The Investigation and Analysis of Telemonitoring Management Mode Selected in Discharged Patients with Type 2 Diabetes

Zhou, Peiru

Monday, 22 July 2013

Peiru Zhou, RN
Nursing: Out-Patient Services, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ling-li Xu, RN
Outpatient department of the first affiliated hospital of Jinan University, No.613, West Huangpu Da Dao, Guangzhou, China., Guangzhou, China

Learning Objective 1: Home telemonitoring with T2DM in our hospital can not be well accepted nowadays, which affected by a variety of factors.

Learning Objective 2: The younger, higher educated, in Endocrinology, higher blood glucose more willing to select home telemonitoring management mode.

Purpose: It is necessary to seek for a more effective management mode for Chinese healthcare providers. During the last two decades, diabetes has been a major clinical focus for advances in information technology, telemedicine developments and intelligent systems^[6]. Though web-based telemonitoring can give the patients the tools they need to take better control of their illness^[7]and is widely used in many developed countries for many years, there’s still very few in China, only one research published.

Methods: 106 hospitalized patients with type 2 diabetes are investigated face-to-face. Patients can chose one of the three management modes below freely: (1)‘outpatient followed up combined with home telemonitoring management’, (2)‘outpatient followed up combined with telephone follow-up management’, (3)‘outpatient followed up only’, after the researcher briefly introduce the treatment and complications of type 2 diabetes, the importance of self-management skills et al. Than the patients are asked to answer the reasons why or why not they chose home telemonitoring management mode.

Results: 22 (20.75%) of 106 patients select home telemonitoring management, 45 (42.45%) and 39 (36.79%) select telephone follow-up management and outpatient followed up. Different mode selection related with age, education level, wards, HbA1C and blood sugar values when their admission (P<0.05). The younger, higher educated, in Endocrinology, higher blood glucose (HbA1C and random blood sugar when their admission) are more willing to select home telemonitoring management mode.

Conclusion: Home telemonitoring with T2DM in our hospital can not be well accepted nowadays, which affected by a variety of factors. Therefore, the better way of traditional care with T2DM is combining home telemonitoring management with traditional healthcare management(telephone follow-up, out-patient followed up and so on) at present, and establish a management model suitable for individual patient.

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