Abstract

Objective : There is cognitive impairment in patients with type 2 diabetes mellitus (T2DM), and the cognitive ability is related to self-management behavior. The aim of this study was to explore the effect of individualized health education based on internet platform in the cognitive function of patients with T2DM. Method : A total of 60 patients with T2DM were divided into control group and intervention group. The control group received regular diabetes knowledge education during hospitalization. The intervention group received further cognitive and behavioral intervention through internet platform after discharge. After six months of follow-up, the changes of fasting blood glucose (FBG), 2 hours postprandial blood glucose (2hBG), glycosylated hemoglobin (HbA1c), cognitive function, self management of patients with T2DM were observed and compared between two groups. Result : Compared with the data before intervention, FBG, 2hBG and HbAlc of all patients were significantly reduced, and delayed memory score was significantly increased, especially in the intervention group. Compared with that before intervention, the scores of diet control, exercise compliance, drug compliance, monitoring compliance, foot care and smoking in the intervention group were significantly improved after intervention, and the improvement level was significantly higher than that in the control group. Conclusion: Health education based on internet platform can significantly reduce the blood glucose and HbA1c level of patients with T2DM, improve the level of self-management and cognitive function of T2DM patients, especially in the aspect of delayed memory, which is conducive to disease control and health recovery.

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