NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hisen-I Memorial Hospital and Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin, China (mainland).
Department of Radiology, Tianjin 1st Central Hospital, Tianjin, China (mainland).
Med Sci Monit. 2020 Nov 16;26:e926719. doi: 10.12659/MSM.926719.
BACKGROUND Patients with type 2 diabetes upload and review blood glucose data between clinic visits. Many mobile phone applications (apps) that receive data from a "connected" glucometer and that support pattern management are available and have the capacity to make data upload and review less burdensome. The objective of this study was to assess whether the diabetic management app could improve glycemic control and diabetes self-efficacy in a Chinese community hospital by a randomized controlled trial. MATERIAL AND METHODS One-hundred twenty patients with type 2 diabetes registered at the Community Health Service Center of Zhangjiawo Town, Xiqing District, Tianjin City, China were recruited and volunteered to participate in the project. They were randomly divided into the mobile app intervention group (n=60) and the control group (n=60) for a 6-month observation. The control group was given conventional diabetic treatment and the app group was given the mobile app and conventional care. Self-efficacy was measured by the Diabetes Self-Efficacy Scale questionnaire. The differences between the 2 groups in hemoglobin A1c (HbA1c) and diabetes self-efficacy were evaluated at the third and sixth months. RESULTS At the sixth month, patients in the app group showed better HbA1c control (6.71±1.06 vs. 7.22±1.02, P<0.05) and improved self-efficacy score (119.20±9.88 vs. 102.09±10.67, P<0.05). CONCLUSIONS The mobile app helped patients with type 2 diabetes in a community hospital improve therapeutic outcome and self-management behavior. It also provided experiences for prevention and management of other chronic diseases in community hospitals.
2 型糖尿病患者在就诊之间上传和查看血糖数据。许多可从“连接”血糖仪接收数据并支持模式管理的移动电话应用程序（apps）已经可用，并且有能力使数据上传和查看更加轻松。本研究的目的是通过随机对照试验评估糖尿病管理应用程序是否可以通过改善中国社区医院的血糖控制和糖尿病自我效能。
在中国天津市西青区张家窝镇社区卫生服务中心招募了 120 名 2 型糖尿病患者，并自愿参加该项目。他们被随机分为移动应用程序干预组（n=60）和对照组（n=60），进行 6 个月的观察。对照组给予常规糖尿病治疗，应用程序组给予移动应用程序和常规护理。使用糖尿病自我效能量表问卷测量自我效能。在第 3 个月和第 6 个月评估两组之间的血红蛋白 A1c（HbA1c）和糖尿病自我效能的差异。
在第 6 个月，应用程序组的患者 HbA1c 控制更好（6.71±1.06 与 7.22±1.02，P<0.05），自我效能评分也更高（119.20±9.88 与 102.09±10.67，P<0.05）。
移动应用程序帮助社区医院的 2 型糖尿病患者改善了治疗效果和自我管理行为。它还为社区医院其他慢性病的预防和管理提供了经验。
