基于手机APP的自我管理支持对中青年糖尿病病人自我效能及心理痛苦的影响

Effect of the self-management support based on mobile phone APP on the self-efficacy and psychological distress of young and middle-aged diabetic patients

目的:探讨基于手机APP的自我管理支持对中青年糖尿病病人自我效能、心理痛苦及血糖、糖化血红蛋白的影响。方法:采用便利抽样法选择河北省某三级甲等综合性医院内分泌科收治的糖尿病病人100例作为研究对象,采用随机数字表法分为观察组和对照组,各50例。对照组给予常规护理,观察组在常规护理基础上,出院后给予为期6个月的基于手机APP的自我管理支持。分别在干预前和干预后6个月评估2组病人自我效能、心理痛苦情况,检测2组血糖、糖化血红蛋白水平。结果:干预前,2组病人自我效能量表、糖尿病痛苦量表各维度评分和血糖、糖化血红蛋白指标差异均无统计学意义(P>0.05);干预后6个月,观察组病人自我效能量表、糖尿病痛苦量表各维度评分和血糖、糖化血红蛋白指标均明显优于对照组(P<0.01)。结论:基于手机APP的自我管理支持可以提高中青年糖尿病病人自我效能,缓解心理痛苦,促进血糖和糖化血红蛋白指标达标。

Objective:To explore the effects of the self-management support based on mobile phone APP on the self-efficacy,psychological distress,blood glucose and glycosylated hemoglobin in young and middle-aged diabetic patients.Methods:A total of 100 young and middle-aged diabetic patients from department of endocrinology in a grade A general hospital in Hebei province were selected using convenience sampling method,and randomly divided into the control group(50 cases)and observation group(50 cases).The control group was nursed with routine care,the observation group was nursed with 6-month self-management support based on mobile phone APP.Before and after 6 months of intervention,the self-efficacy and psychological distress were evaluted,and the levels of blood glucose and glycosylated hemoglobin were measured in two groups.Results:Before intervention,there was no statistical significance in the scores of self-efficacy scale and diabetes distress scale,and levels of blood glucose and glycosylated hemoglobin between two groups(P>0.05).After 6 months of intervention,the scores of self-efficacy scale and diabetes distress scale,and levels of blood glucose and glycosylated hemoglobin in observation group were significantly better than those in control group(P<0.01).Conclusions:The self-management support based on mobile phone APP can improve self-efficacy and psychological dsitress,promote the indexes of blood glucose and glycosylated hemoglobin reaching to standard.