社区老年2型糖尿病患者基于OTO模式健康管理的效果观察

目的 探讨基于OTO模式健康管理在社区老年2型糖尿病患者中的应用效果。方法 便利选取从沈阳市某医院转介至本市5家社区的老年2型糖尿病患者196例,给予基于OTO模式的健康管理,在干预前和干预1年末测评患者空腹血糖、餐后2 h血糖、糖化血红蛋白、自我管理行为能力和生存质量结局指标。结果 干预1年末,患者空腹血糖、餐后2 h血糖和糖化血红蛋白较干预前有明显下降（P<0.01）。自我管理行为量表总分及各维度得分均高于干预前（P<0.01）。生存质量总分及各维度得分均低于干预前,差异具有统计学意义（P<0.01）。结论 基于OTO模式健康管理能有效控制血糖水平,提高糖尿病患者自我管理行为能力,改善生存质量。

Effect of Health Management Based on Online to Offline Model on Elderly Patients with Type 2 Diabetes in Community

Objective To investigate the effects of health management based online to offline model in elderly patients with type 2 diabetes in the community. Methods A total of 196 cases of elderly patients with type 2 diabetes were selected from five communities in Shenyang city by convenience sampling. Health management based online to offline model was implemented. Before and after one-year intervention, fasting blood glucose, 2-hour postprandial blood glucose, HbA1c, self-management behavior ability and quality of life were evaluated. Results After one year of intervention, fasting blood glucose, 2-hour postprandial blood glucose and HbA1c were significantly reduced (P<0.01). The score of each dimension and the total score of self-management behavior scale were higher after one year of intervention (P<0.01). The score of each dimension and the total score of quality of life scale were reduced after one-year intervention (P<0.01). Conclusion Health management based online to offline model in elderly patients with type 2 diabetes in the community is effective for controlling blood glucose, improving self-management behavior and quality of life.