基于COM-B模型的糖尿病患者自我管理平台构建及应用  

Development and application of a mobile platform for diabetes self-management based on the Capability,Opportunity,and Motivation Behavior(COM-B)model

作　　者：周丹[1] 韩立坤[1] 刘东明[1] 高岩 包乌仁[1] Zhou Dan;Han Likun;Liu Dongming;Gao Yan;Bao Wuren(Department of Endocrinology,Affiliated Hospital of Inner Mongolia University for Nationalities,Tongliao 028000,China)

机构地区：[1]内蒙古民族大学附属医院内分泌科,内蒙古通辽028000

出　　处：《护理学杂志》2021年第2期1-4,共4页Journal of Nursing Science

基　　金：2017年内蒙古自治区卫生计生科研计划项目(201703142)。

摘　　要：目的探讨基于能力、机会、动机-行为(COM-B)模型构建的糖尿病患者自我管理平台的应用效果。方法将104例蒙古族糖尿病患者按随机数字表法分为对照组和干预组各52例。对照组按常规进行健康教育,干预组在此基础上采用基于COM-B模型构建的自我管理平台实施干预,6个月后评价效果。结果对照组47例、干预组49例完成全程研究。干预组血糖控制效果、自我管理能力及自我效能评分显著优于对照组(P<0.05,P<0.01)。结论基于COM-B模型构建糖尿病患者自我管理平台并实施线上干预,有助于控制患者血糖水平,改善自我管理能力。Objective To explore the effect of a mobile platform for self-management of diabetes based on the COM-B model.Methods A total of 104 Mongolian sample of Northern China diagnosed with diabetes were randomized into a control group and an intervention group of 52,receiving either conventional health education or online intervention using a mobile platform for self-management developed based on the COM-B model.Results A total of 47 patients in the control group and 49 in the intervention group completed the study.After 6 months of intervention,the intervention group had better blood glucose control,higher self-management ability and self-efficacy compared with the control group(P<0.05,P<0.01).Conclusion Development of a mobile platform for diabetes self-management based on the COM-B model and implementation of online intervention,can achieve better blood glucose control and improve self-management ability.

关 键 词：糖尿病 线上平台 COM-B模型 血糖 自我管理 自我效能 

分 类 号：R473.5[医药卫生—护理学] R587.1[医药卫生—临床医学]