基于智能手机应用的糖尿病综合自我管理项目:一项随机对照试验。

Integrated Diabetes Self-Management Program Using Smartphone Application: A Randomized Controlled Trial.

机构信息

Pusan National University Hospital, Busan, South Korea.

College of Nursing, Pusan National University, Yangsan, South Korea.

出版信息

West J Nurs Res. 2022 Apr;44(4):383-394. doi: 10.1177/0193945921994912. Epub 2021 Mar 3.

Abstract

This study identified the effects of an integrated diabetes self-management program using smartphone application (app), based on the Information-Motivation-Behavioral skills (IMB) model. A randomized comparison, using a pre-and post-test design, was conducted with 32 participants in the experimental group and 36 in the control group. The integrated diabetes self-management program consisted of face-to-face educational sessions, a diabetes self-management smartphone app, and phone counseling. In the experimental group, diabetes self-management knowledge (Z=-2.70, =.007), social motivation (Z=-1.97, =.048), and behavior (t=3.22, =.002) improved, with their hemoglobin A1c (Z=-4.83, <.001) decreasing compared to the control group. At the post-test, the experimental group's fasting blood sugar level (t=2.79, =.009), total calorie intake (t=3.94, =.001), carbohydrate intake (t=5.69, .001), and fat intake (t=2.54, =.021) decreased compared to the pre-test. An integrated diabetes self-management program using smartphone app, based on the IMB model, should be utilized as a nursing intervention.

摘要

本研究旨在确定基于信息-动机-行为技巧(IMB)模型的智能手机应用程序(app)整合糖尿病自我管理方案的效果。采用随机对照、前后测试设计,实验组有 32 名参与者,对照组有 36 名参与者。整合糖尿病自我管理方案包括面对面的教育课程、糖尿病自我管理智能手机应用程序和电话咨询。实验组糖尿病自我管理知识(Z=-2.70,p=.007)、社会动机(Z=-1.97,p=.048)和行为(t=3.22,p=.002)有所改善,糖化血红蛋白(Z=-4.83,p<.001)降低,与对照组相比。在测试后,实验组的空腹血糖水平(t=2.79,p=.009)、总热量摄入(t=3.94,p=.001)、碳水化合物摄入(t=5.69,p<.001)和脂肪摄入(t=2.54,p=.021)与测试前相比有所降低。基于 IMB 模型的智能手机应用程序整合糖尿病自我管理方案应作为一种护理干预措施加以利用。

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