Efficacy of a New Medical Information system, Ubiquitous Healthcare Service with Voice Inception Technique in Elderly Diabetic Patients
Efficacy of a New Medical Information system, Ubiquitous Healthcare Service with Voice Inception Technique in Elderly Diabetic Patients
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DOI：
10.1038/srep18214
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发表时间：
2015-12-11
影响因子：
4.6
通讯作者：
Lim, Soo
中科院分区：
文献类型：
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作者：
Kim, Kyoung Min;Park, Kyeong Seon;Lim, Soo
我们以前已经证明，一个个性化的健康管理系统，使用先进的医疗信息技术，命名为无处不在的（U）-医疗保健，有助于实现更好的血糖控制比常规护理。最近，我们开发了一个新的u-healthcare系统，它使用了一种语音初始技术，让老年糖尿病患者更容易地交流有关他们的血糖控制、身体活动和饮食的信息。在一项随机临床试验中，70名60-85岁的糖尿病患者被随机分配到标准护理组或u-healthcare组，为期6个月。主要终点为糖化血红蛋白（HbA（1c））的变化和血糖波动的平均幅度（法师）评估。还调查了体重、生活方式和糖尿病知识的变化。6个月后，与标准治疗组（从8.7 +/- 0.9%到8.2 +/-1.1%，P < 0.01）相比，u-保健组的HbA（1c）水平显著下降（从8.6 +/- 1.0%到7.5 +/- 0.6%）。u-healthcare组的法师下降幅度大于标准治疗组。u-healthcare组的血压和体重下降，肝功能改善，但标准治疗组没有。具有语音初始技术的u-healthcare系统可有效实现老年糖尿病患者的血糖控制，且无低血糖（Clinicaltrials.gov：NCT 01891474）。
We have demonstrated previously that an individualized health management system using advanced medical information technology, named ubiquitous (u)-healthcare, was helpful in achieving better glycemic control than routine care. Recently, we generated a new u-healthcare system using a voice inception technique for elderly diabetic patients to communicate information about their glucose control, physical activity, and diet more easily. In a randomized clinical trial, 70 diabetic patients aged 60-85 years were assigned randomly to a standard care group or u-healthcare group for 6 months. The primary end points were the changes in glycated hemoglobin (HbA(1c)) and glucose fluctuation assessed by the mean amplitude glycemic excursion (MAGE). Changes in body weight, lifestyle, and knowledge about diabetes were also investigated. After 6 months, the HbA(1c) levels decreased significantly in the u-healthcare group (from 8.6 +/- 1.0% to 7.5 +/- 0.6%) compared with the standard care group (from 8.7 +/- 0.9% to 8.2 +/- 1.1%, P < 0.01). The MAGE decreased more in the u-healthcare group than in the standard care group. Systolic blood pressure and body weight decreased and liver functions improved in the u-healthcare group, but not in the standard care group. The u-healthcare system with voice inception technique was effective in achieving glycemic control without hypoglycemia in elderly diabetic patients (Clinicaltrials.gov: NCT01891474).