A doctor-nurse-patient mobile health management system effectively controls blood glucose in chinese patients with type 2 diabetes mellitus: a prospective study

被引：3

作者：

Tan, Xiaoqing ^{[1
,2
]}

Qi, Zonghai ^{[1
,2
]}

Chen, Ling ^{[3
]}

Li, Dongmin ^{[4
]}

Cai, Xiangyin ^{[5
]}

Song, Yi ^{[6
]}

Liu, Yajie ^{[1
,2
]}

机构：

[1] Southern Med Univ, Shenzhen Hosp, Dept Neurol, 1333 Xinhu Rd, Shenzhen 518000, Guangdong, Peoples R China

[2] Southern Med Univ, Sch Foreign Studies, Guangzhou 510515, Guangdong, Peoples R China

[3] Southern Med Univ, Shenzhen Hosp, Nursing Dept, Shenzhen 518000, Guangdong, Peoples R China

[4] Shenzhen Sami Int Med Ctr, Out Patient Dept, Shenzhen 518118, Guangdong, Peoples R China

[5] Shenzhen Qianhai Free Trade Zone Hosp, Out Patient Dept, Shenzhen 518038, Guangdong, Peoples R China

[6] Shenzhen Univ, Shenzhen Peoples Hosp 2, Affiliated Hosp 1, Shenzhen 518037, Guangdong, Peoples R China

来源：

BMC HEALTH SERVICES RESEARCH | 2022年 / 22卷 / 01期

关键词：

Glycaemic control; Type-2 diabetes mellitus; Blood glucose; Telemedicine; Self-management; RISK-FACTORS; PROGRAM; CARE; ASSOCIATION; MARSHALLESE; OUTCOMES;

D O I：

10.1186/s12913-022-08949-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Coronavirus-2019 pandemic in China aroused increasing interest in telemedicine-supported glycaemic control. We hypothesize that age might influence usage and efficacy of telemedicine-supported glycaemic control. This study aims to measure the effects of a doctor-nurse-patient Mobile Health Management System (MHMS) for fasting plasma glucose (FPG) control in patients with type 2 diabetes mellitus (T2DM).Methods: Four hundred sixty four patients with T2DM were recruited. A one-hour diabetes education provided to each patient and subsequent follow-ups arranged in the 1st, 2nd, 4th, 8th, and 12th week after enrollment were recorded in MHMS. The effectiveness of MHMS was defined as the proportion of patients achieving FPG target (below 126 mg/dL or 7.0mml/L).Results: Among the enrolled 464 patients (age: 55.0 +/- 13.7 years) who were divided into three groups: young (18-40 years), middle-aged (41-65 years) and elderly (> 65 years), 424 ones completed all follow-ups of 12 weeks. FPG decreased from 178.38 +/- 95.04 to 117.90 +/- 14.22 mg/dL in the young group, from 180.00 +/- 91.08 to 122.94 +/- 37.95 mg/dL in the middle-aged group, and from 174.24 +/- 80.64 to 128.88 +/- 23.4 mg/dL in the elderly group. The proportion of FPG-target-achieved patients increased from 46.2 to 90.4% in the young group, from 32.6 to 82.8% in the middle-aged group, and from 29.5 to 73.3% in the elderly group. The proportion of FPG-target-achieved patients between three age groups were statistically significant (P < 0.001). And the changes of proportion of FPG-target-achieved patients at different follow-up times were statistically significant (P = 0.037). Compared with the young group, the elderly group achieved poorer FPG level (P = 0.032).Conclusion: MHMS can help patients with T2DM lower FPG and improve proportion of FPG-target-achieved patients. Younger patients may achieve better glycaemic control than older patients. MHMS may serve multitudinous patients with T2DM to achieve adequate FPG self-management.

引用

页数：10