中国糖尿病自主管理应用程序现状分析

目的以行业内技术标准及临床指南为基础,对目前国内糖尿病自主管理应用程序的使用情况、功能、市场进行分析,为专业医疗人士和糖尿病患者及家属提供糖尿病自主管理移动应用程序的全面信息,同时也为应用程序软件开发者提供参考。方法用"血糖"等作为关键词搜索国内几大主流手机平台以及相关学术文献中的糖尿病自主血糖管理应用程序,并将其所有功能与相关标准、临床指南等文献中指出的相关指标进行比较分析。结果只有1个应用程序的下载量超过5000次,79个应用程序中只有10个有蓝牙功能,12个有数据同步功能。结论国内市场上关于糖尿病自我管理的应用程序已开始逐步发展,但使用率并不高,且目前国内糖尿病自我管理应用程序功能还有部分缺失,主要表现在测量设备与血糖管理应用程序之间的连接、在应用中数据同步功能、数据信息结构统一化上。     

93例2型糖尿病患者心理状况调查及护理干预

随着经济的发展,人们生活方式的改变,2型糖尿病的人数正迅速增加.由于糖尿病为慢性终身性疾病,患者会产生各种心理问题,同时缺乏相应的应对方式.2010年1月-2010年6月我们对科室93例2型糖尿病患者进行了调查,针对患者出现的不同心理问题,给予了有效的心理护理及行为干预,收到了满意效果,现报道如下.     

糖尿病酮症酸中毒20例治疗分析

糖尿病酮症酸中毒(DKA)是糖尿病的急性并发症.以往发病率高.最常发生于1型糖尿病患者,2型糖尿病患者在某些情况下也可发生.占糖尿病人住院患者中11.1%～14.6%.目前已下降.病死率目前仅占糖尿病人病死率1%以下.我院2006年～2010年共收治糖尿病酮症酸中毒病人20例,死亡1例.现将治疗情况报告如下.     

慢性心力衰竭合并糖尿病患者自我感受负担与应对方式分析

目的:探讨慢性心力衰竭(Chronic heart failure,CHF)合并糖尿病患者自我感受负担、应对方式的现状,并分析自我感受负担与应对方式的关系.方法:选取2019年1月至2021年6月期间医院接收的70例CHF合并糖尿病患者作为研究对象,所有患者均在入院后评估自我感受负担[自我感受负担量表(Self-perceived burden,SPBS)]及应对方式[简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)]水平,并分析CHF合并糖尿病患者自我感受负担与应对方式的关系.结果:经统计,70例CHF合并糖尿病患者中,积极应对共42例(60.00％),消极应对共28例(40.00％);消极应对的CHF合并糖尿病患者的经济、情感、身体负担及SPBS总分均高于积极应对患者(P＜0.05);经Logistic回归分析证实,CHF合并糖尿病患者的自我感受负担与应对方式有关(OR＞1,P＜0.05).结论:CHF合并糖尿病患者在临床治疗中多采取消极应对态度,而患者自我感受负担与其应对方式密切相关.     

近红外光谱无创血糖检测

糖尿病患者减少由糖尿病引起的并发症的重要手段是自我监测,目前主要的检测方法是有创或微创的,给患者不可避免的带来痛苦和不便.本文对利用近红外光谱技术进行无创血糖检测研究进行了综述,分析了其优缺点,总结了目前研究原理,并结合我们的研究提出了一些看法.     

糖尿病患者血清瘦素水平与肥胖关系的探讨

糖尿病患者血清瘦素水平是否增高?其体内瘦素水平与糖尿病之间有无相关关系?目前国际上尚有争论, 各位学者说法不一.本文于1999年6月至2000年3月,对本科住院的男性糖尿病患者做了血清瘦素及真胰岛素水平测定, 以观察血清瘦素水平与糖尿病之间的相关性.     

外科患者合并糖尿病围手术期的特点及其处理

众所周知 ,糖尿病是一种可累及全身多脏器的代谢性疾病。本文重点就糖尿病的发病率、外科患者合并糖尿病对手术的影响以及围手术期的处理作一综述。1　糖尿病的发病率资料表明 ,目前糖尿病的发病率有明显增加的趋势。据上海市统计 ,从 1979～ 1989年糖尿病患者发病率自 1.0 1%上升至 2 .2 3%,即平均每年以 0 .1%的速率上升。新增加的糖尿病患者主要是中老年 型糖尿病 (DM)患者。北京市1990年对老年糖尿病患者进行抽样调查发现 40岁患病率达5 .3%。 6 0岁以上 30 %的人葡萄糖耐受性下降。目前在外科临床合并糖尿病的患者亦明显增多 ,需要手…     

浅谈糖尿病社区护理中存在的新问题与对策

目的 探讨糖尿病的社区护理中存在问题和防治策略.方法 阐述对目前糖尿病社区护理的新认识.结果 通过对现况的阐述和分析,提出了发展糖尿病社区护理的对策.结论 通过建立系统的健康教育模式,使糖尿病的社区护理事业得到健康发展.     

GMP-140、 TXB2与6-K-PGF1α检测在糖尿病辅助治疗中的应用初探

在糖尿病患者中, 产生微血管病变是一种常见糖尿病并发症.目前研究证明血小板功能异常是其重要原因之一.本文通过检测健康人与糖尿病患者血浆α颗粒膜蛋白(GMP-140)、 TXB2和6-K-PGF1α含量,并探讨其在糖尿病患者抗钙和血栓素A2(TXA2)治疗中的应用.现报道如下:     

自体干细胞移植治疗下肢缺血的现状与未来走向

随着人们生活水平的提高和人口的老龄化,下肢缺血的发病率越来越高,已经成为临床常见疾病.特别是糖尿病发病率的提高,导致糖尿病下肢缺血的发生率急剧增加,目前全国糖尿病患者已经超过4000万人,而且每年以120万的速度增加.大约10%～50%的糖尿病患者终身要发生糖尿病下肢缺血.     

移动医疗模式在糖尿病治疗和管理中的应用

目的:梳理移动医疗在糖尿病的治疗及管理方面的作用，旨在为相关研究及实践提供参考。方法:分析移动医疗在糖尿病治疗和管理中的应用以及不足的地方，描述移动医疗对糖尿病的作用。结果:移动医疗模式在糖尿病治疗中的饮食治疗、运动治疗、药物控制、自我血糖监测及健康教育等方面均有积极效应，对随访管理、自我管理及医院-社区-家庭-患者一体化管理模式等起正向作用。结论:移动医疗帮助患者改善血糖，防治并发症，提高生活质量，有效的移动医疗模式将成为我国未来医疗发展的趋势之一。     

The influence of mobile health applications on patient - healthcare provider relationships: A systematic,narrative review

ObjectiveTo explore the influence of mobile health applications on various dimensions of patient and healthcare provider relationships.MethodsA systematic, narrative review of English literature reporting experiences and outcomes of using mobile health applications was performed, evaluating communication and relationships between patients and healthcare professionals. Findings were framed thematically within the four dimensions of relationship-centred care. The methodological quality of included articles was appraised.ResultsThirty-seven articles were included, all of them meeting tenets of relationship-centred care. After adopting mobile health applications patients perceived an overall positive impact on their relationship with healthcare providers, indicating they are ready to transition from traditional clinical ecounters to a different modality. Use of the applications supported patients in assuming active roles in the management of their health in collaboration with health professionals. Reluctance of providers to using mobile health needs to be acknowledged and addressed when encouraging wider use of applications in clinical practice.ConclusionThe use of mobile health applications can influence communication and relationships between patients and providers positively, facilitating relationship-centered healthcare.Practice implicationImplementation of mobile health can support patients’ self-efficacy, improve access to healthcare services and improve relationships between patients and providers in ambulatory and hospital settings.     

A Systematic Review of Healthcare Applications for Smartphones

ABSTRACT: BACKGROUND: Advanced mobile communications and portable computation are now combined in handheld devices called "smartphones", which are also capable of running third-party software. The number of smartphone users is growing rapidly, including among healthcare professionals. The purpose of this study was to classify smartphone-based healthcare technologies as discussed in academic literature according to their functionalities, and summarize articles in each category. METHODS: In April 2011, MEDLINE was searched to identify articles that discussed the design, development, evaluation, or use of smartphone-based software for healthcare professionals, medical or nursing students, or patients. A total of 55 articles discussing 83 applications were selected for this study from 2,894 articles initially obtained from the MEDLINE searches. RESULTS: A total of 83 applications were documented: 57 applications for healthcare professionals focusing on disease diagnosis (21), drug reference (6), medical calculators (8), literature search (6), clinical communication (3), Hospital Information System (HIS) client applications (4), medical training (2) and general healthcare applications (7); 11 applications for medical or nursing students focusing on medical education; and 15 applications for patients focusing on disease management with chronic illness (6), ENT-related (4), fall-related (3), and two other conditions (2). The disease diagnosis, drug reference, and medical calculator applications were reported as most useful by healthcare professionals and medical or nursing students. CONCLUSIONS: Many medical applications for smartphones have been developed and widely used by health professionals and patients. The use of smartphones is getting more attention in healthcare day by day. Medical applications make smartphones useful tools in the practice of evidence-based medicine at the point of care, in addition to their use in mobile clinical communication. Also, smartphones can play a very important role in patient education, disease self-management, and remote monitoring of patients.     

Managing immune diseases in the smartphone era: how have apps impacted disease management and their future?

Immunology, similar to other areas of clinical science, is a data-rich discipline that involves a great deal of interaction between healthcare professionals and their patients. The focus of this editorial is to review the challenges and opportunities for mobile healthcare applications within immunology. It is clear that further research is required to fully maximize the potential of mobile apps (e.g., regulations and guidelines, electronic health). However, it is equally clear that mobile healthcare applications have had a positive impact on patient outcomes (better response rates, more efficient usage of time and more accurate diagnosis). Overall, healthcare applications have a fundamental role to play in the future management of diseases as they will help to ensure that we deliver more effective patient care.     

基于“互联网+”的移动医疗技术在慢性阻塞性肺病稳定期管理的应用及问题研究

随着互联网的发展,移动医疗技术也越来越成熟,在慢性阻塞性肺病稳定期管理的应用方面取得较大进展。通过该技术对于稳定期慢阻肺患者线上复诊、调整治疗等提供了方便,从而使患者提高对于自身疾病认识,持续监测自身健康,提高治疗疾病的依从性。本文综述了移动医疗技术在稳定期慢阻肺的应用现状,并对互联网移动医疗技术应用的局限性及发展方向进行探讨。     

人工智能在医学的应用研究进展

人工智能技术的快速发展,得益于大数据、数据库、算法、算力的巨大进步,医学研究是人工智能的重要应用方向。人工智能与医学的融合发展,提高了医疗技术水平与医疗服务效率,为医生与医疗设备有效赋能,更好地服务于患者。特别在此次新冠肺炎疫情中取得的巨大成效,足见人工智能在医疗领域中发挥巨大作用,因此吸引了许多研究者不断深入探索。本文对近年来人工智能在医学方面应用的相关文献进行梳理,基于人工智能技术与医学研究的发展背景,重点论述人工智能在药物研发、辅助诊疗、语音识别和语义理解、健康管理、医院管理等领域的应用进展,分析人工智能在医疗领域应用存在的挑战,最后讨论人工智能在医疗领域的发展趋势。 【关键词】人工智能;医学应用;技术挑战;综述     

社区糖尿病病人血糖控制及慢性并发症调查

目的调查分析社区糖尿病病人血糖控制及慢性并发症的情况,为糖尿病的社区防治和慢性病管理提供依据。方法以随机方式调查六家社区卫生服务中心2007年11月至2007年12月在社区门诊随诊的糖尿病病人共194人,检测其空腹血糖和餐后2h血糖,并调查糖化血红蛋白（HbA1c）的检测情况和慢性并发症的发生情况。结果随机抽查的194个病人中,血糖控制达到良好的只占24％;只有23％的病人在半年内检测过糖化血红蛋白（HbA1c）,糖化血红蛋白（HbA1C）达到良好的病人不足30％;在社区诊治的糖尿病病人的慢性并发症患病率较低,只有5．7％～22．7％。结论社区糖尿病病人血糖控制不理想,需要加强社区卫生服务中心对糖尿病病人的科学管理和治疗。有效控制血糖和加强慢性并发症的筛查是今后社区糖尿病病人管理的重点。     

What do we know about mobile applications for diabetes self-management? A review of reviews

Diabetes is a chronic illness with significant health consequences, especially for those who are unable to adhere to the complex treatment regimen. Self-management tasks such as regular medication and insulin use, frequent blood sugar checks, strict diet management, and consistent exercise can be quite challenging. Mobile technologies, specifically mobile applications (apps), present a unique opportunity to help patients improve adherence to these behaviors. The availability of commercial diabetes self-management apps is increasing rapidly, making it difficult for patients and providers to stay informed about app options. A number of reviews have described commercial app technology and use for patients with diabetes. The aims of this article are to summarize the results and themes of those reviews, to review outcomes of apps described in the research literature, and to identify areas for further consideration in the use of mobile apps for diabetes self-management.     

The role of air quality management programs in improving public health: a brief synopsis

Observations of adverse effects of air pollution on public health, illustrated by the London smog events in the 1950s, led to legislation in the United States requiring development of federal, state, and local air quality management programs. The implementation of management programs has resulted in significant reductions in air pollutant emissions from stationary and mobile sources and hence their ambient concentrations and associated health risks. Evidence of benefits from improvements in air quality can be identified from studies in which rapid changes in air quality have occurred. Health risk assessment and benefits estimates also can be predictive, resulting in mean estimates of avoided mortality in excess of many thousands of cases per year as a result of implementation of air quality management programs in the United States.     

体外反搏患者移动随访平台的研究

目的：建立一个服务于体外反搏（ECP）患者的移动随访平台。便于医生在反搏治疗过程中及结束后随时随地获取患者反馈的信息。并提供正确的康复指导．预防严重并发症的发生。方法：平台采用浏览器／月艮务器（B／S）与客户端／服务器（C／S）两种工作模式,Web服务器安装与配置互联网信息服务（IIS）与邮件传输协议（SMTP）服务,其应用程序利用Vs开发环境,采用C＋＋语言,基于ASP．NET编写。患者随访资料使用SQLServer设计的数据库存储与管理,心电数据及其测量参数按照医学数字成像和通信（DICOM）标准文件格式进行封装与存储。通过调用DICOM读接口和绘图函数显示于移动终端浏览器上。结果：建立了一个由移动终端、心电工作站与web服务器组成的移动随访平台,通过智能手机等设备,患者可输人随访资料与上传自测心电数据．医生可查阅并使用平台提供的电子邮件发送功能给予患者康复指导。结论：随着移动技术的发展,移动医疗将逐步被医疗界所重视,通过移动设备实现对患者的随访可极大地提高随访效率,是值得探讨的一种新的随访方式。