Dat Truong Van, Binh Van, Hoang Thai Minh, Tu Vo Linh, Luyen Pham Dinh, Anh Le Thi Kim
Hanoi University of Public Health, Vietnam.
Ministry of Health, Hanoi, Vietnam.
SAGE Open Med. 2024 Sep 9;12:20503121241271846. doi: 10.1177/20503121241271846. eCollection 2024.
Type 2 diabetes, a lifestyle-related disease demanding daily self-management, is a significant health concern. In this context, the use of telemedicine as a management tool is a relatively new and promising approach. This study aims to contribute to the growing body of knowledge by identifying the effectiveness of telemedicine in managing type 2 diabetes through a systematic review approach.
Four databases were searched including PubMed, Virtual Health Library, Global Health Library, and Google Scholar on 27 July 2022. Additionally, a manual search was performed to identify any relevant articles that may have been missed. The quality of the included articles was rigorously assessed using the Study Quality Assessment Tools of the National Institute of Health.
We analyzed data from 134 articles. All 134 studies were published between 2002 and 2022, including 103 controlled intervention trials, 13 cohort studies, 7 before-after (pre-post) studies with no control group, 1 initial trial, 1 case study, 1 pilot study, and 8 two-arm studies that did not report the study design. Accordingly, most studies show positive changes in glycemic index in every group using telemedicine. Overall, although the BMI and weight indices in the studies improved at the end of the course, the improvement values were considered insignificant.
Telemedicine may be a valuable solution for blood sugar management in patients with type 2 diabetes. However, the effectiveness of telemedicine in improving BMI and quality of life is unclear.
2型糖尿病是一种与生活方式相关的疾病，需要每日进行自我管理，是一个重大的健康问题。在此背景下，使用远程医疗作为一种管理工具是一种相对新颖且有前景的方法。本研究旨在通过系统评价方法确定远程医疗在管理2型糖尿病方面的有效性，从而为不断增长的知识体系做出贡献。
2022年7月27日，检索了四个数据库，包括PubMed、虚拟健康图书馆、全球健康图书馆和谷歌学术。此外，还进行了手动检索，以识别可能遗漏的任何相关文章。使用美国国立卫生研究院的研究质量评估工具对纳入文章的质量进行了严格评估。
我们分析了134篇文章的数据。所有134项研究均发表于2002年至2022年之间，包括103项对照干预试验、13项队列研究、7项无对照组的前后（前后）研究、1项初步试验、1项案例研究、1项试点研究以及8项未报告研究设计的双臂研究。因此，大多数研究表明，使用远程医疗的每个组的血糖指数都有积极变化。总体而言，尽管研究中的BMI和体重指数在疗程结束时有所改善，但改善值被认为不显著。
远程医疗可能是2型糖尿病患者血糖管理的一种有价值的解决方案。然而，远程医疗在改善BMI和生活质量方面的有效性尚不清楚。
