in traditional group(JP<0.05).The scores of healthy lifestyle,correct medication,reasonable diet,exercise and regular reexamination in the network group were significantly higher than those in the traditional group(P<0.05).The ESCA scores of health knowledge,self-concept,self-care responsibility,self-care skills and total scores in traditional in both groups were significantly higher than those in the baseline(P<0.05),however,the ESCA scores in network group were significantly higher than those in traditional group after 6-month follow up(P<0.05).Meanwhile,the SDSCA scores in the network group were significantly improved than those in the traditional group after follow up(P<0.05).Moreover,the levels of FPG and 2hPG were 6.60±1.18 mmol/L and 9.15±1.10 mmol/L respectively,which were significantly lower than those of the traditional group 7.43± 1.10 mmol/L and 9.50± 1.24 mmol/L(P<0.05).The blood glucose control rate in the network group was 57.32%,which was significantly higher than that in the traditional group 42.59%(P<0.05).The levels of HbAlc in the network group were 7.05± 1.35%,respectively,which were significantly lower than that in the traditional group 9.35±1.77%,(P<0.05).Furthermore,the DSQL scores of physiological function,psychology and spirit,treatment status and social relationship in network group were significantly higher than those of the traditional group(P<0.05).ConclusionsThe network follow-up can help DM patients master more disease-related knowledge,improve the rate of knowledge acquisition,and improve compliance behavior in daily lifecompared with the traditional follow-up.Both traditional follow-up and network follow-up can effectively improve the self-care ability of diabetic patients,however,the network follow-up is much more effective,which can improve the self-care ability of patients to a greater extent.Traditional follow-up and network follow-up can effectively improve the self-management behavior of diabetic patients,however,network follow-up can improve self-management behavior to a greater extent,and the application effect is much better.Compared with traditional follow-up,network follow-up can improve blood glucose control level to a greater extent,help to reduce the risk of DM related complications.The overall effectiveness of the network follow-up application is better,which can help patients improve the quality of life.