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新冠疫情时代的远程医疗:照顾肥胖及糖尿病儿童

Telemedicine in the COVID-19 era: Taking care of children with obesity and diabetes mellitus.

作者信息

Umano Giuseppina Rosaria, Di Sessa Anna, Guarino Stefano, Gaudino Giuseppina, Marzuillo Pierluigi, Miraglia Del Giudice Emanuele

机构信息

Department of Woman, Child, and of General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples 80138, Italy.

出版信息

World J Diabetes. 2021 May 15;12(5):651-657. doi: 10.4239/wjd.v12.i5.651.

Abstract

Severe acute respiratory syndrome coronavirus 2 infection was declared a pandemic in January 2020. Since then, several measures to limit virus transmission have been imposed; among them, home confinement has been the most severe, with drastic changes in the daily routines of the general population. The "stay at home" rule has impaired healthcare service access, and patients with chronic conditions were the most exposed to the negative effects of this limitation. There is strong evidence of the worsening of obesity and diabetes mellitus in children during this period. To overcome these issues, healthcare providers have changed their clinical practice to ensure follow-up visits and medical consultation though the use of telemedicine. Telemedicine, including telephone calls, videocalls, data platforms of shared telemedicine data platforms mitigated the negative effect of pandemic restrictions. Published evidence has documented good metabolic control and weight management outcomes in centers that performed extensive telemedicine services last year during the pandemic. This review discusses studies that investigated the use of telemedicine tools for the management of pediatric obesity and diabetes.

摘要

2020年1月,严重急性呼吸综合征冠状病毒2感染被宣布为大流行病。从那时起,人们采取了多项措施来限制病毒传播;其中,居家隔离最为严格,普通民众的日常生活发生了巨大变化。“居家”规定影响了医疗服务的可及性,慢性病患者受此限制的负面影响最大。有充分证据表明,在此期间儿童肥胖和糖尿病病情恶化。为克服这些问题,医疗服务提供者改变了临床实践方式,通过使用远程医疗来确保随访和医疗咨询。远程医疗,包括电话、视频通话、共享远程医疗数据平台,减轻了大流行限制措施的负面影响。已发表的证据表明,去年大流行期间提供广泛远程医疗服务的中心,在代谢控制和体重管理方面取得了良好效果。本综述讨论了调查使用远程医疗工具管理儿童肥胖和糖尿病的研究。

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