Effectiveness of digital management platform led by outpatient specialist nurses in type 2 diabetes patients
10.3760/cma.j.cn115682-20250801-04087
- VernacularTitle:门诊专科护士主导的数字化管理平台在门诊2型糖尿病患者中的应用
- Author:
Fang HE
1
;
Xiang ZHOU
1
;
Wenhua ZHOU
1
;
Xiaojing WANG
1
;
Na PANG
1
;
Jie YU
1
;
Xinhua XIAO
1
Author Information
1. 中国医学科学院北京协和医院内分泌科，北京 100730
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Specialist nurse;
Digital platform;
Precise management
- From:
Chinese Journal of Modern Nursing
2025;31(35):4778-4783
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of digital management platform led by outpatient specialist nurses among patients with type 2 diabetes in outpatient settings.Methods:From March 2024 to March 2025, adult patients with type 2 diabetes who visited the Endocrinology Clinic at Peking Union Medical College Hospital were selected using convenience sampling. Patients were randomly assigned to the control group and intervention group using the random number table method. Patients in control group received routine education on type 2 diabetes during their clinic visits after enrollment. Intervention group was managed by nurses through a digital management platform, establishing long-term connections with patients. Based on the platform, nurses regularly provided patients with knowledge updates, promptly responded to patient inquiries, reviewed daily dietary records, monitored blood glucose data, conducted weekly telephone follow-ups, and scheduled regular clinic visits to precisely intervene in patients' lifestyles. The glycated hemoglobin (HbA1c) and self-management behavior scores were compared between two groups of patients before and after three months of intervention.Results:A total of 46 patients were enrolled and completed the 3-month follow-up, including 25 in control group and 21 in intervention group. There were no statistically significant differences in HbA1c or self-management behavior scores between the two groups of patients before intervention ( P>0.05). At three months of intervention, the HbA1c reduction in intervention group was greater than that in control group, with a statistically significant difference ( P<0.05). There was no statistically significant difference in Summary of Diabetes Self-Care Activities Scale scores between the two groups ( P>0.05). The difference in changes in diabetic foot self-screening scores between intervention group and control group was statistically significant ( P<0.05) . Conclusions:Specialist nurse-led precision health care management utilizing digital platforms can improve HbA1c and enhance self-management behaviors for diabetic foot in patients with type 2 diabetes, which is expected to be promoted and applied in the outpatient management of diabetes patients.
