School-Centered Telemedicine for Children with Type 1 Diabetes Mellitus
School-Centered Telemedicine for Children with Type 1 Diabetes Mellitus
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DOI：
10.1016/j.jpeds.2009.03.014
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发表时间：
2009-09-01
影响因子：
5.1
通讯作者：
Weinstock, Ruth S.
中科院分区：
文献类型：
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作者：
Izquierdo, Roberto;Morin, Philip C.;Weinstock, Ruth S.
目的测试远程医疗的可行性和有效性，以提高1型糖尿病儿童的护理inschool.Study设计科目，年龄5至14岁（年级幼儿园至第八）被随机分配到通常的护理（18名学生，13所学校）或干预（23名学生，12所学校）。家庭护理包括每3个月进行一次医疗访视，并根据需要通过电话与学校护士和糖尿病团队进行沟通。干预组接受常规护理，外加学校护士办公室的远程医疗单元，每月在学校护士、儿童和糖尿病团队之间进行视频会议。每3个月测量一次血红蛋白A1c和儿童生活质量，持续1年。结果常规护理组的A1c值从基线到6个月增加，远程医疗组的A1c值从基线到6个月减少（P
Objectives To test the feasibility and effectiveness of telemedicine to improve care of children with type 1 diabetes in-schools.Study design Subjects, ages 5 to 14 years (grades kindergarten through eighth) were randomized to usual care (18 students; 13 schools) or intervention (23 students; 12 schools). Usual care included medical visits every 3 months and communication between school nurse and diabetes team as needed by phone. The intervention group received usual care plus a telemedicine unit in the school nurse office to videoconference between the school nurse, child, and diabetes team every month. Hemoglobin A1c and pediatric quality of life were measured every 3 months for 1 year. Analyses used multilevel modeling.Results A1c values increased from baseline to 6 months for students in the usual care group and decreased in the telemedicine cohort (P