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评估在线医疗系统对2型糖尿病远程管理的疗效。

Evaluation of the efficacy of online healthcare system for the remote management of type 2 diabetes mellitus.

作者信息

Liu Wenjing, Li Ying, Gao Shan, Wang Xiuxiu, Zhang Fanghua

机构信息

Qingdao University, Qingdao Medical College, Qingdao, Shandong, China.

Department of Endocrinology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences (Qingdao Central Hospital), Qingdao 266042, Shandong, China.

出版信息

Medicine (Baltimore). 2025 Apr 11;104(15):e42156. doi: 10.1097/MD.0000000000042156.

Abstract

Diabetes mellitus has emerged as a globally prevalent chronic disease among middle-aged and elderly populations, with type 2 diabetes mellitus (T2DM) constituting over 90% of diagnosed cases. The pathophysiological alterations and associated complications of this metabolic disorder exert profound detrimental effects on patients' quality of life and long-term health outcomes. The study aimed to investigate the impact of an online healthcare system on glycated hemoglobin (HbA1c), low-density lipoprotein cholesterol (LDL-C), body mass index (BMI), and blood pressure (BP) in patients with type 2 diabetes mellitus. A total of 950 patients with type 2 diabetes mellitus were enrolled in the online healthcare platform and subsequently categorized into 2 groups based on their visit frequency over a period of approximately 6 months (180 days ± 10%). The control group included 203 patients with only 1 visit, while the observation group comprised 747 patients with twice or more. Comparative analysis was conducted between the 2 groups to assess the levels of HbA1c, LDL-C, BMI, and BP control, as well as compliance rates. The analysis revealed that the observation group showed notably lower levels of HbA1c, LDL-C, and BP compared to the control group. While there was no significant variance in BMI between the groups, the observation group experienced a substantial reduction in BMI over the 6-month period. Our findings substantiate that telemedicine complemented by an online healthcare system, based on the traditional medical model, effectively regulated HbA1c, LDL-C, BMI, and BP in patients with type 2 diabetes mellitus. This approach facilitates enhanced patient self-management, improved disease knowledge, better quality of life, and favorable prognosis.

摘要

糖尿病已成为全球中老年人群中普遍存在的慢性疾病,其中2型糖尿病(T2DM)占确诊病例的90%以上。这种代谢紊乱的病理生理改变及相关并发症对患者的生活质量和长期健康结局产生了深远的不利影响。本研究旨在调查在线医疗系统对2型糖尿病患者糖化血红蛋白(HbA1c)、低密度脂蛋白胆固醇(LDL-C)、体重指数(BMI)和血压(BP)的影响。共有950例2型糖尿病患者被纳入在线医疗平台,随后根据他们在大约6个月(180天±10%)内的就诊频率分为2组。对照组包括203例仅就诊1次的患者,而观察组包括747例就诊2次或更多次的患者。对两组进行比较分析,以评估HbA1c、LDL-C、BMI和血压的控制水平以及依从率。分析显示,与对照组相比,观察组的HbA1c、LDL-C和血压水平明显较低。虽然两组之间的BMI没有显著差异,但观察组在6个月内BMI大幅下降。我们的研究结果证实,基于传统医疗模式的在线医疗系统辅助的远程医疗有效地调节了2型糖尿病患者的HbA1c、LDL-C、BMI和血压。这种方法有助于加强患者的自我管理,提高疾病知识水平,改善生活质量,并获得良好的预后。

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