摘 要
随着移动互联网技术的发展，基于移动应用的慢性病管理成为改善糖尿病患者遵医行为的新途径。本研究旨在探讨基于移动应用的慢性病管理模式对糖尿病患者遵医行为的影响，为优化糖尿病管理提供依据。选取某地区三家医院共300名糖尿病患者作为研究对象，随机分为实验组和对照组，每组150人。实验组使用特定开发的移动应用进行为期6个月的疾病管理，包括健康教育、血糖监测提醒、用药提醒、饮食运动指导等功能；对照组则采用传统方式进行管理。通过问卷调查、血糖检测等手段收集数据，在干预前后分别测量患者的遵医行为指标如按时服药率、定期监测血糖率、遵循饮食运动建议情况等。结果显示，干预后实验组患者在各项遵医行为指标上均显著优于对照组，按时服药率提高了20%，定期监测血糖率提升了18%，遵循饮食运动建议的比例增加了25%。这表明基于移动应用的慢性病管理模式能够有效提高糖尿病患者的遵医行为，其创新之处在于利用移动应用整合多种健康管理功能，实现个性化、便捷化的疾病管理服务，为提升糖尿病患者自我管理能力提供了新的思路与方法，有助于改善患者预后，减轻医疗负担，具有重要的临床意义和社会价值。
关键词：移动应用；糖尿病管理；遵医行为；健康管理功能；个性化服务
Abstract
With the development of mobile internet technology, chronic disease management based on mobile applications has emerged as a new approach to improving medication adherence among patients with diabetes. This study aims to investigate the impact of a mobile application-based chronic disease management model on medication adherence in diabetic patients, providing evidence for optimizing diabetes management. A total of 300 diabetic patients from three hospitals in a specific region were selected and randomly divided into an experimental group and a control group, each consisting of 150 participants. The experimental group utilized a specially developed mobile application for disease management over a period of six months, which included functions such as health education, reminders for blood glucose monitoring and medication intake, and guidance on diet and exercise; whereas the control group was managed through traditional methods. Data were collected using questionnaires and blood glucose tests, measuring medication adherence indicators such as medication adherence rate, regular blood glucose monitoring rate, and compliance with dietary and exercise recommendations both before and after the intervention. The results showed that after the intervention, patients in the experimental group significantly outperformed those in the control group across all medication adherence indicators, with a 20% increase in medication adherence rate, an 18% improvement in regular blood glucose monitoring rate, and a 25% rise in the proportion following dietary and exercise advice. This indicates that the mobile application-based chronic disease management model can effectively enhance medication adherence in diabetic patients. Its innovation lies in integrating various health management functions via mobile applications to achieve personalized and convenient disease management services, offering new approaches and methods to improve self-management capabilities in diabetic patients, thereby contributing to better patient outcomes and reducing medical burden, which holds significant clinical and social value.
Keywords：Mobile Application；Diabetes Management；Adherence To Medical Advice；Health Management Functions；Personalized Services
目 录
摘 要 I
Abstract II
引 言 1
第一章 移动应用在糖尿病管理中的应用现状 2
1.1 国内外研究进展综述 2
1.2 糖尿病患者移动应用使用情况 2
1.3 移动应用功能与特点分析 3
第二章 移动应用对遵医行为的影响机制 5
2.1 遵医行为的理论基础 5
2.2 移动应用如何促进信息获取 5
2.3 移动应用如何提升自我管理能力 6
第三章 移动应用对糖尿病患者具体影响 7
3.1 用药依从性的改善效果 7
3.2 生活方式调整的支持作用 7
3.3 定期监测习惯的养成影响 8
第四章 实施效果评估与优化建议 10
4.1 患者满意度调查分析 10
4.2 应用效果的量化评估 10
4.3 改进措施与未来展望 11
结 论 12
参考文献 13
致 谢 14
