摘要
目的探讨以个体化行为干预为核心,应用移动医疗APP进行院外管理,对T2DM患者BG控制及用药依从性的影响。方法选取2017年4月至2018年3月于南京中医药大学附属中西医结合医院内分泌科住院治疗的T2DM患者300例,随机分为个体化行为干预联合APP组(APP,n=150)与个体化行为干预组(Con,n=150)。结果APP组6、12个月时的HbA1c低于基线水平[(7.57±1.47)%、(7.41±1.29)%vs(8.49±2.01)%,P<0.01]。Con组6、12个月时的HbA1c低于基线水平[(8.01±1.62)%、(7.79±1.44)%vs(8.66±1.74)%,P<0.01]。APP组用药依从性量表条目1、8得分变化优于Con组(P<0.05)。Con、APP组干预12个月后用药依从性总分均高于基线水平(P<0.05)。结论以个体化行为干预为核心,联合使用移动医疗APP的管理模式能有效改善患者HbA1c,提醒患者按时用药,减少忘记服药次数,提高用药依从性。
Objective To explore the effect on blood glucose control and medication compliance of patients with type 2 diabetes mellitus(T2DM)by using mobile medical APP with individualized behavior in⁃tervention as the core.Methods 300 T2DM patients hospitalized in Endocrinology Department in Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine were enrolled in the study.They were randomly divided into two groups:individual behavior intervention combined with APP intervention group(APP,n=150)and individual behavior intervention control group(Con,n=150).Results In APP group,the HbA1c at 6 and 12 months was significantly decreased[(7.57±1.47)%,(7.41±1.29)%vs(8.49±2.01)%,P<0.01].In Con group,HbA1c was significantly decreased at 6 and 12 months[(8.01±1.62)%,(7.79±1.44)%vs(8.66±1.74)%,P<0.01].The changes in the score of items 1 and 8 of MMAS⁃8 was significantly better in APP group than in Con group(P<0.05).The compliance with medication was significantly improved after 12 months(P<0.05)in both groups(P<0.05).Conclusion With individual behavior intervention as the core,the management mode combined use of mobile health APP can effectively and continuously improve HbA1c,reduce the difficulty of remembering to use drugs and the frequency of forgetting to take drugs,and improve patients’compliance with medication.
作者
袁晓丹
郑仁东
高珍秀
严娟
姚平
楼青青
YUAN Xiaodan;ZHENG Rendong;GAO Zhenxiu(Department of Health Education,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Nanjing 210028,China)
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2020年第11期827-832,共6页
Chinese Journal of Diabetes
基金
江苏省卫生计生科研课题(N2017003)
江苏高校护理学优势学科建设工程资助项目(2019YSHL124)。
关键词
移动医疗APP
行为干预
糖尿病
2型
用药依从性
Mobile health APP
Behavior intervention
Diabetes mellitus,type 2
Medication compliance
