Schiel Ralf, Beltschikow Wadim, Radón Sandra, Kramer Guido, Schmiedel Ralf, Berndt Rolf-Dietrich, Stein Günter
Medigreif-Group, Inselklinik Heringsdorf GmbH, Department of Diabetes and Metabolic Diseases, Haus Gothensee, Seeheilbad Heringsdorf, Germany.
J Telemed Telecare. 2008;14(1):13-6. doi: 10.1258/jtt.2007.070504.
A total of 140 obese patients (mean age 14 years) participated in a structured treatment and teaching programme (STTP) in hospital, with the aim of weight reduction. At both the start and finish of the STTP, patients underwent clinical and psychological examination. During an average hospital stay of 35 days, their mean bodyweight decreased from 82.4 kg to 76.0 kg (P < 0.001). Patients were then followed up with a telemedicine support programme. During the next 12 months, the acceptance of the telemedicine support programme declined from 93% to 46%. The body mass index was 30.5 kg/m(2) at admission and 27.7 kg/m(2) at 12-month follow-up (P < 0.05). In parallel, wellbeing and treatment satisfaction increased, and there was a positive effect on eating behaviour and exercise. Intervention was needed in up to 64% of the children and adolescents who participated in the programme, most frequently due to poor results in exercise. Telemedical follow-up care and counselling seemed to be highly effective, and allowed not only an initial weight reduction, but long-term stabilization as well.
共有140名肥胖患者（平均年龄14岁）参加了医院的结构化治疗与教学项目（STTP），目的是减轻体重。在STTP开始和结束时，患者均接受了临床和心理检查。在平均35天的住院期间，他们的平均体重从82.4千克降至76.0千克（P<0.001）。随后患者接受了远程医疗支持项目的随访。在接下来的12个月里，远程医疗支持项目的接受率从93%降至46%。入院时体重指数为30.5千克/平方米，12个月随访时为27.7千克/平方米（P<0.05）。与此同时，幸福感和治疗满意度提高，对饮食行为和运动产生了积极影响。参与该项目的儿童和青少年中，高达64%的人需要干预，最常见的原因是运动效果不佳。远程医疗随访护理和咨询似乎非常有效，不仅能实现最初的体重减轻，还能实现长期稳定。
