应用“糖宝随访”APP对儿童1型糖尿病患者实施延续护理的实践及效果

Practice and effects evaluation of "sugar-baby follow-up" APP in transitional nursing care for children with type 1 Diabetes Mellitus

目的 :调查"糖宝随访"APP对儿童1型糖尿病患者的血糖控制效果。方法 :将符合纳入标准的201例儿童1型糖尿病患者根据随访时间分为对照组和APP组。对照组实施原有的延续护理措施,APP组除对照组的措施外,增加"糖宝随访"APP,比较两组患儿随访前和随访3个月时的空腹血糖值和最低血糖值。结果:随访前两组患儿空腹血糖值和最低血糖值没有统计学差异(P>0.05)。经过延续护理,两组随访3个月后的空腹血糖值均低于随访前(P<0.05),且APP组的空腹血糖值低于对照组(P<0.01);对照组随访前后的最低血糖值没有统计学差异(P>0.05),APP组随访3个月后的最低血糖值高于随访前(P<0.01),且高于对照组,差异有统计学意义(P<0.01)。结论 :"糖宝随访"APP可以进一步帮助儿童1型糖尿病患者做好血糖管理。

Objective： To explore the effects of＂sugar-baby follow-up＂ APP on children with type 1 Diabetes Mellitus （T1DM）. Methods： Totally 201 children with T1DM were recruited and divided into intervention group and control group according to the follow-up time. The control group received the original transitional nursing care, while the intervention group added ＂sugar-baby follow-up＂ APP besides transitional nursing care applied in control group. The study compared the fasting blood sugar level and the lowest blood sugar level before the intervention and 3 months after the follow up. Result： There were no statistical differences （P〉0.05） in fasting blood sugar and the lowest blood sugar levels between control and intervention groups before the intervened follow up; both groups have fasting blood sugar above normal range. After providing the transitional care and follow up, the fasting blood sugar level in both control and intervention groups was improved from baseline before the intervention （P〈0.05）; in addition, the intervention group which utilized ＂sugar-baby follow-up＂ App had a lower fasting blood sugar than the control group （P〈0.01）; there was no statistical difference in the lowest blood sugar level achieved in the control group before and after the follow up care （P〉0.05）; however, the intervention group with App usage was able to avoid hypoglycemia and the blood sugar level was in safe rage after the intervention （P〈0.01） and the lowest blood sugar level was also higher than the control group, the difference was statistically significant （P〈0.01）. Conclusion： The ＂sugar-baby follow-up＂ APP could help children with T1DM manage their blood glucose better.