Videophone-based multimodal home telecare support system for patients with diabetes

我们进行了一项干预研究，以阐明如何有效地远程医疗系统，使用多功能可视电话可以用于生活方式的指导，特别是对饮食的糖尿病患者在家里照顾。患者被分配到3个月的干预组或常规护理组。在干预组中，患者和医疗专业人员每周一次通过基于视频电话的通信系统进行30分钟的双向交流。主观比较，3个月的干预方案导致体重（BW）（p<0.0005）和平均HbA1C水平（p<0.005）与干预方案前相比显著降低。常规护理组平均HbA1C水平在6个月内无明显变化。这种新颖的双向通信可用于改善家庭护理糖尿病患者的糖尿病、BW和高血糖症的状况，从而降低心血管风险。

We conducted an intervention study to clarify how effectively telemedicine system using multi-functional videophone could be used in lifestyle guidance, with a special focus on diet for diabetic patients cared for at home. Patients were assigned to a 3-month intervention group or to a usual care group. In the intervention group, patients and a medical professional communicated bi-directionally through a videophone-based communication system for 30 minutes, once a week. Intra-subjective comparison, the 3-month intervention program resulted in a significant decrease in the Body Weight (BW) (p<0.0005), and the average HbA1C level (p<0.005) compared to before intervention program. In usual care group, the average HbA1C level did not change significantly for six months. This novel bi-directional communication is useful for improving conditions of diabetes, BW, and hyperglycemia of homecare diabetes patients, thus, -reducing cardiovascular risk.