Effects of a Mobile Application for Patients With Type 2 Diabetes Initiating Insulin Therapy: Randomized Controlled Trial

IF 2.5 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2026-06-29 DOI:10.1111/ijn.70165

Nedime Hazal Döner, Öznur Usta Yeşilbalkan, Şevki Çetinkalp

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引用次数: 0

Abstract

Aim

The aim of this study was to develop a mobile application for patients with Type 2 diabetes initiating insulin therapy for the first time and to evaluate its effects on insulin knowledge, insulin injection skills, self-management of insulin therapy and attitudes towards insulin use.

Methods

This randomized controlled study included 88 participants assigned by block randomization to intervention (mobile application, n = 44) and control (standard care, n = 44) groups. The intervention group received insulin training via the mobile app, whereas the control group received standard care. Data were collected at baseline (T1), on the 14th day (T2) and on the 28th day (T3) using the Patient Information Form, Insulin Knowledge Form, Insulin Treatment Assessment Scale, Insulin Treatment Self-Management Scale and Insulin Injection Skill Observation Form.

Results

In the intervention group using the mobile application, a statistically significant increase over time was observed in the levels of insulin-related knowledge, self-management of insulin treatment and insulin injection skills, whereas negative attitudes and perceptions regarding insulin treatment decreased (p < 0.05). No statistically significant change was observed in the control group (p > 0.05).

Conclusion

The results obtained in the present study indicated that the mobile application developed for patients with Type 2 diabetes using insulin for the first time is effective in disease self-management, fosters positive behavioural changes and serves as a viable educational tool for individuals with Type 2 diabetes. The application can be integrated into routine nursing-led diabetes education programmes to enhance continuity of care and support patients during insulin initiation.

Trial Registration: ClinicalTrials.gov identifier: NCT06060743

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移动应用程序对2型糖尿病患者开始胰岛素治疗的影响：随机对照试验

目的：本研究的目的是为第一次开始胰岛素治疗的2型糖尿病患者开发一个移动应用程序，并评估其对胰岛素知识、胰岛素注射技能、胰岛素治疗自我管理和胰岛素使用态度的影响。方法：本随机对照研究纳入88例受试者，采用分组随机法分为干预组（移动应用程序组，n = 44）和对照组（标准治疗组，n = 44）。干预组通过手机应用程序接受胰岛素训练，对照组接受标准治疗。采用《患者信息表》、《胰岛素知识表》、《胰岛素治疗评估量表》、《胰岛素治疗自我管理量表》和《胰岛素注射技能观察表》于基线（T1）、第14天（T2）和第28天（T3）收集数据。结果：在使用手机应用程序的干预组中，胰岛素相关知识水平、胰岛素治疗自我管理水平和胰岛素注射技能水平随时间的推移有统计学意义的提高，而对胰岛素治疗的负面态度和认知水平则有所下降（p 0.05）。结论：本研究结果表明，为首次使用胰岛素的2型糖尿病患者开发的移动应用程序在疾病自我管理方面是有效的，可以促进积极的行为改变，并且可以作为2型糖尿病患者的一种可行的教育工具。该应用程序可以整合到常规护理主导的糖尿病教育计划中，以加强在胰岛素启动期间护理和支持患者的连续性。试验注册：ClinicalTrials.gov标识符：NCT06060743。

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

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.