Objective To explore the internet peer health education mode on blood glucose control in children with type 1 diabetes and the effects of treatment adherence.Methods Totally 30 cases of children with type 1 diabetes were divided into peer education group and the control group randomly and followed up for 6 months.Serum glucose,diabetes knowledge awareness and self management level were evaluated.Results In peer education group,fasting blood glucose,2 h postprandial blood glucose,HbA1c,mean amplitude of glycemic excursions (MAGE),absolute means of daily differences (MODD),blood glucose coefficient of variation (CV),hypoglycaemia time percentage (PT1),hyperglycemia time percentage (PT3) were decreased than the baseline[(8.42±2.16)mmol/L vs (7.64±1.80)mmol/L,(12.03±1.67)mmol/L vs (9.19±0.89)mmol/L,(7.68±1.35)% vs (6.51±0.96)%,(5.35±1.05)mmol/L vs (4.09±1.03)mmol/L,(2.93±0.59)mmol/L vs (1.80±0.62)mmol/L,(25.82±7.65)% vs (18.09±4.38)%,(1.94±3.09)% vs (0.90±2.10)%,(16.14±10.63)% vs (10.16±9.95)%,P<0.05] and they were significantly lower than those of the control group.Fasting glucose 2 h postprandial blood glucose,HbA1c and success rate of education were higher than those of the control group (P<0.05),self management score was higher than that of the control group (26.33±2.68 vs 22.59±4.78,P<0.05).Conclusion The internet group medical visits and peer education mode of health education,have good to help children with type 1 diabetes patients to achieve glycemic control,improve self management,which is suitable for wide application in children with type 1 diabetes.
Key words
type 1 diabetes /
the internet /
group /
peer education
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References
[1] 《中国糖尿病防治指南》编写组.中国糖尿病防治指南[M].北京:北京大学出版社,2008:10-11.
[2] DIAMOND project group.Incidence and trends of Childhood type 1diabetes worldwide 1990-1999[J].Diabet Med,2006,23(8):857-866.
[3] Lorig K,Lubeck D,Kraines G,et al.Outcomes of self-help education for patients with arthritis[J].Arthritis Rheum,1985,28(6):680-685.
[4] Cokram CS.Diabetes mellitus:perspective from the Asia-Pacific region[J].Diabetes Res Clin Pract,2000,50(S2):3.
[5] Soltesz G.Diabetes in the young.a paediatric and epidemiological perspective[J].Diabetologia,2003,46(4):447.
[6] Fisher EB,Boothroyd RJ,Coufal MM,et al.Peer support for self-management of diabetes improves outcomes in international settings[J].Health Affaris,2012,31(1):130-139.
[7] 丁兰,丁静,武琳,等.应用同伴教育法对职业人群进行健康管理的研究[J].护理学杂志,2009,24(5):86-88.
[8] 陶静,罗丽,徐荣.同伴教育法在青少年糖尿病患者健康管理中应用观察[J].护理学报,2010,17(6):7-9.
[9] Noh JH,Cho YJ,Nam HW,el al.Web-based comprehensive information system for self-management of diabetes mellitus[J].Diabetes Technol Ther,2010,12(5):333-337.