Le-Diabet 应用程序对糖尿病患者自我效能和血糖水平的影响

Lina Erlina, Widi Hastuti
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摘要

Le-Diabet是一款为糖尿病管理而开发的安卓手机应用软件,其有效性一直不为人知。本研究旨在探讨它对糖尿病患者自我效能感和血糖水平的影响。研究采用了准实验方法,设计了前测和后测对照组。样本包括对照组的 28 名受访者和干预组的 34 名受访者,根据诊断出的糖尿病、智能手机使用情况和使用 Le-Diabet 应用程序 6 周等标准进行有目的的抽样。使用糖尿病管理自我效能量表测量自我效能,同时使用血糖仪监测血糖水平。数据分析包括配对和非配对 t 检验。结果显示,干预组的自我效能感得分大幅提高了 3.1 分[p=0.000,95% 置信区间(CI)=-6.006 至-1.876],而对照组则降低了 1.9 分。两组的血糖水平都有所上升,对照组显著上升了 35.6 毫克/分升(p=0.035,95% 置信区间 = -68.578 至 -2.636),而干预组则无显著上升,仅上升了 3.59 毫克/分升(p=0.076,95% 置信区间 = -22.759 至 15.582)。研究得出结论,使用 Le-Diabet 应用程序可以增强自我效能感,保持血糖水平稳定;但它并未显示出对糖尿病患者代谢综合征指标的影响。还需要进一步研究,利用来自不同年龄组的更大和更多样化的样本,并延长研究时间,以评估应用干预的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of the Le-Diabet application on self-efficacy and blood glucose levels in diabetes mellitus patients
Le-Diabet is an Android mobile application developed for diabetes management whose effectiveness has remained unknown. This research aimed to investigate its impact on self-efficacy and blood glucose levels in patients with diabetes. Employing a quasi-experimental approach, the study utilized a pretest and posttest control group design. The sample included 28 respondents in the control group and 34 in the intervention group, selected through purposive sampling based on criteria such as diagnosed diabetes, smartphone usage, and 6 weeks of using the Le-Diabet application. Self-efficacy was measured using the Diabetes Management Self-Efficacy Scale, while blood glucose levels were monitored with a glucometer. Data analysis involved paired and unpaired t-tests. The results revealed a significant increase in self-efficacy scores by 3.1 points [p=0.000, 95% confidence interval (CI) = -6.006 to -1.876] in the intervention group, whereas the control group experienced a decrease of 1.9 points. Both groups exhibited an increase in blood glucose levels, with a significant rise of 35.6 mg/dL (p=0.035, 95% CI = -68.578 to -2.636) in the control group and a non-significant increase of 3.59 mg/dL (p=0.076, 95% CI = -22.759 to 15.582) in the intervention group. The research concludes that the use of the Le-Diabet application enhances self-efficacy and maintains blood glucose level stability; however, it has not shown an impact on metabolic syndrome indicators in diabetic patients. Further research is needed, utilizing a larger and more diverse sample from various age groups and extending the duration of the study to evaluate the long-term impact of the applied intervention.
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