CN111951919A - Patient self-management method special for diabetic kidney complications - Google Patents
Patient self-management method special for diabetic kidney complications Download PDFInfo
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- CN111951919A CN111951919A CN202010851249.9A CN202010851249A CN111951919A CN 111951919 A CN111951919 A CN 111951919A CN 202010851249 A CN202010851249 A CN 202010851249A CN 111951919 A CN111951919 A CN 111951919A
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Abstract
The invention discloses a self-management method for a patient special for diabetic kidney complications, wherein a client inputs user information of the patient special for diabetic kidney complications; the objective index system inputs data of demographic indexes, metabolic indexes and medicine taking conditions of a patient special for diabetic renal complications; the subjective feeling evaluation system of the patient inputs data of sleep quality, pain score and life quality of the special patient for the diabetic renal complication; the index monitoring module and the patient subjective feeling evaluation system convert the data into corresponding index representation and manage the data; and the data of the disease management system is displayed to the diagnosis and treatment system, and a doctor at the diagnosis and treatment end reads the data and analyzes the diagnosis and treatment result. Through the way, the patient self-management method special for diabetic renal complications provided by the invention improves early diagnosis and early treatment of diseases with high disability rate and high mortality rate of diabetic nephropathy from the perspective of patients, finally relieves pains of patients, and relieves medical and economic burdens of families and society.
Description
Technical Field
The invention relates to a diabetic kidney complication management method, belongs to the field of medical treatment, and particularly relates to a patient self-management method special for diabetic kidney complications.
Background
Diabetic renal disease (DKD) is a chronic kidney disease caused by diabetes, and nearly ten million people among 1.1 million people diagnosed with diabetes in our country will develop DKD, which is an important cause of chronic kidney disease and uremia in our country. The risk factors of DKD include advanced age, sex, race, long course of disease, hyperglycemia, hypertension, obesity, hyperlipidemia, high salt and high protein diet, nephrotoxic substances, etc., but its etiology and pathogenesis are still unclear at present. The mortality rate of the diabetic patients with kidney injury is higher, so that the early diagnosis and the timely prevention and delay of the DKD occurrence and development are very important for improving the survival rate and the life quality of the patients and further reducing the social medical burden.
The current standard for clinical diagnosis of DKD is still in agreement with the U.S. Foundation for renal disease in 2014 that the Glomerular Filtration Rate (GFR) is lower than 60ml/min/1.73m due to diabetes mellitus2And (or) a urinary albumin/creatinine ratio (UACR) of greater than 30mg/g for more than 3 months. Therefore, the kidney is still clinically evaluated by periodically measuring the urinary albumin of diabetic patients and calculating the estimated glomerular filtration rate (eGFR) by serum creatinineA dirty-damaged condition; DKD is also diagnosed primarily by an increase in UACR and a decrease in eGFR. Since the above changes are not specific to diabetic kidney injury, definitive diagnosis and grading are performed using pathological examination after renal puncture, if necessary.
However, with the increasing number of diabetic patients and the depth of clinical treatment and observation, the shortcomings of the existing assessment techniques are increasingly highlighted. As far as present, the prior art has the following disadvantages:
1. at present, the evaluation indexes of diabetic renal complications in clinical are very limited, and are mainly reflected in the following aspects: the indexes are few, and only urine albumin, serum creatinine and glomerular filtration rate are clinically applied at present; the disease course is not parallel, for example, the existence or the value of urine albumin is not parallel to the damage degree of the kidney, the urine albumin of the same patient has obvious fluctuation along with the progress of the diabetic kidney damage, and even the patients with serious kidney damage have no increase of the urine albumin; the indexes are changed later, and when a large amount of proteinuria, serum creatinine rise and glomerular filtration rate decline, the kidney injury is irreversible, so that the optimal time for clinical intervention is missed; the indexes have no specificity to diabetic kidney injury, namely other kidney diseases can also cause the changes of urinary albumin and blood creatinine rise, glomerular filtration rate reduction and the like; pathological examination such as kidney biopsy is helpful to visually find kidney lesions, but belongs to invasive examination, and has poor repeatability and low patient acceptance.
2. The reasons for renal complications are unknown, and there is no obvious association with sex, age, race, education level, length of the course of diabetes, whether to strictly control blood sugar, presence or absence of other organ complications, etc., and thus it is difficult for patients to propose an individualized prevention and treatment scheme.
3. Diabetes, a chronic disease, often persists for years or even decades, and once renal complications occur, its follow-up and treatment are a more lifelong process; therefore, the self-management of patients is very important, but the role of patients in diseases is often neglected, or only negative influence is considered to be generated on the disease progress, and the complexity of the diseases, such as individual differences of symptoms and signs, diversification of laboratories and auxiliary examination projects, diversity of treatment modes of drugs and the like, of the diseases certainly increase the difficulty of patients in understanding the disease state and further performing self-management, and the problems all result in the lack of an effective self-management method suitable for diabetic patients in monitoring kidney injury in the current market.
Disclosure of Invention
The invention mainly solves the technical problem of how to provide a patient self-management method special for diabetic kidney complications, which aims at improving the early diagnosis and early treatment of the diabetic nephropathy with high disability rate and high mortality rate, finally relieving the pain of the patient and relieving the medical and economic burden of families and society.
In order to solve the technical problems, the invention adopts a technical scheme that: provided is a patient self-management method special for diabetic renal complications, comprising the following steps: the system comprises a client for inputting diabetic kidney complication patient information, an objective index system for inputting objective indexes, a patient subjective feeling evaluation system for inputting subjective indexes, a disease management system and a diagnosis and treatment system. The objective index system, the patient subjective feeling evaluation system and the disease management system are respectively in control connection with the diagnosis and treatment system. The data of the objective index system and the data of the patient subjective feeling evaluation system are respectively transmitted to a disease management system, the diagnosis and treatment system arranges the data of the disease management system, and a doctor reads the data and analyzes diagnosis and treatment results; the client is respectively connected with the objective index system and the subjective feeling evaluation system of the patient.
In a preferred embodiment, the objective index system comprises an index monitoring module, the patient subjective feeling evaluation system comprises a client feeling module, the disease management system comprises a disease management module, and the diagnosis and treatment system comprises a diagnosis and treatment end, the client is respectively connected with the index monitoring module, the client feeling module and the disease management module in a control manner, the client feeling module is respectively connected with the index monitoring module, the disease management module and the diagnosis and treatment end, and the diagnosis and treatment end is further respectively connected with the index monitoring module and the disease management module in a control manner.
In a preferred embodiment, the index monitoring module comprises a demographic index unit for inputting demographic indexes, a metabolic index unit for inputting metabolic conditions and a medicine taking condition control unit for counting medicine taking conditions, the demographic index unit, the metabolic index unit and the medicine taking condition control unit are respectively in control connection with the index monitoring module, and data of the demographic index unit, the metabolic index unit and the medicine taking condition control unit are input independently.
In a preferred embodiment, the subjective feeling evaluation system of the patient comprises a sleep quality data input unit, a pain evaluation unit and a quality of life evaluation unit, wherein the sleep quality data input unit, the pain evaluation unit and the quality of life evaluation unit are respectively in control connection with the subjective feeling evaluation system of the patient.
A patient self-management method special for diabetic kidney complications comprises the following operation steps:
s1: inputting user information of a patient special for diabetic renal complications through a client;
s2: inputting data of demographic indexes, metabolic indexes and medicine taking conditions of a patient special for diabetic renal complications through an objective index system;
s3: inputting data of sleep quality, pain score and life quality of a patient special for diabetic renal complications through a patient subjective feeling evaluation system;
s4: data are converted into corresponding index representation through an index monitoring module and a patient subjective feeling evaluation system and are managed;
s5: and displaying the data of the disease management system to the diagnosis and treatment system, and reading the data and analyzing diagnosis and treatment results by a doctor at the diagnosis and treatment end.
In a preferred embodiment, in step S4, the index monitoring module and the subjective feeling evaluation system of the patient dynamically input the data, and according to the dynamic change characteristics of the data with time, the disease management data suitable for individuation of the patient is obtained and input to the disease management system.
The invention has the beneficial effects that: the patient self-management method special for diabetic renal complications comprises three parts: the first part of objective indexes, mainly related to objective examination result data and medicine conditions of patients, comprises three modules: demographics, metabolic indicators, drugs. The second part, which mainly relates to the subjective feeling of the patient, comprises three modules: sleep quality, pain score, quality of life scale. And a third part, disease management, wherein information suitable for individualized disease management of a patient is obtained through the contents of the two parts and the dynamic change characteristics of the contents of the parts over time. The contents of the three parts can be read by the main doctor through the fourth part, namely the doctor diagnosis and treatment end, and the reference is provided for clinical decision, so that the method has good practical significance.
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In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the description of the embodiments are briefly introduced below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without inventive efforts, wherein:
FIG. 1 is a schematic overall structure diagram of an embodiment of the method for self-management of diabetic renal complications dedicated to patients according to the present invention;
FIG. 2 is a schematic diagram of a control structure of an embodiment of the unit of the method for self-management of diabetic renal complications for patients according to the present invention;
FIG. 3 is a schematic diagram of the patient and the doctor in an embodiment of the method for self-management of diabetic renal complications dedicated to the patient;
the various references in the drawings are: 1. a client; 2. an objective index system; 21. an index monitoring module; 22. a demographic indicator unit; 23. a metabolic index unit; 24. a medicine taking condition control unit; 3. a patient subjective experience evaluation system; 31. a customer experience module; 32. a sleep quality data input unit; 33. a pain scoring unit; 34. a quality of life evaluation unit; 4. a disease management system; 41. a disease management module; 5. a diagnosis and treatment system; 51. a diagnosis and treatment end.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-3, in one embodiment of the present invention, a method for self-management of diabetic renal complications dedicated patients is provided, which comprises three parts: the first part of objective indexes, mainly related to objective examination result data and medicine conditions of patients, comprises three modules: demographics, metabolic indicators, drugs. The second part, which mainly relates to the subjective feeling of the patient, comprises three modules: sleep quality, pain score, quality of life scale. A third part, disease management, namely information suitable for individualized disease management of a patient is obtained through the contents of the two parts and the dynamic change characteristics of the contents of the parts along with time; the three parts of content can be divided into four parts: the doctor diagnosis and treatment end is read by the main doctor and provides reference for clinical decision.
Specifically, the patient self-management method special for diabetic renal complications comprises the following steps: the system comprises a client 1 for inputting diabetic kidney complication patient information, and an objective index system 2 for inputting objective indexes, wherein the objective index system 2 belongs to a second part, namely objective indexes, and the client 1 is used for inputting the diabetic kidney complication patient information. The system also comprises a patient subjective feeling evaluation system 3 for inputting subjective indexes, a disease management system 4 and a diagnosis and treatment system 5. The objective index system 2 and the patient subjective feeling evaluation system 3 are connected in sequence and are connected with the disease management system 4 in a control mode.
In a specific embodiment, the objective index system 2, the patient subjective feeling evaluation system 3, and the disease management system 4 are respectively in control connection with the diagnosis and treatment system 5. The data of the objective index system 2 and the data of the patient subjective feeling evaluation system 3 are respectively transmitted to the disease management system 4, and the diagnosis and treatment system arranges the data of the disease management system 4 and carries out data reading and diagnosis and treatment result analysis by a doctor. The client 1 is respectively connected with the objective index system 2 and the patient subjective feeling evaluation system 3, and the complex and various objective and subjective indexes are embodied as popular and easily understood disease management conclusions.
Preferably, the objective index system 2 includes an index monitoring module 21, the patient subjective feeling evaluation system 3 includes a client feeling module 31, the disease management system 4 includes a disease management module 41, and the diagnosis system 5 includes a diagnosis terminal 51. The client 1 is respectively in control connection with the index monitoring module 21, the client feeling module 31 and the disease management module 41, the client feeling module 31 is respectively connected with the index monitoring module 21, the disease management module 41 and the diagnosis and treatment end 51, and the diagnosis and treatment end 51 is also respectively in control connection with the index monitoring module 21 and the disease management module 41. The index monitoring module 21 comprises a demographic index unit 22 for inputting demographic indexes, a metabolic index unit 23 for inputting metabolic conditions and a medicine taking condition control unit 24 for counting medicine taking conditions, the demographic index unit 22, the metabolic index unit 23 and the medicine taking condition control unit 24 are respectively in control connection with the index monitoring module 21, and data of the demographic index unit 22, the metabolic index unit 23 and the medicine taking condition control unit 24 are independently input. The subjective feeling evaluation system 3 of the patient comprises a sleep quality data input unit 32, a pain evaluation unit 33 and a quality of life evaluation unit 34, wherein the sleep quality data input unit 32, the pain evaluation unit 33 and the quality of life evaluation unit 34 are respectively in control connection with the subjective feeling evaluation system 3 of the patient. The disease management system 4 manages and analyzes the data, is in butt joint with the diagnosis and treatment system 5, arranges and transmits the data in time, and brings convenience to doctors at the diagnosis and treatment end to call the data and design a diagnosis and treatment scheme in time.
In a specific embodiment, the present invention further provides a patient self-management method dedicated for diabetic renal complications, which includes the above four steps, and in a specific implementation process, the method further includes the following steps:
s1: inputting user information of a patient special for diabetic renal complications through a client 1, wherein the client 1 is used for inputting the user information of the patient;
s2: inputting data of demographic indexes, metabolic indexes and medicine taking conditions of a patient special for diabetic renal complications through an objective index system 2;
s3: the sleep quality, pain score and life quality of a patient special for diabetic renal complications are input through a patient subjective feeling evaluation system 3, the objective index system 2 and the patient subjective feeling evaluation system 3 input the data to a disease management system 4, and the disease management system 4 sorts and manages the data;
s4: the data are converted into corresponding index representation through the index monitoring module 21 and the patient subjective feeling evaluation system 3, and the data are collated and managed through the disease management system 4;
s5: the data of the disease management system 4 is displayed on the clinical system 5, and the doctor at the clinical terminal 51 reads the data and specifically analyzes the clinical result of each patient.
In a specific implementation process, preferably, in step S4, the index monitoring module 21 and the patient subjective feeling evaluation system 3 dynamically input the data, and according to the dynamic change characteristics of the data with time, the disease management data suitable for individualization of the patient is obtained and input to the disease management system 4. From the perspective of patients, the early diagnosis and early treatment of the diseases with high disability rate and high fatality rate, namely the diabetic nephropathy, are improved, the pain of the patients is finally relieved, and the medical and economic burden of families and society is relieved.
The prior art depends on limited index or indexes, the effect of the prior art in disease diagnosis and treatment is questioned, in addition, the prior art has a plurality of influence factors and large fluctuation, and the prior art is often too abstract for non-professionals and is difficult to understand and accept, and compared with the prior art, the invention has the following advantages:
1. the complex and various objective and subjective indexes are embodied as popular and easily understood disease management conclusions;
2. the conclusion of disease management comes from the objective examination index and subjective feeling of a patient, is more comprehensive and objective, and avoids the limitation of the existing evaluation of diabetic kidney injury index;
3. the disease management mode taking a patient as a main body is more beneficial to the propaganda and education of the disease and healthy people, and has good acceptance, thereby being more beneficial to preventing and treating diseases;
4. the accessibility of doctors to the data is beneficial to comprehensively knowing the evolution of the disease course of patients and improving the clinical diagnosis and treatment efficiency, and has important value on the individuation and the nationwide level of the diabetic kidney injury.
The above description is only an embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications of equivalent structures and equivalent processes, which are made by the present specification, or directly or indirectly applied to other related technical fields, are included in the scope of the present invention.
Claims (6)
1. A patient self-management method special for diabetic renal complications is characterized by comprising the following steps: the diabetes kidney complication treatment system comprises a client (1) for inputting diabetes kidney complication patient information, an objective index system (2) for inputting objective indexes, a patient subjective feeling evaluation system (3) for inputting subjective indexes, a disease management system (4) and a diagnosis and treatment system (5), wherein the objective index system (2) and the patient subjective feeling evaluation system (3) are connected in sequence and then are in control connection with the disease management system (4), and the objective index system (2), the patient subjective feeling evaluation system (3) and the disease management system (4) are respectively in control connection with the diagnosis and treatment system (5); the data of the objective index system (2) and the data of the patient subjective feeling evaluation system (3) are respectively transmitted to a disease management system (4), the diagnosis and treatment system arranges the data of the disease management system (4), and a doctor reads the data and analyzes diagnosis and treatment results; the client (1) is connected with the objective index system (2) and the subjective feeling evaluation system (3) of the patient respectively.
2. The patient self-management method special for diabetic renal complications according to claim 1, wherein the objective index system (2) comprises an index monitoring module (21), the subjective feeling evaluation system (3) of the patient comprises a client feeling module (31), the disease management system (4) comprises a disease management module (41), and the diagnosis and treatment system (5) comprises a diagnosis and treatment end (51), the client (1) is respectively in control connection with the index monitoring module (21), the client feeling module (31) and the disease management module (41), the client feeling module (31) is respectively in control connection with the index monitoring module (21), the disease management module (41) and the diagnosis and treatment end (51), and the diagnosis and treatment end (51) is respectively in control connection with the index monitoring module (21) and the disease management module (41).
3. The patient self-management method special for diabetic renal complications according to claim 2, wherein the index monitoring module (21) comprises a demographic index unit (22) for inputting demographic indexes, a metabolic index unit (23) for inputting metabolic conditions, and a medication condition control unit (24) for counting medication conditions, the demographic index unit (22), the metabolic index unit (23), and the medication condition control unit (24) are respectively in control connection with the index monitoring module (21), and data of the demographic index unit (22), the metabolic index unit (23), and the medication condition control unit (24) are input separately.
4. The patient self-management method special for diabetic renal complications according to claim 2, wherein the patient subjective feeling evaluation system (3) comprises a sleep quality data input unit (32), a pain evaluation unit (33) and a quality of life evaluation unit (34), and the sleep quality data input unit (32), the pain evaluation unit (33) and the quality of life evaluation unit (34) are respectively in control connection with the patient subjective feeling evaluation system (3).
5. The patient-specific self-management method for diabetic renal complications according to any one of claims 1 to 4, wherein the patient-specific self-management method for diabetic renal complications comprises the following steps:
s1: inputting user information of a patient special for diabetic renal complications through a client (1);
s2: inputting data of demographic indexes, metabolic indexes and medicine taking conditions of a patient special for diabetic renal complications through an objective index system (2);
s3: inputting data of sleep quality, pain score and life quality of a patient special for diabetic renal complications through a patient subjective feeling evaluation system (3);
s4: data are converted into corresponding index representation through an index monitoring module (21) and a patient subjective feeling evaluation system (3) and are managed;
s5: data of the disease management system (4) is displayed to the diagnosis and treatment system (5), and data reading and diagnosis and treatment result analysis are performed by a doctor at the diagnosis and treatment end (51).
6. The patient self-management method for diabetic renal complications according to claim 5, wherein in step S4, data is dynamically inputted through the index monitoring module (21) and the patient subjective feeling evaluation system (3), and disease management data suitable for individualization of the patient is obtained according to the dynamic change characteristics of the data with time and inputted to the disease management system (4).
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| US20040210458A1 (en) * | 2003-04-17 | 2004-10-21 | Imetrikus, Inc. | Method and system for communication and collaboration between a patient and healthcare professional |
| CN103793593A (en) * | 2013-11-15 | 2014-05-14 | 吴一兵 | Third life maintenance mode and longevity quantification traction information exchanging method and implementation thereof |
| CN107403063A (en) * | 2017-07-17 | 2017-11-28 | 江苏绿盛园艺用品有限公司 | Self-management in diabetes system and method based on internet |
| CN107967945A (en) * | 2017-12-20 | 2018-04-27 | 姜涵予 | The appraisal procedure and device of subjective feeling |
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