使用科学模块改善甲状腺功能减退患者的生活质量:随机对照试验
Savithri Nilkantham1, Amit Singh1, Vijaya Majumdar1
1Department of Yoga & Life Sciences, S-VYASA Yoga University, Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, India.
远程显著改善了接受levothyroxine治疗的甲状腺功能减退患者的生活质量. 这种数字干预增强了心理健康和活力,为甲状腺护理提供了可扩展的电子健康解决方案.
科学领域:
- 综合医学是一个整体的医学.
- 电子健康 电子健康
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺功能低下症显著影响患者的生活质量,包括身体,心理和社会方面.
- 干预措施在治疗甲状腺功能低下方面表现有前途.
- 远程医疗平台提供了一个可扩展的解决方案,为患有甲状腺功能低下症的患者提供干预.
研究的目的:
- 评估6个月的远程干预对甲状腺功能低下症患者的影响.
- 为了比较接受levothyroxine与tele-yoga与仅服用levothyroxine的患者之间的结果.
主要方法:
- 一个为期6个月的单盲,双臂随机对照试验,涉及134名甲状腺功能低下症患者.
- 参与者被随机分配到一个远程干预组或等候名单对照组.
- 评估了与健康相关的生活质量 (SF-36),甲状腺特征,BMI,疲劳,压力和个性.
主要成果:
- 远程干预在生活质量的各个领域都显示出非常显著的改善 (P<.001),特别是心理健康,能量和情感角色限制.
- 在二次测量中观察到显著的改善,不包括甲状腺素水平.
- 远程组95%的参与者报告高满意度,性能得分增加.
结论:
- 这项试验是第一个显示数字交付模块的好处的试验,用于服用levothyroxine的甲状腺功能低下症患者.
- 导师带领的远程是一种有效的,可扩展的电子健康干预措施,可以提高可访问性和参与度.
- 整合eHealth,就像tele-yoga一样,在甲状腺护理中提供了一个以患者为中心的方法,具有可持续的健康益处.
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