糖尿病中医慢病管理App的应用效果评价

Application effect of a diabetes TCM chronic disease management App

目的探讨糖尿病中医慢病管理App应用于2型糖尿病患者的效果。方法将89例住院2型糖尿病患者随机分为对照组45例和观察组44例。对照组予以常规糖尿病教育与随访,观察组在对照组基础上采用糖尿病中医慢病管理App进行管理。干预6个月后,比较两组糖脂代谢、心理痛苦水平及生活质量。结果干预后,观察组糖化血红蛋白显著低于对照组,观察组心理痛苦发生率、心理痛苦总分及人际关系相关痛苦、医生相关痛苦得分显著低于对照组,生活质量总分及生理、心理维度得分显著优于对照组(P<0.05,P<0.01)。结论基于手机App的糖尿病中医综合护理管理方案有利于控制2型糖尿病患者的血糖,降低患者的心理痛苦水平,提高其生活质量。

Objective To explore the application effect of a diabetes TCM chronic disease management App in type 2diabetes patients.Methods A total of 89type 2diabetes inpatients were randomized into a control group(n=45)and an experimental group(n=44).The control group received routine diabetes education and follow-up,while the experimental group was managed additionally using a diabetes TCM chronic disease management App.Six months after the intervention,the glucose and serum lipid metabolism,the psychological distress level and quality of life between the two groups were compared.Results After the intervention,the HbA1c,the incidence rate of psychological distress,the total score of psychological distress,and the dimension score of interpersonal relationship related distress and physician related distress of the experimental group were significantly lower than those of the control group,while the total score of the quality of life and the physical as well as mental dimension score were significantly higher than those of the control group(P<0.05,P<0.01).Conclusion The diabetes TCM comprehensive nursing management program based on mobile phone App is beneficial to control glucose for type 2diabetes patients,reduce their psychological distress and improve their quality of life.