Application of remote insulin injection service in home management of patients with type 2 diabetes mellitus
10.3760/cma.j.cn115682-20230626-02524
- VernacularTitle:胰岛素注射远程服务在2型糖尿病患者居家管理中的应用
- Author:
Jinwei QIU
1
;
Xiaoling QU
;
Yuanyuan LI
Author Information
1. 首都医科大学附属北京友谊医院医疗保健中心，北京 100050
- Keywords:
Diabetes mellitus, type 2;
Insulin therapy;
Remote;
Home management
- From:
Chinese Journal of Modern Nursing
2024;30(1):101-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of remote insulin injection service in home management of type 2 diabetes mellitus.Methods:A total of 134 patients with type 2 diabetes who were hospitalized in Department of Endocrinology in Beijing Friendship Hospital Affiliated to Capital Medical University from March to December 2022 were selected as research objects by the convenient sampling method. According to the random number table method, the patients were divided into the control group and the observation group, with 67 cases in each group. After discharge, the control group received routine out-of-hospital home follow-up management, and the observation group received remote insulin injection service management on the basis of the control group. The management period was three months. Differences in glycemic indicators, Scale of the Diabetes Self-Care Activities (SDSCA) score, insulin injection compliance and incidence of insulin injection-related negative events were compared between the two groups.Results:A total of 134 questionnaires were sent out in this study, and 134 were effectively collected, with an effective recovery rate of 100.00%. After management, fasting blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group, and SDSCA score was higher than that in the control group, and the differences were statistically significant ( P<0.01). Moreover, fasting blood glucose and glycosylated hemoglobin in observation group after management were lower than before management, and SDSCA score was higher than before management, and the differences were statistically significant ( P<0.05). The insulin injection compliance of the observation group was better than that of the control group, and the difference was statistically significant ( Z=2.485, P=0.013). The total incidence of negative events in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.01) . Conclusions:Remote insulin injection service can effectively improve the blood glucose control level of patients with type 2 diabetes mellitus at home, improve self-management ability and insulin injection compliance and reduce the incidence of negative events related to insulin injection, which is worthy of clinical promotion and application.
