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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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.