Center for Clinical Management Research, Veteran Affairs Ann Arbor Health Care System, Ann Arbor, Michigan 48105, USA.
Telemed J E Health. 2012 Apr;18(3):175-84. doi: 10.1089/tmj.2011.0119. Epub 2012 Feb 22.
This study sought to understand the most common uses and functions of mobile phones in monitoring and managing diabetes, their potential role in a clinical setting, and the current state of research in this area.
We identified peer-reviewed articles published between 2000 and 2010. Twenty-one articles were analyzed for this systematic literature review.
The majority of studies examined the use of mobile phones from the patient's perspective. Subjects with type 1 diabetes were enrolled exclusively in over 50% of the studies. Seventy-one percent of the studies used a study-specific application, which had supplemental features in addition to text messaging. The outcomes assessed varied considerably across studies, but some positive trends were noted, such as improved self-efficacy, hemoglobin A1c, and self-management behaviors.
The studies evaluated showed promise in using mobile phones to help people with diabetes manage their condition effectively. However, many of these studies lacked sufficient sample sizes or intervention lengths to determine whether the results might be clinically or statistically significant. Future research should examine other key issues, such as provider perceptions, integration into a healthcare practice, and cost, which would provide important insight into the use of mobile phones for chronic disease management.
本研究旨在了解手机在监测和管理糖尿病方面的最常见用途和功能、其在临床环境中的潜在作用，以及该领域的当前研究状况。
我们确定了 2000 年至 2010 年间发表的同行评议文章。对 21 篇文章进行了系统文献综述分析。
大多数研究都从患者的角度探讨了手机的使用。在超过 50%的研究中，仅招募了 1 型糖尿病患者。71%的研究使用了特定于研究的应用程序，除了短信之外，这些应用程序还具有附加功能。研究评估的结果在不同研究中差异很大，但也注意到了一些积极的趋势，如自我效能感、糖化血红蛋白和自我管理行为的改善。
评估的研究表明，使用手机帮助糖尿病患者有效管理病情具有一定前景。然而，许多这些研究缺乏足够的样本量或干预时间来确定结果是否在临床或统计学上具有显著意义。未来的研究应探讨其他关键问题，如提供者的看法、融入医疗实践以及成本，这将为移动电话在慢性病管理中的应用提供重要的见解。
