糖尿病移动管理教育软件对中青年2型糖尿病患者知信行的影响  

The influence of mobile management software education to the young and middle-aged type 2 diabetes patients＇ knowledge and behavior

作　　者：初晓芳[1] 林琳[1] 李丽杰[1] 曹玉婷[1] 王欢[1] Chu Xiaofang Lin Lin Li Lijie Cao Yuting Wang Huan.(Department of Endocrinology, Dalian Center Hospital, Dalian 116033, China)

机构地区：[1]辽宁省大连市中心医院内分泌科,116033

出　　处：《中国实用护理杂志》2017年第26期2016-2020,共5页Chinese Journal of Practical Nursing

摘　　要：目的研究运用糖尿病移动管理教育软件对中青年2型糖尿病患者知信行的影响。方法选取2015年10月至2016年4月大连市中心医院内分泌病房出院的糖尿病患者130例，其中男68例，女62例，按随机数字表法分为试验组63例和对照组67例；对照组给予常规院外管理模式，试验组通过糖尿病移动管理软件教育模式管理。干预后3、6个月，对2组患者血糖等代谢指标、糖尿病知识、自我管理效能、自我管理行为进行比较。结果因故退出研究6例，最终试验组61例、对照组63例完成本研究。干预前患者的空腹血糖、餐后2h血糖、糖化血红蛋白2组比较差异无统计学意义（P〉0．05）；干预后3个月对照组分别为（8．81±2．02）mmol／L、（12．44±2．53）mmol／L、（8．41±1．40）％，试验组分别为（7．91±2．29）mmol／L、（10．65±2．87）mmol／L、（7．83±1．25）％，差异有统计学意义（t=2．320、3．691、2,416，P〈0．05或0．01）；干预后6个月对照组分别为（7．96±1．79）mmol／L、（10．61±2．12）mmol/L、（7．85±1．24）％，试验组分别为（7．00±2．00）mmol／L、（8．93±2．16）mmol／L、（7．20±1．25）％，差异有统计学意义（t=2．805、4．368、2．914，P〈0．01）。2组患者的相关知识评分（好、一般、差）比较，干预前2组比较差异无统计学意义（P〉0．05）；干预后3个月对照组分别为5、57、1例，试验组分别为15、46、0例，干预后6个月对照组分别为40、32、0例，试验组分别为48、14、0例，干预后3个月和干预后6个月2组比较差异均有统计学意义（z=2．637、2．055，P〈0．01或0．05）。2组患者的糖尿病自我管理效能评分（高等水平、中等水平、低水平）比较，干预前2组比较差异无统计学意义（P〉0．05）；干预后3个月对照组分别为49、13、1例，试验组分别为54、5、0例，干预后6个月对照组Objective To study the influence of mobile management software education to the young and middle-aged type 2 diabetes patients＇ knowledge and behavior. Methods 130 cases of diabetes patients was selected in 2015.10 to 2016.04 which came from the endocrine ward of the center hospital of Dalian ,68 males and 62 females.63 cases were divided into experimental group and 67 cases in control group, according to the random number table method. The control group was given the regular out- of-hospital management mode, and the experimental group was managed by the diabetes mobile management software. Six months after the intervention, the effects of two groups on blood glucose, metabolic index, diabetes knowledge, self-management efficacy and self-management behavior were observed. Results There was no significant difference in fasting blood glucose, postprandial 2 h blood glucose and glycosylated hemoglobin between the two groups before the intervention （P 〉 0.05）.After intervention for three months, the date in control group respectively （8.81±2.02） mmol/L, （12.44±2.53） mmol/L, （8.41±1.40）%. experimental group respectively （7.91±2.29） mmol/L, （10.65±2.87） mmol/L, （7.83± 1.25）%. The difference was statistically significant （t=2.320, 3.691, 2.416, P 〈 0.05 or 0.01）. After intervention for six months, these numbers in control group were （7.96± 1.79） mmol/L,（10.61±2.12） mmol/ L, （7.85± 1.24）%. The experimental group were （7.00±2.00） mmol/L, （8.93±2.16） retool/L, （7.20± 1.25）%. The difference was statistically significant（t=2.805, 4.368, 2.914, P 〈 0.01）.Compared the related knowledge scores （Good, general, poor） before intervention ,the difference was not statistically significant （P〉0.05）.Mter 3 months of intervention, the cases in control group was 5, 57 ,1 respectively, the experimental group were 15,46,0 respectively. After 6 months intervention, the control group was 40, 32, 0. The experimental group were 48, 14, 0. After 3 months

关 键 词：糖尿病 移动管理教育 中青年 知信行 

分 类 号：R473.5[医药卫生—护理学]