TY -非盟的陈Lichin盟,壮族Lee-Ming AU - Chang Chia-Hsiun AU - Wang Chiou-Shiang AU -王,易经AU - Chung,裕方非盟-彭,Hui-Yu AU - Chen Hui-Chuen AU -许,便桶AU -林,宥晟盟——陈Huang-Jen AU - Chang Tieng-Chun盟——江Yi-Der AU -李,Hung-Chang AU - Tan Ching-Ting AU - Chang Hsin-Lu AU -赖,Feipei PY - 2013 DA - 2013/12/09 TI -评估糖尿病患者的自我管理行为Telehealthcare计划:JO - J医学互联网研究SP - e266 VL - 15 IS - 12kw -互联网KW -糖尿病KW -远程医疗KW -自我护理KW -在线系统KW -个人健康记录KW -患者访问记录AB -背景:自我管理是糖尿病患者的一项重要技能，它涉及频繁监测血糖水平和行为改变。促进糖尿病患者行为改变的技术已经开发出来，如糖尿病自我管理教育和远程保健。虽然患者从事自我管理活动，行为改变的障碍仍然存在，需要进一步的工作来解决电子媒体和远程医疗对患者自我护理行为的影响。目的:本研究的目的是(1)探讨糖尿病患者与在线应用程序交互的行为，(2)确定远程医疗保健计划对患者7种自我护理行为的影响，(3)确定糖化血红蛋白(HbA1c)水平的变化。方法:实施远程医疗项目，协助患者开展7项自我护理活动。远程医疗项目持续了18个月，包括使用第三代移动电信血糖仪、在线糖尿病自我管理系统和远程咨询服务。我们分析了59名参加远程医疗计划的患者和103名未参加远程医疗计划的患者的数据。收集行为评估和HbA1c数据并进行统计分析，以确定远程医疗服务是否对患者产生了影响。我们将18个月的时间分为3个6个月的时间间隔，分析不同时间点远程医疗服务辅助患者的参数。 We also compared the results of those who were assisted by the telehealthcare service with those who were not. Results: There was a significant difference in monitoring blood glucose between the beginning and the end of the patient participation (P=.046) and between the overall period and the end of patient participation (P<.001). Five behaviors were significantly different between the intervention and control patients: being active (P<.001), healthy eating (P<.001), taking medication (P<.001), healthy coping (P=.02), and problem solving (P<.001). Monitoring of blood glucose was significantly different (P=.02) during the 6-12 month stage of patient participation between the intervention and control patients. A significant difference between the beginning and the 6-12 month stage of patient participation was observed for the mean value of HbA1c level (P=.02), and the differences between the overall HbA1c variability and the variability of each 6-month interval was also significant. Conclusions: Telehealthcare had a positive effect on diabetic patients. This study had enhanced blood glucose monitoring, and the patients in the program showed improvements in glycemic control. The self-care behaviors affect patient outcomes, and the changes of behavior require time to show the effects. SN - 14388871 UR - //www.mybigtv.com/2013/12/e266/ UR - https://doi.org/10.2196/jmir.2699 UR - http://www.ncbi.nlm.nih.gov/pubmed/24323283 DO - 10.2196/jmir.2699 ID - info:doi/10.2196/jmir.2699 ER -