Levine Betty A, Turner Jeanine Warisse, Robinson James D, Angelus Pamela, Hu Tang Ming-Jye
ISIS Center, Georgetown University, Washington, DC 20057, USA.
J Diabetes Sci Technol. 2009 May 1;3(3):461-7. doi: 10.1177/193229680900300309.
Patient-health care practitioner (HCP) interaction via a Web-based diabetes management system may increase patient monitoring of their blood glucose (BG) levels.
A three-center, nonrandomized, prospective feasibility study of 109 Native Americans with poorly controlled type 1 diabetes mellitus and type 2 diabetes mellitus were recruited from Alabama, Idaho, and Arizona. The study intervention included the use of a Web-based diabetes management application (MyCareTeam) that allowed timely interaction between patients and HCPs. Information about diabetes, nutrition, and exercise was also available. Finally, patients were able to provide BG readings to their HCP via the MyCareTeam system.
As a result, 59.6% of the patients sent one or more messages to their HCP, 92.67% received one or more messages from their HCP, and 78.89% received one or more person-centered messages from their HCP. Additionally, the number of times a patient logged into the system and the frequency with which they tested their blood sugar were correlated with (a) the number of messages sent to their HCP, (b) the total number of messages received from their HCP, and (c) the number of person-centered messages received from their HCP. Thus patients who sent more messages also tested their BG more frequently, as measured by the number of BG readings uploaded from their meter to the MyCareTeam database. Person-centered messages seem to be particularly important to motivating the patient to monitor their BG levels and use the Web-based system.
These results suggest that patient-HCP interaction and, in particular, more personalized interactions increases patient frequency of BG monitoring.
通过基于网络的糖尿病管理系统实现患者与医护人员（HCP）之间的互动，可能会增加患者对自身血糖（BG）水平的监测。
从阿拉巴马州、爱达荷州和亚利桑那州招募了109名1型糖尿病和2型糖尿病控制不佳的美国原住民，进行一项三中心、非随机、前瞻性可行性研究。研究干预措施包括使用基于网络的糖尿病管理应用程序（MyCareTeam），该程序允许患者与医护人员及时互动。此外，还提供有关糖尿病、营养和运动的信息。最后，患者能够通过MyCareTeam系统向医护人员提供血糖读数。
结果显示，59.6%的患者向医护人员发送了一条或多条信息，92.67%的患者收到了医护人员的一条或多条信息，78.89%的患者收到了医护人员的一条或多条以患者为中心的信息。此外，患者登录系统的次数以及检测血糖的频率与以下方面相关：（a）发送给医护人员的信息数量；（b）从医护人员收到的信息总数；（c）从医护人员收到的以患者为中心的信息数量。因此，从血糖仪上传到MyCareTeam数据库的血糖读数数量显示，发送信息较多的患者检测血糖的频率也更高。以患者为中心的信息对于激励患者监测血糖水平和使用基于网络的系统似乎尤为重要。
这些结果表明，患者与医护人员之间的互动，尤其是更具个性化的互动，会增加患者监测血糖的频率。
