Kim Hee-Seung
Department of Adult Nursing, College of Nursing, Catholic University, 505 Banpo-Dong, Socho-Gu, Seoul 137-701, Republic of Korea.
Int J Nurs Stud. 2007 Jul;44(5):687-92. doi: 10.1016/j.ijnurstu.2006.01.011. Epub 2006 Apr 17.
Nurse's education using telemedicine results in a decrease in blood glucose levels in patients with type 2 diabetes.
To investigate the effectiveness of an educational intervention that used both the cellular phone and the Internet to provide a short-messaging service (SMS) relating to plasma glucose levels.
Twenty-five patients were randomly assigned to an intervention group and 26 to a control group. The intervention was applied for 12 weeks. The goal of the intervention was to keep blood glucose concentrations close to the normal range. Patients in the intervention group were asked to access a website by using a cellular phone or to wiring the Internet and input their blood glucose levels every day. Participants were sent the optimal recommendations by both cellular phone and the Internet weekly.
Patients in the intervention group had a mean decrease in glycosylated haemoglobin (HbA(1)c) levels of 1.15% and those in the control group had a mean increase of HbA(1)c levels of 0.07% (p=0.005). There was a significant mean change in the 2hrs post-meal glucose (2HPMG) level for the intervention group (p<0.05), with a mean change of -4.7mmol/l. The mean change in the control group was not significant.
This educational intervention using the Internet and an SMS by cellular phone improved levels of HbA(1)c and 2HPMG.
使用远程医疗对护士进行教育可降低2型糖尿病患者的血糖水平。
研究利用手机和互联网提供与血糖水平相关的短信息服务（SMS）的教育干预措施的有效性。
25例患者被随机分配至干预组，26例患者被分配至对照组。干预为期12周。干预的目标是使血糖浓度接近正常范围。干预组患者被要求使用手机访问网站或连接互联网并每天输入其血糖水平。每周通过手机和互联网向参与者发送最佳建议。
干预组患者糖化血红蛋白（HbA(1)c）水平平均下降1.15%，而对照组患者HbA(1)c水平平均升高0.07%（p = 0.005）。干预组餐后2小时血糖（2HPMG）水平有显著的平均变化（p < 0.05），平均变化为-4.7mmol/l。对照组的平均变化不显著。
这种利用互联网和手机短信进行的教育干预改善了HbA(1)c和2HPMG水平。
