Hooshmandja Manizhe, Mohammadi Aeen, Esteghamti Alireza, Aliabadi Khadije, Nili Mohammadreza
1Virtual University of Medical Science, Tehran, Iran.
2Department of E-Learning in Medical Education, Virtual School, Tehran University of Medical Sciences, Dolatshahi, Naderi St, Keshavarz Blvd, Tehran, 14166-14741 Iran.
J Diabetes Metab Disord. 2019 Jul 12;18(2):307-313. doi: 10.1007/s40200-019-00414-1. eCollection 2019 Dec.
More than 70% of the health expenditure is related to chronic diseases. Therefore, an efficient managerial program can markedly reduce medical and administrative costs and benefit both patients and service providers. The use of mobile technologies can be very helpful in this regard. This study was conducted to determine the effect of mobile learning (application) on self-care behaviors and blood glucose control of type 2 diabetic patients attending the Diabetes Clinic of Imam Khomeini Hospital Complex.
This interventional, quasi-experimental study was conducted on 51 diabetic patients. The patients were randomly assigned to case and control groups, and a specifically designed application was used in the case group for three months. Self-care behavior, FBS, and HbAC were assessed in both groups before and three months after the intervention, and the results were analyzed after the intervention. The Summary of Diabetes Self-Care Activities (SDSCA) measure and medical records was used for data collection. Descriptive and inferential statics (paired t test, ANCOVA analysis) were used for data analysis.
The Mean ± SD of the self-care posttest score, FBS, and HbAC was 76.95 ± 7.94 vs. 43.4 ± 9.74 ( = 0.001), 143.58 ± 23.39 vs. 171.81 ± 36.98 (P = 0.001), and 6.84 ± 0.63 vs. 8.10 ± 0.10 (P = 0,001), in the case and control group respectively, indicating a difference in all cases.
The results indicated the positive effect of the mobile application on self-care behavior, FBS, and HbAC.
超过70%的医疗支出与慢性病相关。因此，一个高效的管理项目能够显著降低医疗和行政成本，使患者和服务提供者都受益。在这方面，移动技术的使用可能会非常有帮助。本研究旨在确定移动学习（应用程序）对就诊于伊玛目霍梅尼医院综合院区糖尿病诊所的2型糖尿病患者自我护理行为和血糖控制的影响。
本干预性、准实验研究针对51名糖尿病患者开展。患者被随机分为病例组和对照组，病例组使用专门设计的应用程序，为期三个月。在干预前及干预三个月后，对两组患者的自我护理行为、空腹血糖（FBS）和糖化血红蛋白（HbAC）进行评估，并在干预后对结果进行分析。采用糖尿病自我护理活动总结（SDSCA）量表和医疗记录进行数据收集。数据分析采用描述性和推断性统计学方法（配对t检验、协方差分析）。
病例组和对照组自我护理后测评分、FBS和HbAC的均值±标准差分别为76.95±7.94 对43.4±9.74（P = 0.001）、143.58±23.39对171.81±36.98（P = 0.001）、6.84±0.63对8.10±0.10（P = 0.001），表明在所有情况下均存在差异。
结果表明移动应用程序对自我护理行为、FBS和HbAC有积极影响。
