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尼日利亚糖尿病管理中的手机使用:一种新的潜在武器。

Mobile Phone Use in the Management of Diabetes in Nigeria: A New Potential Weapon.

作者信息

Olamoyegun M A, Emuoyibofarhe O J, Ala O A, Ugwu E

机构信息

Departments of Internal Medicine; Endocrinology, Diabetes & Metabolism Unit; Ladoke Akintola University of Technology/LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria.

Department of Computer Science & Engineering, E-Health Unit, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria.

出版信息

West Afr J Med. 2020 Jul-Aug;37(3):201-208.

Abstract

Diabetes Mellitus (DM) is one of the leading chronic diseases in low- and middle-income countries globally including Nigeria The morbidities and mortalities associated with diabetes especially in Nigeria, have remained unacceptably high compared to many other nations. It has become one of the leading causes of stroke, blindness, heart attack and end-stage kidney disease. Most deaths occur in those below 60 years of age, the productive segments of the population. Health situation in Nigeria is characterised by double burden of illness, grossly inadequate health spending, and inadequate healthcare personnel especially in the rural areas. Shortage of diabetes care specialist is one of the major barriers to diabetes care in Nigeria. Mobile phone has emerged as one of the potent strategies that can impact positively on diabetes care if properly harnessed. The ubiquitous access and the multitasking nature of mobile phones are great opportunities to improve diabetes prevention, patient care, encourage self-management, support healthy behavioural changes and an ideal way of providing patient-centred care at the frequency and intensity that patient desires. In addition, there is a potential for mobile phones to provide an effective way of giving support to patients in rural and remote areas where health care provider contact may be less accessible. Use of short message services (SMS) phone calls, video calls and the use of social media networking applications are some of the ways a mobile phone can be used in diabetes management.

摘要

糖尿病(DM)是包括尼日利亚在内的全球中低收入国家主要的慢性疾病之一。与许多其他国家相比,尤其是在尼日利亚,糖尿病相关的发病率和死亡率一直高得令人难以接受。它已成为中风、失明、心脏病发作和终末期肾病的主要原因之一。大多数死亡发生在60岁以下的人群中,而这部分人群正是劳动力群体。尼日利亚的健康状况具有疾病双重负担、卫生支出严重不足以及医疗人员短缺(尤其是在农村地区)的特点。糖尿病护理专家短缺是尼日利亚糖尿病护理的主要障碍之一。如果得到妥善利用,手机已成为对糖尿病护理能产生积极影响的有效策略之一。手机无处不在的接入性和多任务处理特性,是改善糖尿病预防、患者护理、鼓励自我管理、支持健康行为改变的绝佳机会,也是按照患者期望的频率和强度提供以患者为中心护理的理想方式。此外,在医疗服务提供者联系可能较少的农村和偏远地区,手机有潜力为患者提供一种有效的支持方式。使用短信服务(SMS)、拨打电话、视频通话以及使用社交媒体网络应用程序,都是手机可用于糖尿病管理的一些方式。

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