Construction and application effect of intelligent medical cloud management platform of diabetes education clinic in the Class Ⅲ general hospital
10.3760/cma.j.cn115682-20200409-02593
- VernacularTitle:三级综合医院糖尿病教育门诊智慧医疗云管理平台的构建及应用效果观察
- Author:
Zhaoxia YAN
1
;
Qinghua ZHAO
;
Yanan LIU
;
Xinlei XIE
;
Yaying YU
;
Yanling HE
;
Xiaoping CHEN
;
Tuanjie CHENG
Author Information
1. 河南大学第一附属医院内分泌科，开封 475001
- Keywords:
Diabete mellitus, type 2;
ClassⅢgeneral hospital;
Diabetes education clinic;
Intelligent medical cloud management platform
- From:
Chinese Journal of Modern Nursing
2020;26(24):3293-3300
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the intelligent medical cloud management platform of diabetes education clinic in ClassⅢ general hospital and observe the clinical effects.Methods:A total of 260 young and middle-aged patients with type 2 diabetes mellitus (T2DM) who were admitted to Department of Endocrinology in the First Affiliated Hospital of Henan University from June to December 2019 were selected by convenience sampling method. They were divided into the control group and the experimental group by the random number table method, with 130 cases in each group. Patients in the control group were given routine diabetes outpatient follow-up, while the experimental group was given group education, case management, behavioral intervention, condition supervision and online follow-up intervention based on the intelligent medical cloud management platform of the diabetes education clinic. The blood glucose control status and the self-management ability of the two groups before and after 3 months of intervention were compared.Results:After intervention for 3 months, fasting plasma glucose (FPG) , 2h plasma glucose of 75g oral glucose tolerance test (OGTT 2h PG) and hemoglobin A1c (HbA1c) of patients in two groups were reduced than those before intervention, and FPG, OGTT 2h PG and HbA1c levels in the experimental group were lower than those in the control group. The differences were statistically significant ( P<0.05) . The mean blood glucose (MBG) and mean amplitude of plasma glucose excursions (MAGE) in the experimental group were lower than those in the control group, and the difference was statistically significant ( P<0.05) . After 3 months of intervention, blood glucose was monitored 6 833 times in the control group and 7 279 times in the experimental group. The incidence of hypoglycemia in the experimental group was lower than that in the control group [0.77% (56/7 279) vs. 2.82% (193/6 833) , χ 2=85.885, P<0.05]. After 3 months of intervention, the scores of diet, exercise, blood glucose monitoring, prevention of complications and medical compliance in the two groups were all higher than those before intervention, and the scores of diet, exercise, blood glucose monitoring and medical compliance in the experimental group were higher than those in the control group. The differences were statistically significant ( P<0.01) . Conclusions:The construction and application of intelligent medical cloud management platform of diabetes education clinic can better improve blood glucose control and improve self-management ability of patients.
