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自我管理与糖尿病移动健康:现状一瞥与未来展望

Self-Management and Diabetes Mellitus mHealth, a Glance at the Present and a Glimpse into the Future.

作者信息

Alshahrani Awad

机构信息

Department of Medicine, Ministry of National Guard-Health Affairs, Riyadh.

KingAbdullah international Medical Research Center.

出版信息

Stud Health Technol Inform. 2019 Jul 4;262:352-355. doi: 10.3233/SHTI190091.

Abstract

mHealth is new technology that can help in the self-management of diabetes mellitus (DM), a highly prevalent metabolic disease. mHealth applications can enhance patient-provider communication, and improve health data capture and monitoring, patient education, and the provision of feedback. However, aspects related to the functions and content required in the application, as well as privacy, accuracy and the safety of patient data, should be managed. The use of mHealth in DM self-management can be optimized by overcoming technical, societal, and business barriers. Using appropriate behavioral change theories, the short and long-term effects of mHealth should be targeted. Providing interactive feedback is an important feature of any mHealth strategy, so as to ensure a closed-loop in DM management. Accuracy and validity of information included in the mHealth application is vital; therefore quality and appropriateness of the information should be assessed, and enhanced where necessary. Consideration for the perspectives of end-users is at the core of mHealth care. The effects of mHealth should be assessed in a real-world setting, rather than the current clinic-based studies. In conclusion, mHealth is a tool that provides an opportunity for integrated and coordinated DM care.

摘要

移动健康是一种新技术,可有助于糖尿病(DM)的自我管理,糖尿病是一种高度流行的代谢性疾病。移动健康应用程序可以加强医患沟通,改善健康数据的采集与监测、患者教育以及反馈的提供。然而,与应用程序所需功能和内容相关的方面,以及患者数据的隐私、准确性和安全性,都应加以管理。通过克服技术、社会和商业障碍,可以优化移动健康在糖尿病自我管理中的应用。运用适当的行为改变理论,应针对移动健康的短期和长期效果。提供交互式反馈是任何移动健康策略的一个重要特征,以便在糖尿病管理中确保形成一个闭环。移动健康应用程序中所包含信息的准确性和有效性至关重要;因此,应评估信息的质量和适当性,并在必要时加以改进。考虑终端用户的观点是移动健康护理的核心。移动健康的效果应在实际环境中进行评估,而不是在当前基于诊所的研究中。总之,移动健康是一种工具,为糖尿病的综合协调护理提供了机会。

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