Effect of a mobile APP-based self-care diary combined with nursing for the management of post-heart transplantation diabetes.

Objectives: To retrospectively investigate the effect of a mobile app-based self-care diary, a nursing management method, on post-heart transplantation diabetes.

Methods: A retrospective analysis was conducted on the general data of 87 patients who underwent heart transplantation in the Cardiac and Thoracic Vascular Surgery Department of Nanjing First Hospital between January 2018 and December 2023. Based on the nursing method, the patients were divided into a control group that received routine nursing measures (n=47 cases) and an observation group that implemented a mobile APP-based self-care diary combined with nursing (n=40 cases). Blood glucose indicators and generic quality of life inventory-74 (GQOLI-74) scores were compared between the two groups three months post-surgery.

Results: Three months after hospital discharge, the observation group showed significantly higher values in the largest amplitude of glycemic excursions (LAGE) and the variation coefficient of fasting plasma glucose (CV-FPG) as well as the general quality of life inventory (GQOLI-74) score compared to the control group (all P<0.01).

Conclusions: Using a mobile APP-based self-care diary in combination with nursing methods can effectively stabilize blood glucose levels and improve the life quality in post-heart transplantation diabetic patients, demonstrating significant clinical value.