USING TELECOMMUNICATION TECHNOLOGY TO MANAGE CHILDREN WITH DIABETES - THE COMPUTER-LINKED OUTPATIENT-CLINIC (CLOG) STUDY

被引：82

作者：

MARRERO, DG

VADAGRIFF, JL

KRONZ, K

FINEBERG, NS

GOLDEN, MP

GRAY, D

ORR, DP

WRIGHT, JC

JOHNSON, NB

机构：

[1] Department of Medicine, Diabetes Research and Training Center, Regenstrief Institute, Department of Pediatrics, Indiana University School of Medicine, JW Riley Hospital for Children, Indianapolis, Indiana

[2] Department of Pediatrics, Indiana University School of Medicine, JW Riley Hospital for Children, Indianapolis, Indiana

[3] Department of Medicine and Regenstrief Institute, JW Riley Hospital for Children, Indianapolis, Indiana

[4] Puget Sound Psychiatry, Bellevue, Washington

来源：

DIABETES EDUCATOR | 1995年 / 21卷 / 04期

关键词：

D O I：

10.1177/014572179502100409

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The purpose of this study was to evaluate the efficacy of using a telecommunication system to assist in the outpatient management of pediatric patients with insulin-dependent diabetes. Metabolic control patients' psychosocial status, family functioning, perceived quality of life, patterns of parental/child responsibility for daily diabetes maintenance, and nursing time-on-task were evaluated. One hundred six pediatric patients (mean age = 13.3 years) were randomly assigned to an experimental or control outpatient clinic for 1 year Experimental subjects transmitted self-monitoring blood glucose data by modem to the hospital every 2 weeks. Transmitted data were reviewed by nurse practitioners who telephoned subjects to discuss regimen adjustments. Control subjects received standard care with regimen adjustments made by physicians. There were no significant between-group differences for metabolic control, rates of hospitalization or emergency-room visits, psychological status, general family functioning, quality of life, or parent-child responsibility. A significant decrease was noted in nursing time-on-task for experimental subjects.

引用

页码：313 / 319

页数：7

共 27 条

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