CAJ | 학술논문

将2012年3-12月296例门诊糖尿病患者,分为短信组(153例)和非短信组(143例).非短信组给予常规口头健康宣教及告知复诊,短信组利用短信息平台随访系统定期发送糖尿病相关知识及通知复诊.随访1年,短信组复诊次数达标(门诊复诊10以上)率96％(147/153),糖化血红蛋白(HbA1c)监测次数达标(测定3次以上)率78％(120/153),高于非短信组的59％(85/143)和25％(36/143)(均P＜0.01);HbA1c水平下降[(6.85±1.26)％降至(6.51±0.74)％](P＜0.01),血糖达标率提高[65％ (100/153)与82％(126/153),P＜0.01],和非短信组干预后[71％ (100/143)与59％(84/143)]比较差异有统计学意义(均P＜0.01).说明应用短信息平台进行周期性短信干预能有效改善糖尿病患者遵医行为,降低HbA1c水平,提高血糖达标率.
장2012년3-12월296례문진당뇨병환자,분위단신조(153례)화비단신조(143례).비단신조급여상규구두건강선교급고지복진,단신조이용단신식평태수방계통정기발송당뇨병상관지식급통지복진.수방1년,단신조복진차수체표(문진복진10이상)솔96％(147/153),당화혈홍단백(HbA1c)감측차수체표(측정3차이상)솔78％(120/153),고우비단신조적59％(85/143)화25％(36/143)(균P＜0.01);HbA1c수평하강[(6.85±1.26)％강지(6.51±0.74)％](P＜0.01),혈당체표솔제고[65％ (100/153)여82％(126/153),P＜0.01],화비단신조간예후[71％ (100/143)여59％(84/143)]비교차이유통계학의의(균P＜0.01).설명응용단신식평태진행주기성단신간예능유효개선당뇨병환자준의행위,강저HbA1c수평,제고혈당체표솔.
A total of 296 patients were randomly divided into short message group (n =153) and non short message group (n =143).The former group received short message service (SMS) for follow-ups while the latter group had routine oral follow-ups.The return visit rate,recall rate of glycosylated hemoglobin (HbA1c),HbAlc level and glucose control rate for diabetics were assessed after one-year follow-up.The return visit rate (96％) and recall rate of HbAlc (78％) in the short message group were significantly higher than those in the non-short message group (59％,25％,P ＜0.01 for both).The HbAlc level after one-year follow-up (6.51 ± 0.74) ％ was lower than that one year before (6.85 ± 1.26) ％ in the short message group.The glucose control rate after one year (82％) were significantly higher than that one year before in the short message group (65％) and that after one year in the non-short message group(59％,P ＜ 0.01).Use of SMS platform system for follow-ups and health education can effectively improve the return visit rate and glucose control rate,lower the HbA1c level.in diabetics.