Effect of the self-management support based on mobile phone APP on the self-efficacy and psychological distress of young and middle-aged diabetic patients

ObjectiveTo explore the effects of the self-management support based on mobile phone APP on the self-efficacy, psychological distress, blood glucose and glycosylated hemoglobin in young and middle-aged diabetic patients.

MethodsA total of 100 young and middle-aged diabetic patients from department of endocrinology in a grade A general hospital in Hebei province were selected using convenience sampling method, and randomly divided into the control group(50 cases) and observation group(50 cases).The control group was nursed with routine care, the observation group was nursed with 6-month self-management support based on mobile phone APP.Before and after 6 months of intervention, the self-efficacy and psychological distress were evaluted, and the levels of blood glucose and glycosylated hemoglobin were measured in two groups.

ResultsBefore intervention, there was no statistical significance in the scores of self-efficacy scale and diabetes distress scale, and levels of blood glucose and glycosylated hemoglobin between two groups(P>0.05).After 6 months of intervention, the scores of self-efficacy scale and diabetes distress scale, and levels of blood glucose and glycosylated hemoglobin in observation group were significantly better than those in control group(P < 0.01).

ConclusionsThe self-management support based on mobile phone APP can improve self-efficacy and psychological dsitress, promote the indexes of blood glucose and glycosylated hemoglobin reaching to standard.