戴莉敏，霍孝蓉，莫永珍

引用本文： 戴莉敏，霍孝蓉，莫永珍.互联网+居家护理移动APP在中青年2型糖尿病病人中的应用及效果评价[J].护理研究,2018,32(20):3207-3212

摘要： ［目的］探讨互联网+糖尿病居家护理移动APP的建立及实施效果。［方法］将129例中青年糖尿病病人随机分为干预组(65例)与对照组(64例)；对照组采取常规随访管理模式，干预组采用项目小组自主研发的互联网+糖尿病居家护理移动APP进行健康管理；分别在干预前及干预6个月后收集两组体重指数（BMI）、血糖、自我血糖监测结果中的平均血糖和日内平均血糖、糖尿病自我管理行为评分、生活质量评分及低血糖事件。［结果］干预6个月干预组BMI、血糖、自我管理行为评分均较对照组同期有明显改善，低血糖发生率明显低于对照组(均P<0.05)；自我血糖监测结果显示,干预组平均血糖和日内平均血糖波动幅度较对照组更平稳(P<0.05)，但两组治疗前后生存质量评估差异并无统计学意义(P>0.05)。［结论］互联网+糖尿病居家护理移动APP的建立在提升中青年糖尿病病人自我管理行为，改善BMI、血糖及日内平均血糖波动幅度均较常规糖尿病管理方法具有显著优势，有利于糖尿病控制。

关键词： 2型糖尿病；中青年；互联网；居家护理;信息化护理；移动APP；血糖监测；延续护理

作者简介： 戴莉敏,主任护师,本科,单位：212002,江苏大学附属人民医院；霍孝蓉(通讯作者）单位：210008,江苏省护理学会；莫永珍单位：210024，江苏省省级机关医院。

课题： 中华护理学会科技计划项目,编号：ZHKY201511。

Dai Limin,Huo Xiaorong,Mo Yongzhen

Abstract Objective:To explore the establishment and implementation effect of Internet + home care mobile APP in patients with type 2 diabetes.Methods:A total of 129 patients with type 2 diabetes in young and middleage were randomly divided into intervention group (65 cases) and control group (64 cases).The patients in control group received the routine followup management mode.The patients in intervention group received the health managment by the Internet + diabetes home care mobile APP developed by the project team.The body mass index (BMI),blood glucose,mean blood glucose and intraday mean blood glucose in the selfmonitoring results,diabetes selfmanagement behavior score,quality of life score,and hypoglycemic event were collected before and 6 months after the intervention.Results:After 6 months of intervention,the BMI,blood glucose,and selfmanagement behavior scores in intervention group were significantly improved compared with those in control group,and the incidence of hypoglycemia was significantly lower than that in control group (both P<0.05).Selfmonitoring results showed that the mean blood glucose and intraday mean blood glucose fluctuations in intervention group were more stable than those in control group (P<0.05),while there was no significant difference in the quality of life assessment between the two groups before and after treatment (P>0.05).Conclusions:The establishment of Internet+ diabetes home care mobile APP had significant advantages in improving the selfmanagement behavior of young and middleaged diabetic patients,improving the BMI,blood glucose and intraday mean blood glucose fluctuations compared with routine diabetes management mode,which was beneficial to diabetes control.

Keywords type 2 diabetes;young and middleaged;internet;home care;information nursing;mobile APP;blood glucose motoring;continuous nursing

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