电子药盒结合血糖监测对2型糖尿病患者血糖和自我管理行为的影响

Influence of electronic pillbox combined with blood glucose monitoring on blood glucose and self-management behavior in patients with type 2 diabetes mellitus

目的探讨电子药盒结合血糖检测对2型糖尿病患者血糖和自我管理行为的影响。方法2020年12月招募打浦桥街道社区卫生服务中心160例2型糖尿病患者作为研究对象,随机分为干预组(n=78)与对照组(n=77)。干预组给予电子药盒及每周免费血糖监测1次,对照组给予常规社区糖尿病管理。比较两组干预前后血糖监测及达标情况、生化指标、自我管理行为量表(SDSCA)评分。结果干预后,干预组家庭血糖自测及血糖监测达标率均高于干预前、对照组,差异有统计学意义(P<0.05),对照组家庭血糖自测及血糖监测达标率干预前后比较差异无统计学意义。干预后,干预组糖化血红蛋白水平低于干预前、对照组,差异有统计学意义(P<0.05),两组空腹血糖水平比较差异无统计学意义。干预后,干预组饮食得分、血糖监测得分、用药得分及总分均高于干预前、对照组,差异有统计学意义(P<0.05),两组运动得分、足部得分比较差异无统计学意义。结论通过电子药盒和少量免费血糖检测可以改善患者血糖控制,提高自我管理行为,具备实践价值。

Objective To explore Influence of electronic pillbox combined with blood glucose monitoring on blood glucose and self-management behavior in patients with type 2 diabetes mellitus.Methods 160 patients with type 2 diabetes in Dapuqiao Community Health Service Center of Huangpu District in December 2020 were recruited as the research subjects,and they were randomly divided into the intervention group(n=78)and control group(n=78).The intervention group was given electronic pillbox and free blood glucose monitoring once a week,while the control group was given routine community diabetes management.The blood glucose levels,biochemical indicators and summary of diabetes self-care activities(SDSCA)were compared between the two groups before and after intervention.Results After intervention,the rates of family blood glucose self-test and blood glucose monitoring in the intervention group were higher than those before intervention and the control group,the differences were statistically significant(P<0.05),there were no significant differences of the rates of family blood glucose self-test and blood glucose monitoring in the control group before and after intervention.After intervention,the glycated hemoglobin level in the intervention group was lower than that before intervention and the control group,and the differences were statistically significant(P<0.05),there was no significant difference in fasting blood glucose levels between the two groups.After intervention,the scores of diet,blood glucose monitoring,medication,total scores in the intervention group were higher than those before intervention and the control group,and the differences were statistically significant(P<0.05),there were no significant differences in exercise score and foot score between the two groups.Conclusion Electronic pillbox and a small amount of free blood glucose detection can improve patients'blood glucose control and improve self-management behavior,which has practical value.