智能手机应用程序在社区2型糖尿病患者健康教育中的应用

Application of smart phone application in health education of community type 2 diabetes patients

目的:探讨智能手机应用程序对社区2型糖尿病患者健康教育效果的影响。方法:选取2016年1~4月在内分泌科经系统胰岛素强化治疗后出院的糖尿病患者120例,采用智能手机应用程序对患者进行健康宣教,干预3个月后观察患者的遵医行为、自我管理水平和血糖控制情况。结果:健康教育后,患者的定期复查、饮食治疗、药物治疗、运动疗法、自我监测5个方面遵医行为均较干预前提高,差异有统计学意义(P<0.05),患者的自我管理能力总分由(80.87±19.08)分提高到(97.22±14.21)分,差异有统计学意义(P<0.05)。干预3个月后患者空腹血糖平均为(9.32±0.14)mmol/L,餐后2 h血糖为(9.45±0.86)mmol/L,糖化血红蛋白为(7.13±1.5)%,均低于干预前,差异有统计学意义(P<0.05)。结论:应用智能手机应用程序进行健康教育,能有效提高患者的遵医行为和自我管理能力,改善患者的血糖控制水平,值得推广使用。

Objective： To discuss the influence of smart phone application on the effect of health education of community type 2 diabetes patients. Methods：Selected 120 diabetes patients discharged from the endocrinology department after systematic insulin intensive therapy from January to April 2016,and smart phone application was used for the health publicity and education of patients,and after 3 months＇ intervention,an observation was conducted on the patients＇ behavior of following doctor＇s instruction,self-management level and blood glucose control. Results： After the health education,the patients＇ behavior of following doctor＇s instructions in regular reexamination,diet therapy,medicine therapy,kinesitherapy and self-monitoring was improved compared with that before intervention,and the difference was statistically significant（ P〈0. 05）. The total score of the patients＇ self-management ability increased from（ 80. 87 ± 19. 08） to（ 97. 22 ± 14. 21）,and the difference was statistically significant（ P〈0. 05）. After 3 months＇ intervention,the average level of patients＇ fasting blood glucose was（ 9. 32 ± 0. 14） mmol/L,blood glucose level 2h after meal was（ 9. 45 ± 0. 86） mmol/L,and the glycosylated hemoglobin was（ 7. 13 ± 1. 5） %,all were lower than those before intervention,and the difference was statistically significant（ P〈0. 05）. Conclusion： Applying the smart phone application for health education could effectively improve the patients＇ behaviors of following doctor＇s instruction and self-management ability,improve the patients＇ blood glucose control,and was worth promoting.