[1]苏清清,孟俊华,库洪安,等.糖尿病自我管理决策辅助信息平台的构建与应用[J].解放军护理杂志,2021,38(04):13-16.[doi:10.3969/j.issn.1008-9993.2021.04.004]
　SU Qingqing,MENG Junhua,KU Hongan,et al.Construction and Application of Self-management Decision Support Information Platform for Diabetics[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(04):13-16.[doi:10.3969/j.issn.1008-9993.2021.04.004]
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糖尿病自我管理决策辅助信息平台的构建与应用()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年04期
页码:
13-16
栏目:
论著
出版日期:
2021-04-15

文章信息/Info

Title:
Construction and Application of Self-management Decision Support Information Platform for Diabetics
文章编号:
1008-9993(2021)04-0013-04
作者:
苏清清1; 孟俊华2; 库洪安3; 陈越4; 皮红英5
(1.解放军医学院 学员三大队,北京 100853; 2.解放军总医院第一医学中心 内分泌科,北京 100853; 3.解放军总医院第一医学中心 门诊部; 4.解放军总医院第二医学中心 神经内科,北京 100853; 5.解放军总医院 护理部,北京 100853)
Author(s):
SU Qingqing1; MENG Junhua2; KU Hong’an3; CHEN Yue4; PI Hongying5
(1.Regiment 3,Medical School of Chinese PLA,Beijing 100853,China; 2.Department of Endocrinology,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China; 3.Outpatient Department,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China; 4.Department of Neurology,the Second Medical Center of Chinese PLA General Hospital,Beijing 100853,China; 5.Department of Nursing,Chinese PLA General Hospital,Beijing 100853,China)
关键词:
糖尿病;  自我管理;  信息化;  决策辅助
Keywords:
diabetes;  self-management;  informatization;  decision support
分类号:
R473.58
DOI:
10.3969/j.issn.1008-9993.2021.04.004
文献标志码:
A
摘要:
目的 构建并应用糖尿病自我管理决策辅助信息平台,提高患者血糖控制水平。方法 以糖尿病患者的需求为出发点,运用决策支持理论,设计和开发了糖尿病自我管理决策辅助信息平台,并在临床进行应用和评价。结果 开发的信息平台包含患者应用程序和医护网站2个部分,可实现实时记录、风险评测、在线学习、远程管理等功能。应用信息平台进行干预研究发现,观察组患者出院后12周的饮食及运动自我管理、血糖监测、足部护理行为以及血糖控制情况均明显优于对照组(均P<0.05)。结论 糖尿病自我管理决策辅助信息平台功能设计科学、全面,实用性强,可以有效提高糖尿病患者的自我管理能力和血糖控制水平。
Abstract:
Objective To construct and apply a self-management decision support information platform for diabetics and improve their blood glucose control level.Methods Based on the needs of patients with diabetes and the decision support theory,we designed and developed a decision support information platform for self-management of diabetics,and evaluated its effects.Results The information platform consisted of a mobile APP for patients and a management website for nurses,which can realize real-time record feedback,online risk assessment,online learning promotion,and remote monitoring management,etc.Through the intervention study of the information platform,the overall performance in the experimental group,including the diet self-management,exercise self-management,self-blood glucose monitoring,foot care behavior as well as the compliance rate of blood glucose control at 12 weeks after discharge,were significantly improved compared with those in the control group(allP<0.05).Conclusions The function design of the self-management decision support information platform for people with diabetes is scientific,comprehensive,and practical,which can effectively improve the self-management ability and blood glucose control level of diabetic patients.

参考文献/References:

[1] HEWITT J,SMEETH L,CHATURVEDI N,et al.Care delivery self-management and patient understanding of diabetes in the older person[J].Diabetic Med,2010,28(1): 117-122.
[2] TILDESLEY H D,PO M D,ROSS S A.Internet blood glucose monitoring systems provide lasting glycemic benefit in type 1 and 2 diabetes:a systematic review[J].Med Clin North Am,2015,99(1):17-33.
[3] 岳小林,陈沁,叶赟,等.基于互联网+的居家糖尿病护理平台联合家庭固定伴侣在糖尿病患者院外延续护理中的应用[J].中国实用护理杂志,2018,34(16):1216-1221.
[4] 王玙珩,代涛,郑英,等.我国糖尿病管理App的应用现状、问题及建议[J].中国数字医学,2018,13(5):57-59.
[5] 徐亦虹,丁珊妮,刘晓娜,等.护理决策支持系统的局限性及对策[J].中华护理杂志,2020,55(3):405-409.
[6] 国家卫生健康委办公厅.国家卫生健康委办公厅关于开展“互联网+护理服务”试点工作的通知(国卫办医函〔2019〕80号)[EB/OL].[2020-04-20].http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
[7] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中华糖尿病杂志,2018,10(1):4-67.
[8] 中华医学会糖尿病学分会.中国血糖监测临床应用指南(2015年版)[J].中华糖尿病杂志,2015,7(10):603-613.
[9] 中华医学会糖尿病学分会.中国糖尿病护理及教育指南(2009年版)[M/OL].[2019-02-11].http://www.diab.net.cn/cn/ncontent.aspx?oid=1211.
[10]杨艳.基于临床指南的临床决策支持系统的设计与实现[D].杭州:浙江工业大学,2008.
[11]TOOBERT D J,HAMPSON S E,GLASGOW R E.The summary of diabetes selfcare activities measure:results from 7 studies and a revised scale[J].Diabetes Care,2000,23(7):943-950.
[12]孙胜男,赵维纲,董颖越,等.糖尿病患者自我管理现状及影响因素分析[J].中华护理杂志,2011,46(3):229-233.
[13]AGBOOLA S O,BATES D W,KVEDAR J C.Digital health and patient safety[J].Jama,2016,315(16):1697-1698.
[14]刘华东.大数据环境下国内外健康数据平台对比分析[D].哈尔滨:黑龙江大学,2017.
[15]李初民,陈伟元,李军.需求牵引下智能医嘱平台的设计与实现[J].重庆医学,2011,40(35):3551-3552.
[16]TURNER J,LARSEN M,TARASSENKO L,et al.Implementation of telehealth support for patients with type 2 diabetes using insulin treatment:an exploratory study[J].Inform Primary Care,2009,17(1):47-53.
[17]QUINN C C,CLOUGH S S,MINOR J M,et al.WellDoc mobile diabetes management randomized controlled trial:change in clinical and behavioral outcomes and patient and physician satisfaction[J].Diabetes Technol Ther,2008,10(3):160-168.
[18]王辉,张真真,孙玉梅,等.北京市郊区中年2型糖尿病患者自我管理行为现状及影响因素分析[J].解放军护理杂志,2020,37(7):15-19.

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-08-28 【 修回日期 】 2021-03-01
【 基金项目 】 军队保健专项科研课题(17BJZ52)
【 作者简介 】 苏清清,博士在读,护师,从事慢病管理研究
【 通信作者 】 皮红英,电话:010-66939159
更新日期/Last Update: 2021-04-15