使用NORA应用程序对糖尿病病患者进行试点监测研究
Néstor Toapanta1, Ester Sánchez-Gavilan1, Cristina Guirao1
1Serivicio de Nefrología, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Nefrologia
|July 16, 2024
概括
使用NORA应用程序监测糖尿病病 (DKD) 患者改善了治疗遵守性和减少了白尿. 本研究强调了信息和通信技术 (ICT) 在管理DKD进展方面的潜力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 糖尿病病 (DKD) 是末期慢性病 (CKD) 的主要原因,与脏不良结果和心血管死亡率增加有关.
- 新型信息和通信技术 (ICT) 提供了改善DKD患者生活质量和疾病控制的潜力.
研究的目的:
- 评估NORA应用程序对糖尿病病 (DKD) 患者监测的有效性.
主要方法:
- 一项涉及DKD患者 (G3bA3或更高阶段) 的前性可行性/验证研究,使用NORA-app.
- 诺拉应用程序的功能包括风险因素控制,医疗信息共享,医疗保健专业人员沟通,治疗合规监测 (Morisky-Green) 和患者报告的结果 (HADs尺度).
- 在3个月的随访期间,NORA应用程序用户和对照组之间的临床实验室变量进行了比较.
主要成果:
- 在118名患者中,提供了NORA应用程序,82人接受了. 在平均6.04个月的随访后,71% (86.6%) 的患者仍然是活跃用户.
- 在NORA-app组的治疗顺应性在90天后从77%增加到91%.
- 在90天的随访中,NORA应用程序的用户与对照人群相比,显示了显著较低的专蛋白与肌素比率 (alb/creat) 水平 (768 mg/g与2039 mg/g相比,p=0.047).
结论:
- 在DKD患者中长期使用NORA应用程序是持续的,这导致了高度的治疗遵从性和改善的疾病控制.
- 该研究表明,广泛采用ICT可以帮助个性化监测,延迟脏疾病的进展.
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