基于移动平台饮食运动量化管理对中青年糖尿病患者的影响

Application effect of quantitative management of diet and exercise based on mobile platform in young and middle-aged diabetic patients

目的探讨基于移动平台饮食运动量化管理在中青年糖尿病患者中的应用效果。方法便利选取某三甲医院内分泌科符合纳入标准的中青年糖尿病患者91例,随机分为干预组51例,对照组40例。对照组接受常规的糖尿病饮食运动健康教育指导和出院定期电话随访,干预组在对照组基础上采用移动平台延续护理模式,针对饮食运动进行量化管理1年,分析2组患者干预前后空腹血糖(FBG)、餐后2 h血糖(2 hPG)及糖化血糖蛋白(HbA1C)水平。结果干预前2组各项指标均无明显差异(P>0.05),干预后干预组空腹血糖、餐后2 h血糖和糖化血糖蛋白水平均明显低于对照组(P<0.05);干预组干预6个月,空腹血糖与干预前水平比较,无明显降低(P>0.05),餐后2 h血糖和糖化血糖蛋白水平较干预前显著降低(P<0.05);干预12个月空腹血糖、餐后2 h血糖、糖化血糖蛋白水平均明显低于干预前和干预6个月水平(P<0.05)。结论应用移动平台强化患者饮食运动管理能有效改善中青年糖尿病患者血糖指标,且干预时间越长效果越显著,对患者院外延续性管理具有重要意义。

Objective To explore the application of quantitative management of diet and exercise based on mobile platform in young and middle-aged diabetic patients. Methods Conveniently select 91 young and middle-aged diabetic patients with endocrinology in a top three hospital meeting the inclusion criteria,51 cases of intervention group and control group 40 cases.Control group accepted routine diabetes diet and exercise health education guidance and discharge regular telephone follow-up.Intervention group adopting mobile platform continue nursing mode of 1 year to quantify diet and exercise management on the basis of control group.The FBG,2hPG and HbA1C levels of the two groups at 6 months and 12 months after intervention were analyzed. Results Intervention in the first,two groups of the indicators are no significant difference (P> 0.05 ),and 6 months and 12 months after the intervention,intervention group FBG,2hPG and HbA1C level significantly lower than the control group (P< 0.05 ).There was no significant decrease in the level of FBG between pre-intervention and 6 months after intervention (P>0 0.05 ).6 months after intervention of 2hPG and HbA1C level obviously had significantly lower compared with pre-intervention,and 12 months after intervention of FBG,2hPG,HbA1C level compared pre-intervention and 6 months after the intervention were significantly reduced (P< 0.05 ). Conclusion The application of mobile platform to strengthen the management of patients’ diet and exercise can effectively reduce the levels of FBG,2hPG and HbA1C in young and middle-aged diabetic patients,and the longer of intervention the more significant of effect,which is of great significance to the external continuous management of patients.