A Ubiquitous Chronic Disease Care system using cellular phones and the internet

被引:118
作者
Yoo, H. J. [1 ]
Park, M. S. [2 ]
Kim, T. N. [1 ]
Yang, S. J. [1 ]
Cho, G. J. [3 ]
Hwang, T. G. [3 ]
Baik, S. H. [1 ]
Choi, D. S. [1 ]
Park, G. H. [4 ]
Choi, K. M. [1 ]
机构
[1] Korea Univ, Dept Internal Med, Div Endocrinol & Metab, Coll Med, Seoul 152703, South Korea
[2] Korea Univ, Coll Med, Dept Biostat, Seoul 152703, South Korea
[3] Korea Univ, Coll Med, Guro Gu Publ Hlth Ctr, Seoul 152703, South Korea
[4] Korea Univ, Coll Med, Dept Biochem, Seoul 152703, South Korea
关键词
chronic disease; diabetes; hypertension; internet; obesity; RANDOMIZED CONTROLLED-TRIAL; GLUCOSE MONITORING-SYSTEM; MULTIFACTORIAL INTERVENTION; CARDIOVASCULAR-DISEASE; PHYSICAL-ACTIVITY; WEIGHT-LOSS; MANAGEMENT; PATIENT; RISK; MORTALITY;
D O I
10.1111/j.1464-5491.2009.02732.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The rapidly increasing prevalence of chronic diseases is an important challenge to healthcare systems worldwide. To improve the quality and efficiency of chronic disease care, we investigated the effectiveness and applicability of the Ubiquitous Chronic Disease Care (UCDC) system using cellular phones and the internet for overweight patients with both Type 2 diabetes and hypertension. We conducted a randomized, controlled clinical trial over 3 months that included 123 patients at a university hospital and a community public health centre. After 12 weeks, there were significant improvements in HbA(1c) in the intervention group (7.6 +/- 0.9% to 7.1 +/- 0.8%, P < 0.001) compared with the control group (7.4 +/- 0.9% to 7.6 +/- 1.0%, P = 0.03). Furthermore, we observed a significant reduction in systolic and diastolic blood pressure, as well as improvements in total cholesterol, low-density lipoprotein-cholesterol and triglyceride levels in the intervention group. Furthermore, there was a significant increase in adiponectin levels in the intervention group compared with the control group, although high-sensitivity C-reactive protein and interleukin-6 levels did not change in either group. The novel UCDC system presented in this paper improved multiple metabolic parameters simultaneously in overweight patients with both Type 2 diabetes and hypertension.
引用
收藏
页码:628 / 635
页数:8
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