| Objectives Using the "Internet +" combined with peer education mode to implement health education intervention for patients with type 2 diabetes,to observe the influence on patients’ self-management behavior and disease control.Methods This study was a concurrent randomized controlled experimental study.A total of 148 patients with type 2 diabetes who were hospitalized in Tangshan Workers’ Hospital from November 2019 to November 2020 were selected as the research subjects,and those patients who met the inclusion and exclusion criteria were divided into control group and experimental group by random drawing,with 74 patients in each group.The control group received routine health education based on the Internet platform,focusing on the propaganda and education of disease-related knowledge,diet,exercise,blood glucose monitoring and other matters requiring attention,as well as psychological nursing and regular telephone follow-up.The experimental group adopted the health education intervention program of "Internet +" combined with peer education.Data were collected before,4 weeks and 8 weeks after intervention,and disease-related data,such as fasting blood glucose,2h postprandial blood glucose,hemoglobin A1 c,and sensory neuropathy screening,were analyzed and compared between the two groups.Self-management behavior(2-CDSG),self-rating anxiety(SAS),self-rating depression(SDS)and other scales were used for evaluation.Statistical analysis was performed using SPSS21.0Enumeration data were described as frequency and composition ratio,The measured data were expressed as mean ± standard deviation All indicators of the two groups before and after intervention were compared by t-test and analysis of variance.Results 1 Comparison of self-management behavior scores between the two groups: after intervention for 4 weeks and 8 weeks,scores of all dimensions of self-management behavior of patients in both groups were improved,The total score of self-management behavior scores of all dimensions in experimental group were higher than those in control group,with statistical significance(P<0.05).The interaction graph of time and intervention method showed that the self-management behavior score of patients in the two groups had different changing trends at different times,and the self-management behavior score of the experimental group had a more significant rising trend,indicating that the intervention program had a better effect on improving self-management behavior,and within 8 weeks,the effect became more significant with the extension of time.2 Comparison of disease control situation between the two groups: after 4 weeks of intervention,The blood glucose level of the experimental group was not higher than that of the control group(P<0.05).After 8 weeks of intervention,the levels of blood glucose and Hb A1 c in experimental group were significantly lower than those in control group(P<0.05).And interaction diagrams show time and intervention,intervention after 8 weeks,and the control of blood glucose level,glycosylated hemoglobin values change trend in different time,compared to the experimental group patients with blood glucose,and glycosylated hemoglobin levels decline is more significant,effect on blood sugar index shows that the intervention plan better,and in 8 weeks,the longer the intervention,the better the results.3.Comparison of the incidence of sensory neuropathy between the two groups: there was no statistical significance in the incidence of each item of sensory neuropathy screening between the two groups before intervention(P>0.05);After 8 weeks of intervention,each item of sensory neuropathy in the two groups developed to different degrees.Only in the ankle reflex examination,The incidence of reflex and vibration sensation in the right ankle joint of the experimental group was not higher than that of the control group,and the difference was statistically significant(P>0.05).4 Comparison of anxiety scores and depression scores between the two groups: there was no statistical significance in SAS and SDS scores between the two groups before intervention(P>0.05).and SAS and SDS scores of the experimental group were lower than those of the control group after 4 and 8 weeks of intervention(P<0.05).And interaction diagrams can be seen through time and intervention method,two groups of patients with SAS,SDS scores have different at different time points,SAS,SDS scores decline more significant compared with control group,showed that based on "Internet +" joint peer education intervention for patients with symptoms of SAS,SDS,intervention effect is better,and with the extension of time,The more significant the effect.Conclusion Peer education based on "Internet +" can help patients with type 2 diabetes to improve their self-management ability and disease control,improve their blood glucose level,anxiety and depression,and provide a feasible continuous care plan for future nursing work.Figure 6;Table 16;Article refs 111. |
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