Research on Nursing
Observation of the application effect of continuous remote nursing mode on patients with type 2 diabetes mellitus
Ai Hongyan, Zhang Chuanlian, Liu Qing'e
Published 2018-11-08
Cite as Int J Nurs, 2018,37(21): 2902-2907. DOI: 10.3760/cma.j.issn.1673-4351.2018.21.006
Abstract
ObjectiveTo explore the metabolic value, self-management, self-efficacy and emotional control of type 2 diabetes patients with continuous remote nursing. To observe the clinical efficacy of continuous remote nursing for patients with type 2 diabetes, and to provide data for clinical care of patients with type 2 diabetes.
MethodsA total of 180 patients with type 2 diabetes were selected.They were randomly divided into the intervention group and the control group, 90 cases of each group. Before the experiment, 180 patients underwent biochemical tests and filled in relevant questionnaires.The intervention group adopted the new nursing mode of continuous remote nursing, while the control group only adopted the ordinary telephone follow-up.The experimental period was 12 weeks. At the end of the experiment, relevant laboratory tests and questionnaires were conducted again for the two groups of patients, and the changes of the intervention group and the control group before and after the experiment were compared.
Results①Related biochemical examination: the improvement effect of FPG and HbAlc was better than that of the control group, and the difference was statistically significant(P<0.05). ②Self-management: the total score, diet management and blood glucose monitoring of the patients in the intervention group were better than those in the control group, and the differences were statistically significant(P<0.05). ③Foot and movement management: there was no statistically significant difference between the intervention group and the control group before and after the intervention (P>0.05). ④self-efficacy: there were no statistically significant differences between the intervention group and the control group in three aspects, namely, adherence to exercise, judgment of illness and non-impact on life(P<0.05). ⑤Emotional control: the intervention group was superior to the control group in reducing depression and anxiety, and the differences were statistically significant(P<0.05). Fasting blood glucose, albumin, self-management, most of the self-efficacy and emotional control of the patients in the intervention group were superior to those in the control group, and the differences were statistically significant(P<0.05).
ConclusionsThe model of continuous remote nursing is more suitable for type 2 diabetes patients than the traditional telephone return visit.
Key words:
Remote nursing; Type 2 diabetes mellitus; Self-management; Glycosylated hemoglobin
Contributor Information
Ai Hongyan
Yishui Central Hospital of Linyi City in Shandong Province, Linyi 276400, China
Zhang Chuanlian
Liu Qing'e
