杂志文章%@ 1438-8871 I Gunther Eysenbach % 11 %N 1 %P 10 %T糖尿病自我管理的虚拟诊所:试点研究%A Jennings,Amy %A Powell,John %A Armstrong,Natalie %A Sturt,Jackie %A Dale,Jeremy %+沃里克大学华威医学院健康科学研究所，考文特里CV4 7AL，英国，+44 024 7657 4883,john.powell@warwick.ac.uk %K互联网%K糖尿病%K干预研究%K虚拟系统%K自我效能%D 2009 %7 30.3.2009 %9原创论文%J J医学互联网Res %G英语%X背景:帮助糖尿病管理的基于互联网的干预措施有可能为患者提供他们需要的信息和支持，使他们成为有效的自我管理者。目的:评估基于互联网的虚拟诊所的可行性、可接受性和有效性，旨在促进使用胰岛素泵管理糖尿病患者的自我管理。方法:在6个月的时间里，17名患者加入了虚拟诊所。该系统允许患者与医疗专业人员交流，与同伴互动并获取信息。在基线和6个月后监测糖化血红蛋白、生活质量和自我效能。问卷调查和定性访谈检查了患者的经历。结果:参与者认为虚拟诊所易于使用，并对其设计给予积极评价。同伴支持是最受重视的方面，讨论板是使用最多的组成部分。 All participants highly rated the virtual clinic in terms of improving communication with peers, but few agreed it had improved communication with health care professionals. No significant improvements in physiological and psychological measurements were found. Regarding HbA1c measurements, there was no significant difference found between the pre- and post-test results (P = .53). Mean ADDQoL scores at baseline were -2.1 (SD 1.1, range -3.4 to -0.5) compared to -2.0 (SD 1.2, range, -4.6 to -0.4) post-test (n = 12), (P = .62). Surprisingly, patients’ confidence in their ability to perform self-care tasks was found to be significantly reduced from baseline to follow up (P = .045). Conclusions: An Internet-based system to aid the management of diabetes appears feasible and well accepted by patients. The pilot study did not identify evidence of an impact on improving quality of life or self-efficacy in patients who used insulin pump therapy. %M 21821504 %R 10.2196/jmir.1111 %U //www.mybigtv.com/2009/1/e10/ %U https://doi.org/10.2196/jmir.1111 %U http://www.ncbi.nlm.nih.gov/pubmed/21821504

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