A Mobile Health Intervention for Improving Problem-Solving Skills, Emotional Adaptation, and Glycemic Control in Patients With Type 2 Diabetes.

IF 2.1 4区医学 Q2 NURSING

Research in Nursing & Health Pub Date : 2025-01-30 DOI:10.1002/nur.22452

Fei-Ling Wu, Chia-Hung Lin, Chia-Ling Lin, Jui-Chiung Sun, Jyuhn-Huarng Juang

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引用次数: 0

Abstract

Mobile health (mHealth) enables health-care professionals to assist patients with type 2 diabetes (T2D) in effective self-management of the disease. Using a quasi-experimental design, we evaluated the effectiveness of a nurse-led mHealth problem-solving program (mHealth-PSP) in enhancing problem-solving skills, improving emotional adaptation, and reducing glycated hemoglobin (HbA1c) levels in patients with T2D. The present study included 83 patients with T2D from two hospitals in northern Taiwan. All diagnoses were made at least 1 year before the study. Eligible patients were divided into an intervention group (n = 41; underwent an mHealth-PSP for 4 months) and a usual care group (n = 42). Self-report surveys and HbA1c measurements were performed at baseline (T0) and 6 (T1), 9 (T2), and 12 (T3) months after the intervention. The intervention group exhibited better problem-solving skills and lower HbA1c levels at T3 than at T0; however, the usual care group exhibited no changes in these parameters. Furthermore, although the intervention group exhibited a slight increase in emotional adaptation scores between T0 and T1, these scores decreased significantly over time. Overall, mHealth-PSP can optimize long-term T2D management, enabling health-care professionals to help patients achieve improved health outcomes.

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移动健康干预对改善2型糖尿病患者问题解决能力、情绪适应和血糖控制的作用

移动保健（mHealth）使保健专业人员能够帮助2型糖尿病患者进行有效的疾病自我管理。采用准实验设计，我们评估了护士主导的移动健康问题解决方案（mHealth- psp）在提高T2D患者问题解决技能、改善情绪适应和降低糖化血红蛋白（HbA1c）水平方面的有效性。本研究以台湾北部两所医院83例T2D患者为研究对象。所有的诊断都是在研究前至少1年做出的。符合条件的患者分为干预组(n = 41；接受移动健康- psp 4个月)和常规护理组（n = 42）。自我报告调查和HbA1c测量在基线（T0）和干预后6 （T1）、9 （T2）和12 （T3）个月进行。干预组在T3时表现出更好的问题解决能力和较低的HbA1c水平；然而，常规护理组在这些参数上没有变化。此外，虽然干预组的情绪适应得分在T0和T1之间略有增加，但随着时间的推移，这些得分显著下降。总体而言，移动健康- psp可以优化长期T2D管理，使医疗保健专业人员能够帮助患者实现更好的健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Nursing & Health 医学-护理

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Research in Nursing & Health ( RINAH ) is a peer-reviewed general research journal devoted to publication of a wide range of research that will inform the practice of nursing and other health disciplines. The editors invite reports of research describing problems and testing interventions related to health phenomena, health care and self-care, clinical organization and administration; and the testing of research findings in practice. Research protocols are considered if funded in a peer-reviewed process by an agency external to the authors’ home institution and if the work is in progress. Papers on research methods and techniques are appropriate if they go beyond what is already generally available in the literature and include description of successful use of the method. Theory papers are accepted if each proposition is supported by research evidence. Systematic reviews of the literature are reviewed if PRISMA guidelines are followed. Letters to the editor commenting on published articles are welcome.