Ubiquitous healthcare service using Zigbee and mobile phone for elderly patients

被引:118
作者
Lee, Hak Jong [1 ]
Lee, Sun Hee [2 ]
Ha, Kyoo-Seob [3 ]
Jang, Hak Chul [4 ]
Chung, Woo Oung [4 ]
Kim, Ju Young [5 ]
Chang, Yoon-Seok [4 ]
Yoo, Dong Hyun [2 ]
机构
[1] Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Radiol,Seoul Natl Univ Bundang Hosp,Coll Med, Seoul Natl Univ Med Res Ctr,Clin Res Inst,Inst Ra, Seoul, South Korea
[2] Seoul Natl Univ, Bundang Hosp, Dept Med Informat, Seoul, South Korea
[3] Seoul Natl Univ, Dept Psychiat, Coll Med, Seoul Natl Univ Bundang Hosp, Seoul, South Korea
[4] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul Natl Univ Bundang Hosp, Seoul, South Korea
[5] Seoul Natl Univ, Coll Med, Dept Hlth Promot Ctr, Seoul Natl Univ Bundang Hosp, Seoul, South Korea
关键词
Ubiquitous healthcare; Mobile phone; Elderly patient; Self monitoring blood glucose (SMBG); Electrocardiography (ECG); RANDOMIZED CONTROLLED-TRIAL; GLYCEMIC CONTROL;
D O I
10.1016/j.ijmedinf.2008.07.005
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Objective: To investigate the efficacy of a u-healthcare service using Zigbee and mobile phone for elderly patients with diabetes mellitus or heart diseases. Materials and methods: From July to October, 2005, 29 patients were enrolled in our study. Two selected u-healthcare items, ECG and blood glucose measurement, were monitored. Twenty patients were provided with ZigBee built-in blood glucometer and mobile phones, and were instructed on using a web service where the measured blood glucose could be transmitted directly to the web and be administrated. Nine patients participated in ECG monitoring, by using a wireless, transmittable ECG recording instrument equipped with ZigBee protocol attached to their chest. Daily average transmission frequency, rate of transmission loss, and error reasons were analyzed. In addition, the patients were asked to score their degree of satisfaction about the sensors and u-healthcare services. Results: The mean transmission frequencies were 2.1 times/day in blood glucose monitoring and 6.1 times/day in ECG. The patients' satisfaction scores of the blood glucometer and service used in this research were 8.59 and 9.01 of 10 points, respectively. The mean satisfaction scores about ECG sensor and ECG monitoring services were 5.79 and 7.29, respectively. Discussion: Despite the many problems still encountered such as technological problems related to sensors and some problems like battery replacement, we could transfer the data of glucometer and ECG sensors to web-server via ZigBee protocol. Authors think the ZigBee could be one of components of wireless u-healthcare systems in the future due to its advantages of lower power consumption. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:193 / 198
页数:6
相关论文
共 12 条
[1]   A systematic review of telemedicine interventions to support blood glucose self-monitoring in diabetes [J].
Farmer, A ;
Gibson, OJ ;
Tarassenko, L ;
Neil, A .
DIABETIC MEDICINE, 2005, 22 (10) :1372-1378
[2]  
Farmer Andrew, 2005, Inform Prim Care, V13, P171
[3]  
Hailey David, 2004, J Telemed Telecare, V10 Suppl 1, P36, DOI 10.1258/1357633042614195
[4]   Wavelet-based low-delay ECG compression algorithm for continuous ECG transmission [J].
Kim, BS ;
Yoo, SK ;
Lee, MH .
IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, 2006, 10 (01) :77-83
[5]   A web-based approach for electrocardiogram monitoring in the home [J].
Magrabi, F ;
Lovell, NH ;
Celler, BG .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 1999, 54 (02) :145-153
[6]  
Marozas Vaidotas, 2004, Stud Health Technol Inform, V105, P337
[7]   Telecare for patients with type 1 diabetes and inadequate glycemic control - A randomized controlled trial and meta-analysis [J].
Montori, VM ;
Helgemoe, PK ;
Guyatt, GH ;
Dean, DS ;
Leung, TW ;
Smith, SA ;
Kudva, YC .
DIABETES CARE, 2004, 27 (05) :1088-1094
[8]   Intensified blood glucose monitoring improves glycemic control in stable, insulin-treated veterans with type 2 diabetes - The Diabetes Outcomes in Veterans Study (DOVES) [J].
Murata, GH ;
Shah, JH ;
Hoffman, RM ;
Wendel, CS ;
Adam, KD ;
Solvas, PA ;
Bokhari, SU ;
Duckworth, WC .
DIABETES CARE, 2003, 26 (06) :1759-1763
[9]  
Rubel Paul, 2004, Stud Health Technol Inform, V108, P123
[10]   A short message service by cellular phone in type 2 diabetic patients for 12 months [J].
Yoon, Kun-Ho ;
Kim, Hee-Seung .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2008, 79 (02) :256-261