Department of Biomedical Informatics, Post Graduate Institute of Medicine, University of Colombo, Sri Lanka.
J Telemed Telecare. 2012 Apr;18(3):164-8. doi: 10.1258/jtt.2012.SFT110. Epub 2012 Feb 23.
We reviewed the literature concerning the use of telemedicine interventions in diabetes care. The PubMed database was searched for randomized controlled trials concerning the use of telemedicine for patients with type 1 or type 2 diabetes. A total of 27 articles (studies) met the inclusion criteria. The interventions concerned videoconferencing (n = 8), mobile phones (n = 10) and telephone calls (n = 9). There was metabolic improvement in 23 studies, which was significant in 12 out of 23 (44%). Only two studies (8%) reported a negative clinical outcome. The majority of the studies (n = 19; 70%) employed behavioural therapy as the key intervention. The medium used for interaction in behavioural therapy intervention was videoconferencing (n = 7), mobile phone (n = 4), telephone calls (n = 8), feedback letters (n = 2). Telemedicine appears to be a promising alternative to conventional therapy.
我们回顾了有关远程医疗干预在糖尿病治疗中应用的文献。在 PubMed 数据库中搜索了有关使用远程医疗治疗 1 型或 2 型糖尿病患者的随机对照试验。共有 27 篇文章（研究）符合纳入标准。干预措施涉及视频会议（n = 8）、手机（n = 10）和电话（n = 9）。有 23 项研究显示代谢改善，其中 12 项（44%）具有统计学意义。只有两项研究（8%）报告了负面的临床结果。大多数研究（n = 19；70%）采用行为疗法作为主要干预措施。行为疗法干预中使用的交流媒介是视频会议（n = 7）、手机（n = 4）、电话（n = 8）、反馈信（n = 2）。远程医疗似乎是一种有前途的传统治疗替代方法。
