基于E-Coach理论的延续护理联合CGM辅助决策在糖尿病患者中的应用

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[Abstract] Objective： To explore the application efect of continuous nursing based on the E-Coach theory combined with continuous glucose monitoring （CGM） assisted decision-making in patients with diabetes mellitus （DM）.Method：A total of12O patientswithDMadmited to the DepartmentofEndocrinologyof theFirst People's Hospital of Jingdezhen from June to October 2O24 were selectedand randomly divided into control groupand study group， with 6O cases in each group.The control group received conventional blood glucose management， while the study group implemented continuous nursing based on the E-Coach theory combined with CGM assisted decisionmaking onthe basis of thecontrol group.Thecontrolof glucose and lipids，self-managementlevel[score of the LMC diabetes skills，confidence & preparedness index （SCPI）] and quality of life [score of the diabetes-specific quality of life scale （DSQL）]of the two groups before the intervention and after6months of the intervention were compared.Result：After6 months of the intervention，theHDL-C levels inboth groups were higher than those before the intervention，and thelevelin the study group was higher than thatin the control group;the levels of TC TG，LDL-C， glycated hemoglobin （HbAlc），and fasting blood glucose （FBG） in both groups were lower than those before the intervention，and the levels in the study group were lower than those in the control group （ P <0.05）. After 6 months ofthe intervention，the scores ofeach dimensionin the SCPIofboth groups werehigher thanthosebeforethe intervention，and the scores of the study group were higher than those of the control group （ P <0.05）.After 6 months of the intervention，the scores ofeach dimension in DSQL in both groups were lower than those before the intervention， and the scores in the study group were lower than those in the control group （ P <0.05）. Conclusion： Continuous nursing based on the E-Coach theory combined with CGM assisted decision-making for DM patients can control their blood glucose，improve blood lipid levels，and enhance theirself-management abilityand qualityof life.

[Keywords] DiabetesmellitusE-Coach theory Continuous nursing Continuous glucose monitoring Assisted decision-making

First-author's address： Department of Endocrinology， the First People's Hospital of Jingdezhen， Jingdezhen333000，China

doi：10.3969/j.issn.1674-4985.2026.07.020

糖尿病（diabetesmellitus，DM）是慢性代谢性疾病的一种，多由遗传、环境等多因素共同引起，长期患病可引起多组织器官如眼、肾、神经、心脏、血管等的慢性、进行性病变[]。（剩余6124字）