Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study
Abstract Objective This study aims to explore the effect of Internet + E-Coach chronic disease system intervention on fasting blood glucose (FPG), 2-hour postprandial blood glucose(2hPG), fasting serum insulin (FINS), triglyceride (TG), alanine transaminase (ALT) and quality of life in patients with...
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| Format: | Article |
| Language: | English |
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BMC
2024-10-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-024-03737-7 |
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| author | Xiaojuan Yao Xiaodong Cao Zhaoxian Yan Xiaoli Qian Dan Qian Zheng Lin |
| author_facet | Xiaojuan Yao Xiaodong Cao Zhaoxian Yan Xiaoli Qian Dan Qian Zheng Lin |
| author_sort | Xiaojuan Yao |
| collection | DOAJ |
| description | Abstract Objective This study aims to explore the effect of Internet + E-Coach chronic disease system intervention on fasting blood glucose (FPG), 2-hour postprandial blood glucose(2hPG), fasting serum insulin (FINS), triglyceride (TG), alanine transaminase (ALT) and quality of life in patients with chronic diabetic retinopathy. Methods 208 patients with chronic diabetic retinopathy who were treated in the hospital from March 2021 to March 2023 are chosen and separated into two groups by random number Table 104 patients in the control group received routine continuous intervention, and the research group received Internet + E-Coach chronic disease system intervention. The cognition of disease related knowledge, blood related indicators inflammatory factor levels and improvement of life quality between the two groups before intervention, 6 and 12 months after intervention were compared. Results Before the intervention, the comparison between the two groups in disease related knowledge scores, blood glucose, blood lipid, liver function indicators, inflammatory factor, and low vision quality of life scale (CLVQOL) scores was with P > 0.05. After 6 and 12 months of intervention, the research group had significantly higher scores for basic blood glucose intervention, healthy diet, reasonable exercise, and correct medication use compared to the control group (P < 0.05). FPG, 2hPG, TG and ALT in the research group were lower than those in the control group. FINS were higher in the control group, with P < 0.05. Interleukin-6 (IL-6), tumor necrosis factor (TNF-α), and hypersensitive C-reactive protein (Hs-CRP) in the research group were obviously lower than those in the control group (P < 0.05). The scores of far vision, movement and light perception, adjustment ability, reading and fine work, and daily living ability in the research group were higher than those in the control group, with P < 0.05. Conclusion The intervention of Internet + E-Coach chronic disease system can improve the knowledge of chronic diabetic retinopathy patients about their own condition, stabilize the levels of blood sugar, blood lipid and liver function indicators, reduce the inflammatory reaction of the body, and improve the quality of life. |
| format | Article |
| id | doaj-art-6dcc1b70be4a4c9d9e21b50a7b5b7486 |
| institution | OA Journals |
| issn | 1471-2415 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-6dcc1b70be4a4c9d9e21b50a7b5b74862025-08-20T02:18:11ZengBMCBMC Ophthalmology1471-24152024-10-0124111210.1186/s12886-024-03737-7Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative studyXiaojuan Yao0Xiaodong Cao1Zhaoxian Yan2Xiaoli Qian3Dan Qian4Zheng Lin5Department of Emergency Medicine, The Affiliated Wuxi People’s Hospital of Nanjing Medical UniversityNursing Department, The Affiliated Wuxi People’s Hospital of Nanjing Medical UniversityDepartment of Outpatient and Emergency, The Affiliated Wuxi People’s Hospital of Nanjing Medical UniversityDepartment of Ward 12A, The Affiliated Wuxi People’s Hospital of Nanjing Medical UniversityDepartment of Emergency Medicine, The Affiliated Wuxi People’s Hospital of Nanjing Medical UniversitySchool of Nursing, Nanjing Medical UniversityAbstract Objective This study aims to explore the effect of Internet + E-Coach chronic disease system intervention on fasting blood glucose (FPG), 2-hour postprandial blood glucose(2hPG), fasting serum insulin (FINS), triglyceride (TG), alanine transaminase (ALT) and quality of life in patients with chronic diabetic retinopathy. Methods 208 patients with chronic diabetic retinopathy who were treated in the hospital from March 2021 to March 2023 are chosen and separated into two groups by random number Table 104 patients in the control group received routine continuous intervention, and the research group received Internet + E-Coach chronic disease system intervention. The cognition of disease related knowledge, blood related indicators inflammatory factor levels and improvement of life quality between the two groups before intervention, 6 and 12 months after intervention were compared. Results Before the intervention, the comparison between the two groups in disease related knowledge scores, blood glucose, blood lipid, liver function indicators, inflammatory factor, and low vision quality of life scale (CLVQOL) scores was with P > 0.05. After 6 and 12 months of intervention, the research group had significantly higher scores for basic blood glucose intervention, healthy diet, reasonable exercise, and correct medication use compared to the control group (P < 0.05). FPG, 2hPG, TG and ALT in the research group were lower than those in the control group. FINS were higher in the control group, with P < 0.05. Interleukin-6 (IL-6), tumor necrosis factor (TNF-α), and hypersensitive C-reactive protein (Hs-CRP) in the research group were obviously lower than those in the control group (P < 0.05). The scores of far vision, movement and light perception, adjustment ability, reading and fine work, and daily living ability in the research group were higher than those in the control group, with P < 0.05. Conclusion The intervention of Internet + E-Coach chronic disease system can improve the knowledge of chronic diabetic retinopathy patients about their own condition, stabilize the levels of blood sugar, blood lipid and liver function indicators, reduce the inflammatory reaction of the body, and improve the quality of life.https://doi.org/10.1186/s12886-024-03737-7Internet + E-Coach chronic disease systemChronic diabetic retinopathyBlood glucose, blood lipid, alanine transaminaseQuality of life |
| spellingShingle | Xiaojuan Yao Xiaodong Cao Zhaoxian Yan Xiaoli Qian Dan Qian Zheng Lin Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study BMC Ophthalmology Internet + E-Coach chronic disease system Chronic diabetic retinopathy Blood glucose, blood lipid, alanine transaminase Quality of life |
| title | Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study |
| title_full | Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study |
| title_fullStr | Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study |
| title_full_unstemmed | Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study |
| title_short | Effectiveness of Internet + E-Coach chronic disease management on blood glucose, lipid levels, liver function, and quality of life in patients with chronic diabetic retinopathy: a comparative study |
| title_sort | effectiveness of internet e coach chronic disease management on blood glucose lipid levels liver function and quality of life in patients with chronic diabetic retinopathy a comparative study |
| topic | Internet + E-Coach chronic disease system Chronic diabetic retinopathy Blood glucose, blood lipid, alanine transaminase Quality of life |
| url | https://doi.org/10.1186/s12886-024-03737-7 |
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