Cao Guo-Lan, Chen Ke-Jian
Ophthalmic Clinic, The First Affiliated Hospital of Soochow University, Suzhou, 215006, People's Republic of China.
Internal Medicine Clinic, The First Affiliated Hospital of Soochow University, Suzhou, 215006, People's Republic of China.
Diabetes Metab Syndr Obes. 2023 Jun 27;16:1931-1939. doi: 10.2147/DMSO.S413915. eCollection 2023.
This study was performed to evaluate the effectiveness of social platform-based continuity of care in improving cognitive and prognostic effects of young age diabetic patients without diabetic retinopathy (DR).
A total of 88 young age diabetic patients admitted to the outpatient clinic of First Affiliated Hospital of Soochow University (Endocrine and Ophthalmology Outpatient) from January 2021 to May 2022 were recruited and assigned via random number table method to receive either routine follow-up care (routine group) or social platform-based continuity of care (WeChat group), with 44 patients in each group. Treatment compliance, cognitive-behavioral ability, self-care ability (self-care responsibility, self-care skills, self-status, knowledge of diabetic retinopathy), quality of life (physical function, psychosocial, symptom and visual function, social activity), and prognosis of the patients were analyzed to investigate the effectiveness of WeChat social platform-based continuity of care. All patients were followed up for one year.
Patients receiving WeChat social platform-based continuity of care exhibited obviously higher treatment compliance and better cognitive-behavioral ability, self-care responsibility, self-care skills, self-state, and diabetic retinopathy knowledge follow-up than those with routine care (P<0.05). Patients in the WeChat group had significantly better physical function, mental psychology, symptoms and visual function, and social activity levels than those in the routine group (P<0.05). WeChat-based continuity of care resulted in a significantly lower incidence of visual acuity loss and diabetic retinopathy during follow-up than routine care (P<0.05).
WeChat social platform-based continuity of care effectively improves treatment compliance and diabetic retinopathy awareness, and enhances self-care ability of young patients with diabetes mellitus. The life quality of these patients is improved and the risk of poor prognosis has been reduced.
本研究旨在评估基于社交平台的连续性护理对改善无糖尿病视网膜病变（DR）的年轻糖尿病患者认知及预后效果的有效性。
选取2021年1月至2022年5月在苏州大学附属第一医院门诊（内分泌及眼科门诊）就诊的88例年轻糖尿病患者，采用随机数字表法将其分为两组，分别接受常规随访护理（常规组）或基于社交平台的连续性护理（微信组），每组44例。分析患者的治疗依从性、认知行为能力、自我护理能力（自我护理责任、自我护理技能、自我状态、糖尿病视网膜病变知识）、生活质量（身体功能、心理社会、症状及视觉功能、社交活动）及预后情况，以探讨基于微信社交平台的连续性护理的有效性。所有患者均随访1年。
接受基于微信社交平台连续性护理的患者在治疗依从性、认知行为能力、自我护理责任、自我护理技能、自我状态及糖尿病视网膜病变知识随访方面明显高于接受常规护理的患者（P<0.05）。微信组患者的身体功能、心理状态、症状及视觉功能、社交活动水平明显优于常规组（P<0.05）。基于微信的连续性护理导致随访期间视力丧失和糖尿病视网膜病变的发生率明显低于常规护理（P<0.05）。
基于微信社交平台的连续性护理可有效提高治疗依从性及糖尿病视网膜病变知晓率，增强年轻糖尿病患者的自我护理能力，改善患者生活质量，降低预后不良风险。
