Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Division of Nursing, the Nursing Medicine Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Asia Pac J Public Health. 2022 Nov;34(8):799-803. doi: 10.1177/10105395221126010. Epub 2022 Sep 19.
This study aimed to compare the clinical outcomes and program satisfaction of diabetes self-management education and support (DSMES) for type 2 diabetes patients delivered by telehealth during COVID-19 pandemic to in-person delivery during pre-COVID-19. A retrospective case-controlled study was conducted (95 telehealth and 95 on-site). Differences in hemoglobin A1c (HbA1c) reductions between groups were analyzed by linear mixed-effects models, and satisfaction was collected. Compared with baseline, at the three-month follow-up, the HbA1c reductions of the telehealth and on-site DSMES were 1.20 ± 0.15% and 1.21 ± 0.15%, respectively ( < .001), whereas these were 1.28 ± 0.16% and 1.18 ± 0.15% at six-month follow-up, respectively ( < .001). There were no significant differences in HbA1c reduction between the two groups ( = .967 and .674 at three- and six-month follow-up). Majority of participants in both groups had high program satisfaction (telehealth 98.7% vs on-site 95.1%, = .269). In conclusion, DSMES delivered via telehealth is as effective in lowering HbA1c as that delivered in-person, with a high satisfaction rate.
这项研究旨在比较在 COVID-19 大流行期间通过远程医疗提供的 2 型糖尿病患者糖尿病自我管理教育和支持 (DSMES) 与 COVID-19 前的面对面提供的临床结果和计划满意度。进行了回顾性病例对照研究（95 例远程医疗和 95 例现场）。通过线性混合效应模型分析组间糖化血红蛋白 (HbA1c) 降低的差异，并收集满意度。与基线相比，在三个月随访时，远程医疗和现场 DSMES 的 HbA1c 降低分别为 1.20 ± 0.15%和 1.21 ± 0.15%（<0.001），而在六个月随访时，分别为 1.28 ± 0.16%和 1.18 ± 0.15%（<0.001）。两组之间 HbA1c 降低无显著差异（在三个月和六个月随访时分别为=0.967 和=0.674）。两组大多数参与者对计划满意度较高（远程医疗 98.7%比现场 95.1%，=0.269）。总之，通过远程医疗提供的 DSMES 在降低 HbA1c 方面与面对面提供的一样有效，且满意度较高。
