Effectiveness of the Smart Care Service for Diabetes Management
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Objectives: The aim of this study was to assess the effectiveness of the Smart Care service for the diabetes management. Methods: Fifty-six patients with diabetes mellitus were recruited in Daegu, Korea. All participants completed a diabetes management education course (diet, exercise, and complications) for their self-care and received access to a care management website through a netbook and smartphone. The website accepts uploads of glucose level, body weight, HbA1c, low-density lipoprotein cholesterol level, and blood pressure. Participants communicated with the care manager through the internal management system of the website. The intervention was applied for 6 months. Results: Participants receiving the Smart Care service had lower blood glucose and HbA1c during 6 months follow-up when 1-month values (p < 0.001) were compared. There was no significant difference in body weight and body mass index between 1 month and 6 months. The average number of remote consultation with the Smart Care service per person was 10.4 by nurses, 3.0 by nutritionists, and 1.6 by sports curers. Regression analysis indicated that the number of times counseling was offered by nurses influences body weight and that the number of minutes of telephone counseling influences both body weight and body mass index. Conclusions: We have confirmed that the Smart Care service might be an effective system for reduction in blood glucose and HbA1c. We expect that the Smart Care service will contribute to delaying diabetes complications and improving the quality of life of patients with diabetes.
Abstract
Objectives: The aim of this study was to assess the effectiveness of the Smart Care service for the diabetes management. Methods: Fifty-six patients with diabetes mellitus were recruited in Daegu, Korea. All participants completed a diabetes management education course (diet, exercise, and complications) for their self-care and received access to a care management website through a netbook and smartphone. The website accepts uploads of glucose level, body weight, HbA1c, low-density lipoprotein cholesterol level, and blood pressure. Participants communicated with the care manager through the internal management system of the website. The intervention was applied for 6 months. Results: Participants receiving the Smart Care service had lower blood glucose and HbA1c during 6 months follow-up when 1-month values (p < 0.001) were compared. There was no significant difference in body weight and body mass index between 1 month and 6 months. The average number of remote consultation with the Smart Care service per person was 10.4 by nurses, 3.0 by nutritionists, and 1.6 by sports curers. Regression analysis indicated that the number of times counseling was offered by nurses influences body weight and that the number of minutes of telephone counseling influences both body weight and body mass index. Conclusions: We have confirmed that the Smart Care service might be an effective system for reduction in blood glucose and HbA1c. We expect that the Smart Care service will contribute to delaying diabetes complications and improving the quality of life of patients with diabetes.
참고문헌 (25)
- Lee JY, "Domestic u-Health demonstration project progress status and implications", Inf Commun Policy, 20(21), pp.25~44 (2008)
- Martin S, "Smart home technologies for health and social care support", Cochrane Database Syst Rev, 4, pp.CD006412~ (2008)
- Korea Health Statistics 2011 Korea National Health and Nutrition Examination Survey (KNHANES V-2), "Korea Ministry of Health & Welfare", Korea Ministry of Health & Welfare, Korea Center for Disease Control and Prevention, ~ (2011)
- McMahon GT, "Web-based care management in patients with poorly controlled diabetes", Diabetes Care, 28(7), pp.1624~1629 (2005)
- 최은희, "만성 질환 관리를 위한 유헬스 - 신체 활동과 운동 치료-", 대한의사협회지, 52(12), pp.1154~1163 (2009), 대한의사협회
- "57% of consumers use Internet for medical questions" (2012)[URL]
- Ralston JD, "Patients' experience with a diabetes support programme based on an interactive electronic medical record: qualitative study", BMJ, 328(7449), pp.1159~ (2004)
- 유성훈, "노인 당뇨병환자에서 ‘Ubiquitous Healthcare’가 당뇨병 자기관리 지식에 미치는 영향", Diabetes and Metabolism Journal, 33(1), pp.58~64 (2009), 대한당뇨병학회
- Cho JH, "Long-term effect of the Internet-based glucose monitoring system on HbA1c reduction and glucose stability: a 30-month follow-up study for diabetes management with a ubiquitous medical care system", Diabetes Care, 29(12), pp.2625~2631 (2006)
- Kim SI, "Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes", Int J Med Inform, 77(6), pp.399~404 (2008)
- 정영순, "고혈압관리에서의 스마트케어 서비스의 효과", 한국산학기술학회논문지, 14(3), pp.1213~1220 (2013), 한국산학기술학회[DOI]
- 이인근, "건강정보 교환 표준에 기반한 유비쿼터스 헬스케어 시스템 개발", 한국지능시스템학회 논문지, 22(3), pp.273~280 (2012), 한국지능시스템학회[DOI]
- 이승철, "무선센서네트워크 환경의 모바일 u-헬스케어 시스템 개발", 한국통신학회논문지C, 37(4), pp.338~346 (2012), 한국통신학회[DOI]
- 남명현, "휴대형 유헬스케어 의료기기 평가방법", 전자공학회논문지 - SC, 49(2), pp.55~62 (2012), 대한전자공학회
- 양해술, "신뢰성 확보를 위한 u-헬스케어 소프트웨어 시험 방법", 한국산학기술학회논문지, 12(3), pp.1427~1438 (2011), 한국산학기술학회
- Song TM, "u-Health: current status and tasks ahead" (2011), The Korea Institute for Health and Social Affairs
- 류근택, "만성 질환자 관리를 위한 U-Healthcare 시스템 구현", 전자공학회논문지, 51(1), pp.233~240 (2014), 대한전자공학회
- Bu D, "Benefits of information technology-enabled diabetes management", Diabetes Care, 30(5), pp.1137~1142 (2007)
- O'Brien JA, "Cost of managing complications resulting from type 2 diabetes mellitus in Canada", BMC Health Serv Res, 3(1), pp.7~ (2003)
- "Diabetes Class" (2011)[URL]
- Polonsky WH, "Integrating medical management with diabetes self-management training: a randomized control trial of the Diabetes Outpatient Intensive Treatment program", Diabetes Care, 26(11), pp.3048~3053 (2003)
- Kerr EA, "Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study", Ann Intern Med, 141(4), pp.272~281 (2004)
- Franciosi M, "Self-monitoring of blood glucose in non-insulin-treated diabetic patients: a longitudinal evaluation of its impact on metabolic control", Diabet Med, 22(7), pp.900~906 (2005)
- Brun E, "Glucose instability is associated with a high level of circulating p-selectin", Diabetes Care, 24(9), pp.1685~ (2001)
- Ramadas A, "Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence", Int J Med Inform, 80(6), pp.389~405 (2011)