Bài báo khoa học Tập 65 Số Tiếng Anh 12/12/2024

27. EFFECTIVENESS OF TELEHEALTH INTERVENTION ON GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AT LIEN CHIEU DISTRICT MEDICAL CENTER, DA NANG CITY IN 2023-2024: A NON-RANDOMIZED CONTROLLED INTERVENTION STUDY

Truong Van Dat1,2, Nguyen Dai Vinh3, Thai Minh Hoang4, Bui Van Nhieu5, Tran Dinh Trung6, Nguyen Ngoc Trung7, Pham Dinh Luyen8, Le Thi Kim Anh1
1 Hanoi University of Public Health
2 Ministry of Health
3 Da Nang Centre for Disease Control and Prevention
4 YouMed Clinic Deparment, YouMed Vietnam
5 Center for Health Science Training and Research, Da Nang City
6 Da Nang University of Medical Technology and Pharmacy
7 Mathematics and Computer Science Department, Mesa Community College
8 University of Medicine and Pharmacy at Ho Chi Minh City
Tác giả liên hệ: phd2051001@studenthuph.edu.vn
DOI: 10.52163/yhc.v65i13.1862
31 Lượt xem
11 Lượt tải xuống
Từ khóa
Telehealth type 2 diabetes mellitus glycemic control Lien Chieu District Medical Center
Tóm tắt

Objectives: Global health is witnessing a rapid growth in the number of type 2 diabetes mellitus (T2DM) patients, and a key factor in the prevention and treatment of T2DM is the patient’s self-management and medication adherence. Telehealth is an innovative instrument to enhance the healthcare service. This study aims to examine the Telehealth's effect on patients with T2DM at Lien Chieu District Medical Center in Da Nang city.

Methods: A non-randomized controlled intervention study using telehealth to enhance outpatient treatment management of patients with T2DM was conducted. We used YouMed application as an telehealth application.

Results: The telehealth intervention at Lien Chieu District Medical Center in Da Nang city showed significant HbA1c decrease after 3 months and glucose decrease after 6 months, respectively dropping from 6.75% to 6.60% (p = 0.037) and from 8.31% to 7.61% (p < 0.001).

Conclusion: Telehealth has been shown to be effective in improving glycemic parameters, suggesting the potential for broader application of this intervention method in the care of type 2 diabetes patients. In addition, the integration of many patient support features promises to increase the effectiveness of telehealth.

Tài liệu tham khảo
[1]
International Diabetes Federation. About diabetes 2024 [cited 2024. Available from: https://idf.org/about-diabetes/what-is-diabetes/. Google Scholar
[2]
Nguyen TT. Survey on the capacity of commune health workers in the management and treatment of hypertension and diabetes in Ha Tinh province. Institute of Health Strategy and Policy; 2021. Google Scholar
[3]
Doraiswamy S, Abraham A, Mamtani R, Cheema S. Use of Telehealth During the COVID-19 Pandemic: Scoping Review. Journal of medical Internet research. 2020;22(12):e24087. Google Scholar
[4]
National Assembly of Vietnam. Law on Medical Examination and Treatment 2023, Law No. 15/2023/QH15. 2023. Google Scholar
[5]
Phuong D. Health care communication and medical examination for the elderly Lien Chieu District Information Portal: Lien Chieu District Information Portal; 2023 [According to the plan of the District Health Center, in June 2023, the Center will coordinate to organize communication and health check-ups for the elderly throughout the district.]. Available from: https://www.google.com/url?q=https://lienchieu.danang.gov.vn/chi-tiet-tin-tuc/-/asset_publisher/jpTynKxZlw6s/content/tieu-huy-tai-lieu-het-gia-tri-tai-luu-tru-co-quan-van-e-can-uoc-quan-tam-?articleId%3D2412746&sa=D&source=docs&ust=1730083738016262&usg=AOvVaw3znpmfhCXUT4n8QiRtbV5R. Google Scholar
[6]
Dat TV, Vinh ND, Hoang TM, Linh BTM, Trung TD, Luyen PD, et al. The current status of outpatient treatment management of patients with type 2 diabetes mellitus Lien Chieu district Medical center, Da Nang city in 2023. Vietnam Journal of Preventive Medicine. 2024;34(5). Google Scholar
[7]
Driskell OJ, Holland D, Waldron JL, Ford C, Scargill JJ, Heald A, et al. Reduced testing frequency for glycated hemoglobin, HbA1c, is associated with deteriorating diabetes control. Diabetes care. 2014;37(10):2731-7. Google Scholar
[8]
Myers A, Presswala L, Bissoonauth A, Gulati N, Zhang M, Izard S, et al. Telemedicine for disparity patients with diabetes: the feasibility of utilizing telehealth in the management of uncontrolled type 2 diabetes in black and Hispanic disparity patients; a pilot study. Journal of Diabetes Science Technology. 2021;15(5):1034-41. Google Scholar
[9]
Onyia AU, Berhie G, Cecchetti A, Hines A. The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study. Journal of patient experience. 2023;10:23743735231188835. Google Scholar
[10]
Sotomayor F, Gothong C, Hernandez R, Choe MY, Ash GI, Scott WH, et al. 1113-P: Utilizing a Novel Telemedicine Clinic for Managing Type 2 Diabetes—A Six-Month Pilot Study. Diabetes. 2024;73(Supplement_1):1113-P. Google Scholar
[11]
O'Brien N, Li E, Chaibva CN, Gomez Bravo R, Kovacevic L, Kwame Ayisi-Boateng N, et al. Strengths, Weaknesses, Opportunities, and Threats Analysis of the Use of Digital Health Technologies in Primary Health Care in the Sub-Saharan African Region: Qualitative Study. Journal of medical Internet research. 2023;25:e45224. Google Scholar