Kim Hee-Seung, Jeong Hye-Sun
College of Nursing, The Catholic University, Seoul, South Korea.
J Clin Nurs. 2007 Jun;16(6):1082-7. doi: 10.1111/j.1365-2702.2007.01698.x.
To investigate the effectiveness of a nurse short message service (SMS) by cellular phone and wire Internet on plasma glucose levels in people with diabetes for six months.
Blood glucose management system using telemedicine approaches may maintain the appropriate blood glucose levels in type-2 diabetic patients.
A control group pre-test-post-test design was used to assess the effectiveness of nurse's education.
Twenty-five patients were randomly assigned to an intervention group and 26 to a control group. The intervention was applied for six months. The goal of the intervention was to keep blood glucose concentrations close to the normal range. Participants were requested to input their blood glucose level, diet and exercise diary everyday in the website by cellular phone or wire Internet. The researcher sends optimal recommendations to each patient using SMS by cellular phone and wire Internet weekly.
Glycosylated hemoglobin (HbA(1)c) decreased 1.15% points at three months and 1.05% points at six months compared with baseline in the intervention group. Patients in the intervention group had a decrease of two hours post meal glucose (2HPMG) of 85.1 mg/dl at three months and 63.1 mg/dl at six months compared with baseline.
This web-based intervention using SMS of cellular phone improved HbA(1)c and 2HPMG for six months in type-2 diabetic patients.
An SMS of cellular phone intervention by a nurse can reduce HbA(1)c and 2HPMG for six months in type-2 diabetic patients.
研究通过手机和有线网络提供的护士短信服务对糖尿病患者血糖水平的影响，为期六个月。
采用远程医疗方法的血糖管理系统可能有助于维持2型糖尿病患者的血糖水平在适当范围。
采用对照组前测后测设计来评估护士教育的效果。
25名患者被随机分配到干预组，26名患者被分配到对照组。干预为期六个月。干预的目标是使血糖浓度接近正常范围。要求参与者每天通过手机或有线网络在网站上输入他们的血糖水平、饮食和运动日记。研究人员每周通过手机和有线网络向每位患者发送最佳建议。
与基线相比，干预组糖化血红蛋白（HbA1c）在三个月时下降了1.15个百分点，在六个月时下降了1.05个百分点。干预组患者餐后两小时血糖（2HPMG）在三个月时较基线下降了85.1mg/dl，在六个月时下降了63.1mg/dl。
这种基于网络的手机短信干预在六个月内改善了2型糖尿病患者的HbA1c和2HPMG。
护士通过手机短信进行的干预可在六个月内降低2型糖尿病患者的HbA1c和2HPMG。
