López-Torres Jesús, Rabanales Joseba, Fernández Rafael, López Francisco J, Panadés Llanos, Romero Victoria
Centro de Salud Universitario Zona IV de Albacete, Servicio de Salud de Castilla-La Mancha, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, España.
Facultad de Enfermería de Albacete, Universidad de Castilla-La Mancha, Albacete, España.
Gac Sanit. 2015 Jan-Feb;29(1):55-8. doi: 10.1016/j.gaceta.2014.08.003. Epub 2014 Nov 11.
To evaluate the impact of a telemedicine program on self-perceived health in patients with type 2 diabetes in primary care, as well as patient acceptance of and satisfaction with this program.
We conducted an 18-month follow-up through telemedicine in 52 diabetic patients. The study design was non-experimental (before and after). In addition to weekly electronic transmission of fasting glucose levels, we regularly provided advice to patients about healthy habits.
No statistically significant differences were observed when mean blood glucose values were compared during follow-up. However, at the end of participation, the mean score in self-perceived health was significantly higher than at the initial assessment (70.5±12.8 vs. 62.8±15.0, p=0.02). After 18 months of participation in the telemedicine program, 57.7% of patients were satisfied and 38.5% were very satisfied.
Although glycemic control did not improve during the follow-up, electronic transmission of information was found to be feasible and satisfactory for patients. The patients reported a higher level of self-perceived health.
评估远程医疗项目对基层医疗中2型糖尿病患者自我感知健康的影响，以及患者对该项目的接受度和满意度。
我们通过远程医疗对52名糖尿病患者进行了为期18个月的随访。研究设计为非实验性（前后对照）。除了每周电子传输空腹血糖水平外，我们还定期向患者提供关于健康习惯的建议。
随访期间比较平均血糖值时，未观察到统计学上的显著差异。然而，在参与结束时，自我感知健康的平均得分显著高于初始评估时（70.5±12.8对62.8±15.0，p=0.02）。参与远程医疗项目18个月后，57.7%的患者表示满意，38.5%的患者表示非常满意。
尽管随访期间血糖控制没有改善，但信息的电子传输对患者来说是可行且令人满意的。患者报告自我感知健康水平较高。
