Effects of continuous care for patients with type 2 diabetes using mobile health application: A randomised controlled trial

摘要

Summary Background Type 2 diabetes is a worldwide disorder that affects millions of people and can exert negative clinical and social effects on the patients. In some previous studies, mobile health applications have been used as a means of clinical intervention. However, the therapeutic effect of continuous care through mobile phone applications for patients with type 2 diabetes remains unclear. Objective This study aimed to explore the clinical effect of continuous care for patients with type 2 diabetes using mobile health application by comparing traditional discharge nursing. Methods In total, 120 patients with type 2 diabetes were randomly divided into two groups: The test group received continuous care based on the mobile phone application (n = 60), and the control group received conventional care (n = 60). Primary clinical outcomes, such as Glycaemic Haemoglobin (GH) levels, blood glucose levels, self‐care abilities, disease cognition abilities, and the number of readmissions, were examined in both groups. Results The results showed significant improvements pertaining to disease awareness levels (81.28 vs 71.34, P .05), self‐management abilities (9.14 vs 7.81, P .05), GH (?1.50% vs ?0.76%, P .05), fast blood glucose (?3.23 vs ?1.25 mmol/L, P .05), postprandial blood glucose levels (?4.34 vs ?2.34 mmol, P .05), and control levels in the test group. Moreover, in the test group, the frequency of rehospitalisation was reduced during the intervention period, as was the average number of rehospitalisation within 6 months after discharge (?1.19 vs P .05). Conclusions Continuous care based on a mobile health application has potential as a management strategy for patients with type 2 diabetes.