Observation on the application effect of mobile health management model in diabetic foot management

doi:10.3877/cma.j.issn.1673-9450.2024.04.011

Abstract

Abstract:

Objective

To observe the effects of mobile health management model based on the information-motivation-behavioral skills (IMB) theory on blood glucose control, self-management ability, hospital satisfaction, and readmission rate in diabetic foot patients.

Methods

Eighty-two patients with diabetic foot who were hospitalized in the Department of Hand Surgery at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, from June 2021 to December 2022, were selected and randomly divided into control group and observation group, with 41 cases in each group. The control group received standard care during hospitalization and post-discharge phone follow-up. The observation group underwent mobile health management based on the IMB theory. The intervention effects were compared between the two groups in terms of blood glucose levels, self-management ability, hospital satisfaction, and readmission rate at 6th month after discharge. The summary of diabetes self-care activities (SDSCA)was used to evaluate the self-management ability of the patients.

Results

At 6th month after discharge, the observation group showed lower fasting blood glucose [(6.32±2.58)mmol/L] and glycated hemoglobin [(6.02±1.86)%] than the control group [(8.72±2.51)mmol/L, (7.28±2.11)%], the differences were statistically significant (t=-4.276, -2.855; P<0.05). SDSCA score was higher in the observation group (23.63±2.37) than that in the control group (18.07±3.36), showing statistical significance (t=-8.645, P<0.05). Additionally, the patient′s satisfaction in the observation group was 95.12%, compared to 75.61% in the control group. Within 6 months after discharge, the readmission rate in the observation group was 7.32%, significantly lower than that in the control group (24.39%). There were statistically significant differences in patient′s satisfaction and readmission rate between the two groups (χ²=6.248, 4.479; P<0.05).

Conclusion

The mobile health management model based on the IMB theory can improve blood glucose levels, increase self-management ability and patient′s satisfaction, and reduce readmission rate in patients with diabetic foot.

Key words: IMB model, Diabetic foot, Mobile health, Health management

Fen Xie, Jie Chen, Yuanyuan Zhang, Xi Liu, Fen Hu, Gongchi Li, Binghui Li, Huan Jin. Observation on the application effect of mobile health management model in diabetic foot management[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2024, 19(04): 335-340.

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References 27

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组别	例数	性别(例)		年龄(岁，±s)	文化程度(例)		高血压(例)
组别	例数	男	女	年龄(岁，±s)	初中及以下	高中及以上	高血压(例)
对照组	41	23	18	61.10±6.84	35	6	18
观察组	41	25	16	60.42±5.54	31	10	20
χ²/t值		0.201		0.497	1.242		0.196
P值		0.654		0.621	0.265		0.658
组别	例数	糖尿病病程(年，±s)	糖化血红蛋白(%，±s)	糖尿病足病程(年，±s)	糖尿病足Wagner分级(例)
组别	例数	糖尿病病程(年，±s)	糖化血红蛋白(%，±s)	糖尿病足病程(年，±s)	2级	3级	4级
对照组	41	12.27±3.94	7.72±2.14	9.43±2.80	3	24	14
观察组	41	13.05±4.15	7.83±2.49	9.45±2.77	5	28	8
χ²/t值		0.385	－0.233	－0.024	2.440
P值		0.385	0.817	0.981	0.295

组别	例数	性别(例)		年龄(岁，±s)	文化程度(例)		高血压(例)
组别	例数	男	女	年龄(岁，±s)	初中及以下	高中及以上	高血压(例)
对照组	41	23	18	61.10±6.84	35	6	18
观察组	41	25	16	60.42±5.54	31	10	20
χ²/t值		0.201		0.497	1.242		0.196
P值		0.654		0.621	0.265		0.658
组别	例数	糖尿病病程(年，±s)	糖化血红蛋白(%，±s)	糖尿病足病程(年，±s)	糖尿病足Wagner分级(例)
组别	例数	糖尿病病程(年，±s)	糖化血红蛋白(%，±s)	糖尿病足病程(年，±s)	2级	3级	4级
对照组	41	12.27±3.94	7.72±2.14	9.43±2.80	3	24	14
观察组	41	13.05±4.15	7.83±2.49	9.45±2.77	5	28	8
χ²/t值		0.385	－0.233	－0.024	2.440
P值		0.385	0.817	0.981	0.295

组别	例数	空腹血糖(mmol/L，±s)		糖化血红蛋白(%，±s)
组别	例数	干预前	干预后	干预前	干预后
观察组	41	9.43±2.80	6.32±2.58^a	7.72±2.14	6.02±1.86^a
对照组	41	9.45±2.77	8.72±2.51^a	7.83±2.49	7.28±2.11^a
t值		－0.024	－4.276	－0.233	－2.855
P值		0.981	0.000	0.817	0.005

组别	例数	空腹血糖(mmol/L，±s)		糖化血红蛋白(%，±s)
组别	例数	干预前	干预后	干预前	干预后
观察组	41	9.43±2.80	6.32±2.58^a	7.72±2.14	6.02±1.86^a
对照组	41	9.45±2.77	8.72±2.51^a	7.83±2.49	7.28±2.11^a
t值		－0.024	－4.276	－0.233	－2.855
P值		0.981	0.000	0.817	0.005

组别	例数	饮食控制		运动锻炼		血糖监测
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
观察组	41	3.42±0.93	5.22±0.66^a	3.08±1.09	5.22±0.76^a	0.31±0.26	2.07±0.64^a
对照组	41	3.23±0.90	4.47±0.79^a	3.06±0.84	4.11±0.99^a	0.35±0.39	1.20±0.63^a
t值		－0.959	－4.641	－0.113	－5.672	0.494	－6.125
P值		0.340	0.000	0.910	0.000	0.623	0.000
组别	例数	遵医用药		足部护理		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
观察组	41	3.14±2.42	5.56±1.71^a	1.14±0.84	5.54±1.04^a	11.12±3.03	23.63±2.37^a
对照组	41	3.63±2.30	4.34±1.98^a	1.03±0.73	3.90±1.36^a	11.32±2.49	18.07±3.36^a
t值		0.933	2.976	－0.627	6.014	0.318	－8.645
P值		0.354	0.004	0.533	0.000	0.751	0.000

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