Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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The effect of Type 2 diabetes management using a smartphone-based blood glucose management training program

모바일 자가혈당관리 교육프로그램을 이용한 2형 당뇨병 관리 효과 분석

  • Lee, Jung-Hwa (Diabetes Education Team, Kyung Hee University Hospital at Gangdong) ;
  • Jung, Jin-Hee (Diabetes Education Team, Department of Nursing, Seoul National University Bundang Hospital) ;
  • Sim, Kang-Hee (Diabetes Education Unit, Samsung Medical Center) ;
  • Choi, Hee-Sun (Emergency Room, Diabetes Education Team, Inje University Ilsan Paik Hospital) ;
  • Lee, Jeong-Rim (Diabetes Education Team, Asan Medical Center) ;
  • Kang, Yang-Gyo (Diabetes Education Team, Bucheon St. Mary's Hospital) ;
  • Song, Bok-Rye (Diabetes Education Team, Seoul St. Mary's Hospital)
  • Received : 2022.03.25
  • Accepted : 2022.09.20
  • Published : 2022.09.28
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Abstract

Background: Diabetes education is an important factor in blood glucose control. Reinforced education is necessary for effective diabetes education. However, it is difficult to provide reinforced diabetes education within Korea's medical environment. Therefore, we want to analyze the effect of continuous diabetes education using mobile health care that can effectively provide repeated education without having to face the patient. Methods: This study is a multicenter, randomized, controlled, pre-post design study conducted to analyze the effect of a continuous diabetes education method. A total of 109 people were registered at five hospitals in south Korea, and they were randomly assigned to the app group (34 people) who received real-time coaching and repetitive training, the logbook group (37 people) who received face-to-face training after writing a blood glucose logbook, and the general group (38 people) who received a one-time diabetes education. The study was conducted for a total of 24 weeks. Twenty-one patients withdrew their consent and failed to perform an HbA1c. A final 88 patients were analyzed. The difference in HbA1c, Self-management behavior, and Quality of life before and after education was analyzed. Results: The study involved 51 (58%) male subjects, mean age was 55.8 years and mean duration of diabetes was 7.6 years. After 24 weeks of intervention, there was no significant difference in self-care behavior and quality of life between the three groups, but the HbA1c of the app group significantly decreased after education compared to the logbook group and the general group (F=4.62, p=.013). Conclusion: It can be seen through the app group that receiving real-time education is more effective in improving blood glucose management and continuous diabetes education is important.

배경: 당뇨병 교육은 혈당조절의 중요한 요소이다. 효과적인 당뇨병 교육을 위해서는 반복적인 추가 교육이 필요하다. 하지만 한국의 의료환경에서는 반복적인 당뇨병 교육을 수행하기가 어려운 실정이다. 이에 환자를 대면하지 않아도 반복 교육을 효과적으로 할 수 있는 모바일 헬스케어를 이용하여 지속적인 당뇨병 교육의 효과를 분석하고자 한다. 방법: 본 연구는 지속적인 당뇨병 교육 방법의 효과를 분석하기 위해 진행된 다기관 무작위 대조군 사전 사후 설계연구이다. 한국소재 5개 병원에서 총 109명이 등록되었고 무작위 배정으로 실시간 코칭 및 반복교육을 진행한 모바일 app 군(34명), 혈당수첩 작성 후 면대면 방문교육을 진행한 logbook 군(37명), 1회 당뇨병 교육만 진행된 general 군(38명)으로 총 6개월간 진행되었다. 21명은 동의 철회 및 당화혈색소 미실시로 연구 중단하여 최종 88명을 분석하였다. 교육의 효과는 교육 전과 후의 당화혈색소, 자기관리행위, 삶의 질에 대한 변화량의 차이를 분석하였다. 결과: 본 연구 대상자는 남자 51명(58%), 평균연령은 55.8세, 평균 이환 기간은 7.6년이었다. 중재 24주 후 자기관리행위, 삶의 질은 세 그룹 간에 유의한 차이가 없었지만 당화혈색소는 app 군이 logbook 군과 general 군에 비해 교육전에 비해 교육 후 유의하게 감소하였다(F=4.62, p=.013). 결론: 실시간 교육을 진행한 app 군이 혈당 개선에 보다 효과적이며 지속적인 당뇨병 교육이 중요함을 알 수 있었다.

Keywords

Acknowledgement

This study was supported by a grant (in 2016) from the Korean Diabetes Association.

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