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

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个月对照组分别为59、4、0例，试验组分别为61、0、0例，干预后3、6个月2组比较差异均有统计学意义（Z=2．103、1．992，P〈0．05）。2组患者的糖尿病自我管理能力评分（良好、中等、差）比较，干预前和干预后3个月比较差异无统计学意义（P〉0．05）；干预后6个月对照组分别为9、54、0例，试验组分别为43、18、0例，差异有统计学意义（Z=6．315，P〈0.01）。结论糖尿病移动管理软件教育模式有助于提高中青年2型糖尿病患者血糖等代谢指标达标率及知信行水平，但其长期效果有待进一步研究。

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 and 6 months intervention. There was significant difference between the two groups, （Z = 2.637, 2.055, P 〈 0.01 or 0.05）. scores of diabetes mellitus （high level, medium level, low level）in the two groups was no significant difference （P 〉 0.05）, before the intervention. After 3 months intervention ,cases in control group were 49,13 lrespectively, the experimental group were 54,5,0, after 6 months intervention ,control group were 59,4,0 ,respectively, the experimental group were 61,0,0. After 3 months and 6 months intervention, there was significant difference between the two groups （Z=2.103, 1.992, P〈0.05）. Diabetes self- management effectiveness score（good, moderate, poor） was compared in two groups. There was no significant difference between the two groups before and after 3 months intervention （P 〉 0.05）. After 6 months of intervention, cases in the control group was 9,54,0,respectively, the experimental group were 43, 18, 0, the difference was statistically significant （Z = 6.315, P 〈 0.01）. Conclusions The education model of diabetes mobile management software can help to improve the standard rate of glucose and other metabolic indexes, at the same time also improve the level of knowledge and behavior of middle-aged and young patients with type 2 diabetes, but it＇s long-term effect needs further study.