TY - JOUR AU - Braune, Katarina AU - Boss, Karina AU - Schmidt-Herzel, Jessica AU - Gajewska, Katarzyna Anna AU - Thieffry, Axel AU - Schulze, Lilian AU - Posern, Barbara AU - Raile, Klemens PY - 2021 DA - 201/4/5 TI -通过服务设计构建COVID-19大流行期间数字化和远程糖尿病护理工作流程:前瞻性、纵向、非盲可行性试验乔- JMIR Mhealth Uhealth SP - e24374六世- 9 - 4 KW -远程医疗KW -远程医疗KW -远程护理KW -数字保健KW - 1型糖尿病KW -小儿糖尿病KW -开源KW -服务设计KW -数字医疗KW - COVID-19 KW -糖尿病KW -工作流AB -背景:COVID-19大流行对卫生保健提供者构成新的挑战和连续的护理。虽然已经建立了许多糖尿病技术，如胰岛素泵和连续血糖监测仪，但这些设备的数据很少被评估。此外，远程医疗还没有充分融入临床工作流程。目的:我们寻求远程支持1型糖尿病儿童及其护理人员，提高糖尿病儿童的临床结果和生活质量，通过参与式方法增加多方利益相关者对数字护理的参与，评估在大学医院环境中使用可互操作的开源平台的可行性，并分析从传统护理过渡到数字护理的成功因素和障碍。方法:采用服务设计方法调整临床工作流程。每月按需进行远程会诊。糖尿病设备数据从患者家中上传到一个开源平台。在德国COVID-19封锁期间之前、期间和之后，对临床和患者报告的结果进行了评估。结果:共有28名1型糖尿病儿童及其护理人员参加了这项研究，并完成了6个月的远程访问。 Of these 28 participants, 16 (57%) also opted to attend at least one of their regular visits remotely. After 3 months of remote visits, participants’ time in range (P=.001) and time in hyperglycemia (P=.004) significantly improved, and their time in hypoglycemia did not increase. These improvements were maintained during the COVID-19 lockdown period (ie, between months 3 and 6 of this study). Participants’ psychosocial health improved after 6 months. Conclusions: Remote consultations and commonly shared data access can improve the clinical outcomes and quality of life of children with type 1 diabetes, even during challenging circumstances. A service design approach helped with the delivery of comprehensive and holistic solutions that accounted for the needs of multiple stakeholders. Our findings can inform the future integration of digital tools into clinical care during and beyond the pandemic. Trial Registration: German Clinical Trials Register DRKS00016170; https://tinyurl.com/skz4wdk5 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2021/4/e24374 UR - https://doi.org/10.2196/24374 UR - http://www.ncbi.nlm.nih.gov/pubmed/33571104 DO - 10.2196/24374 ID - info:doi/10.2196/24374 ER -