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以“智慧医疗”为核心的糖尿病管理团队智慧服务创新与实践
引用本文:赵峰英,罗江,王燕,李丽群,黄晓婷. 以“智慧医疗”为核心的糖尿病管理团队智慧服务创新与实践[J]. 糖尿病新世界, 2021, 0(2)
作者姓名:赵峰英  罗江  王燕  李丽群  黄晓婷
作者单位:福建医科大学附属第一医院内分泌科;福建省糖尿病防治研究院
基金项目:中央财政引导地方发展专项-福建省糖尿病及并发症创新联合实验室(2018L3007)。
摘    要:有效的糖尿病自我管理教育与支持是糖尿病良好控制的基础。该文详细介绍了以糖尿病专科护士为主导、借助糖尿病智慧管理平台开展的信息“互联、互通、共享”的“互联网+”糖尿病智慧一体化健康管理模式创新与实践,阐述了有效的糖尿病自我管理教育支持闭环的形成、延伸和随访,介绍了实现闭环管理的各临床、护理服务智慧创新实践要点,以实现规范化、信息化、系统化的糖尿病自我管理。

关 键 词:糖尿病智慧管理  自我管理教育与支持  闭环管理  个体化糖尿病自我管理处方

Innovation and Practice of Smart Service of Diabetes Management Team with"Smart Medicine"as the Core
ZHAO Feng-ying,LUO Jiang,WANG Yan,LI Li-qun,HUANG Xiao-ting. Innovation and Practice of Smart Service of Diabetes Management Team with"Smart Medicine"as the Core[J]. Diabetes New World, 2021, 0(2)
Authors:ZHAO Feng-ying  LUO Jiang  WANG Yan  LI Li-qun  HUANG Xiao-ting
Affiliation:(Department of Endocrinology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350005 China;Fujian Institute of Diabetes Prevention and Treatment,Fuzhou,Fujian Province,350005 China)
Abstract:Effective diabetes self-management education and support is the basis for good diabetes control.This article introduces in detail the innovation and practice of the“Internet+”diabetes intelligent integrated health management model led by diabetes specialist nurses and using the diabetes intelligent management platform to carry out information"interconnection,intercommunication,sharing",and elaborates the effective diabetes self-management education support closed loop formation,extension and follow-up of the clinic,introduces the key points of clinical and nursing service innovation practice to realize closed-loop management,so as to realize standardized,information-based and systematic diabetes self-management.
Keywords:
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