scholarly journals Evaluation of the effect of an "Internet plus medical"-based health management service model in patients with nonalcoholic fatty liver disease

2020 ◽  
Author(s):  
Yan Yang ◽  
Cui-Huan Tian ◽  
Jun Dai ◽  
Wei Zhang ◽  
Shu-Qing Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Education ◽  
Fatty Liver Disease ◽  
Health Management ◽  
Management Service ◽  
Service Model ◽  
Nonalcoholic Fatty Liver ◽  
Management Platform ◽  
Education Group

Abstract Objectives To observe the effect of an "Internet plus medical"-based health management service model in patients with nonalcoholic fatty liver disease (NAFLD) and to explore an effective model for NAFLD health management to provide a reference for NAFLD treatment and nursing.Methods A total of 519 patients with NAFLD were randomly assigned to a routine health education group (N=258) or a health management platform group (N=261). The routine health education group received routine health education, and the health management platform group was treated with the "Internet plus medical"-based health management service model to manage NAFLD. The new model provides closed-loop services for the prevention and rehabilitation of NAFLD through the process of grouping, filing, evaluating, planning, intervening, assessing stage and following up. The two groups were observed for 24 weeks. The results of basic indicators, laboratory indicators, body composition analyses, controlled attenuation parameters (CAP) and quality of life assessment questionnaires were used as evaluation indices. All data of the participants were collected and analyzed prior to and following the intervention, and the differences between the two groups were compared.Results Compared with the routine health education group, the NAFLD health management service model based on “Internet plus medical” treatment effectively reduced the weight, body mass index (BMI), CAP, aspartate transaminase (AST)/alanine aminotransferase (ALT) value, body fat content and visceral fat area of NAFLD patients (P =0.047, 0.031, 0.044, 0.037 and 0.047, respectively) and improve the quality of life of NAFLD patients in terms of physiological role, energy and general health (P=0.027, 0.001 and 0.044, respectively).Conclusions The results of the present study preliminarily confirm the validity and development prospects of the new NAFLD management service model. This finding suggests that the model is an evidence-based model of health education and management for NAFLD prevention in China.

scholarly journals Evaluation of the effect of an "Internet plus medical"-based health management service model in patients with nonalcoholic fatty liver disease

2020 ◽  
Author(s):  
Yan Yang ◽  
Cui-Huan Tian ◽  
Jun Dai ◽  
Wei Zhang ◽  
Shu-Qing Li ◽  
...  
Keyword(s):  
Health Education ◽  
Fatty Liver Disease ◽  
Health Management ◽  
The Internet ◽  
Management Service ◽  
Service Model ◽  
Nonalcoholic Fatty Liver ◽  
Management Platform ◽  
Education Group

Abstract Objectives: To observe the effect of an "Internet plus medical"-based health management service model in patients with nonalcoholic fatty liver disease (NAFLD) and to explore an effective model for NAFLD health management to provide a reference for NAFLD treatment and nursing.Methods: The present study was a randomized, controlled, parallel-group comparison trial. A total of 519 patients with NAFLD were randomly assigned to a routine health education group (N=258) or a health management platform group (N=261). The routine health education group received routine health education, and the health management platform group was treated with the "Internet plus medical"-based health management service model to manage NAFLD. The new model provides closed-loop services for the prevention and rehabilitation of NAFLD through the process of grouping, filing, evaluating, planning, intervening, assessing stage and following up. The two groups were observed for 24 weeks. The results of basic indicators, laboratory indicators, body composition analyses, controlled attenuation parameters (CAP) and quality of life assessment questionnaires were used as evaluation indices. All data of the participants were collected and analyzed prior to and following the intervention, and the differences between the two groups were compared.Results: Compared with the routine health education group, the NAFLD health management service model based on “Internet plus medical” treatment effectively reduced the weight (-3.80±3.11vs -0.12±3.42, P =0.047), body mass index (BMI) (-1.73±1.20 vs -0.14±1.68, P =0.031), CAP (-48.42±10.13 vs 4.13±7.45, P =0.044), aspartate transaminase (AST)/alanine aminotransferase (ALT) value (0.18±0.37 vs 0.04±0.11, P = 0.037), body fat content (-2.24±2.58 vs -0.86±2.78, P =0.194) and visceral fat area (-10.87±15.34 vs -0.55±19.13, P =0.047) of NAFLD patients and improved the quality of life of NAFLD patients in terms of physiological role (96.59 ±11.31 vs 90.69 ± 13.49, P=0.027), vitality (86.57±6.07 vs 81.94±5.78, P=0.001) and general health (78.05±6.35vs 73.61±10.12, P=0.044).Conclusions: The results of the present study preliminarily confirm the validity and development prospects of the "Internet plus medical"-based health management service model in NAFLD. This finding suggests that the model is an evidence-based model of health education and management for NAFLD prevention in China.

scholarly journals Evaluation of the effect of an "Internet plus medical"-based health management service model in patients with nonalcoholic fatty liver disease

2020 ◽  
Author(s):  
Yan Yang ◽  
Cui-Huan Tian ◽  
Jun Dai ◽  
Wei Zhang ◽  
Shu-Qing Li ◽  
...  
Keyword(s):  
Health Education ◽  
Fatty Liver Disease ◽  
Health Management ◽  
The Internet ◽  
Management Service ◽  
Service Model ◽  
Nonalcoholic Fatty Liver ◽  
Management Platform ◽  
Education Group

Abstract Objectives: To observe the effect of an "Internet plus medical"-based health management service model in patients with nonalcoholic fatty liver disease (NAFLD) and to explore an effective model for NAFLD health management to provide a reference for NAFLD treatment and nursing. Methods: The present study was a randomized, controlled, parallel-group comparison trial. A total of 519 patients with NAFLD were randomly assigned to a routine health education group (N=258) or a health management platform group (N=261). The routine health education group received routine health education, and the health management platform group was treated with the "Internet plus medical"-based health management service model to manage NAFLD. The new model provides closed-loop services for the prevention and rehabilitation of NAFLD through the process of grouping, filing, evaluating, planning, intervening, assessing stage and following up. The two groups were observed for 24 weeks. The results of basic indicators, laboratory indicators, body composition analyses, controlled attenuation parameters (CAP) and quality of life assessment questionnaires were used as evaluation indices. All data of the participants were collected and analyzed prior to and following the intervention, and the differences between the two groups were compared. Results: Compared with the routine health education group, the NAFLD health management service model based on “Internet plus medical” treatment effectively reduced the weight (-3.80±3.11vs -0.12±3.42, P =0.047), body mass index (BMI) (-1.73±1.20 vs -0.14±1.68, P =0.031), CAP (-48.42±10.13 vs 4.13±7.45, P =0.044), aspartate transaminase (AST)/alanine aminotransferase (ALT) value (0.18±0.37 vs 0.04±0.11, P = 0.037), body fat content(-2.24±2.58 vs -0.86±2.78, P =0.194) and visceral fat area(-10.87±15.34 vs -0.55±19.13, P =0.047) of NAFLD patients and improve the quality of life of NAFLD patients in terms of physiological role(96.59 ±11.31 vs 90.69 ± 13.49, P =0.027), vitality (86.57±6.07 vs 81.94±5.78, P =0.001) and general health(78.05±6.35vs 73.61±10.12, P =0.044 ). Conclusions: The results of the present study preliminarily confirm the validity and development prospects of the "Internet plus medical"-based health management service model in NAFLD. This finding suggests that the model is an evidence-based model of health education and management for NAFLD prevention in China.

Health-related Quality of Life in Nonalcoholic Fatty Liver Disease Associates With Hepatic Inflammation

2019 ◽  
Vol 17 (10) ◽  
pp. 2085-2092.e1 ◽  
Author(s):  
Yvonne Huber ◽  
Marie Boyle ◽  
Kate Hallsworth ◽  
Dina Tiniakos ◽  
Beate K. Straub ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Liver Disease ◽  
Fatty Liver ◽  
Fatty Liver Disease ◽  
Health Related Quality ◽  
Hepatic Inflammation ◽  
Nonalcoholic Fatty Liver ◽  
Related Quality ◽  
Health Related

Nonalcoholic fatty liver disease: lifestyle and quality of life

HORMONES ◽  
2021 ◽  
Author(s):  
Ilias Vachliotis ◽  
Antonis Goulas ◽  
Paraskevi Papaioannidou ◽  
Stergios A. Polyzos
Keyword(s):  
Quality Of Life ◽  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Fatty Liver Disease ◽  
Nonalcoholic Fatty Liver

scholarly journals Mobile Health App With Social Media to Support Self-Management for Patients With Chronic Kidney Disease: Prospective Randomized Controlled Study (Preprint)

2020 ◽  
Author(s):  
Wen-Yi Li ◽  
Fu-Chun Chiu ◽  
Jyun-Kai Zeng ◽  
Yao-Wei Li ◽  
Su-Hua Huang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Media ◽  
Kidney Disease ◽  
Health Management ◽  
Intervention Group ◽  
Wearable Devices ◽  
Self Management ◽  
Control Group ◽  
Management Platform

BACKGROUND Chronic kidney disease (CKD) is a global health burden. Self-management plays a key role in improving modifiable risk factors. OBJECTIVE The aim of this study was to evaluate the effectiveness of wearable devices, a health management platform, and social media at improving the self-management of CKD, with the goal of establishing a new self-management intervention model. METHODS In a 90-day prospective experimental study, a total of 60 people with CKD at stages 1-4 were enrolled in the intervention group (n=30) and control group (n=30). All participants were provided with wearable devices that collected exercise-related data. All participants maintained dietary diaries using a smartphone app. All dietary and exercise information was then uploaded to a health management platform. Suggestions about diet and exercise were provided to the intervention group only, and a social media group was created to inspire the participants in the intervention group. Participants’ self-efficacy and self-management questionnaire scores, Kidney Disease Quality of Life scores, body composition, and laboratory examinations before and after the intervention were compared between the intervention and control groups. RESULTS A total of 49 participants completed the study (25 in the intervention group and 24 in the control group); 74% of the participants were men and the mean age was 51.22 years. There were no differences in measured baseline characteristics between the groups except for educational background. After the intervention, the intervention group showed significantly higher scores for self-efficacy (mean 171.28, SD 22.92 vs mean 142.21, SD 26.36; <i>P</i>&lt;.001) and self-management (mean 54.16, SD 6.71 vs mean 47.58, SD 6.42; <i>P</i>=.001). Kidney Disease Quality of Life scores were also higher in the intervention group (mean 293.16, SD 34.21 vs mean 276.37, SD 32.21; <i>P</i>=.02). The number of steps per day increased in the intervention group (9768.56 in week 1 and 11,389.12 in week 12). The estimated glomerular filtration rate (eGFR) of the intervention group was higher than that of the control group (mean 72.47, SD 24.28 vs mean 59.69, SD 22.25 mL/min/1.73m<sup>2</sup>; <i>P</i>=.03) and the decline in eGFR was significantly slower in the intervention group (–0.56 vs –4.58 mL/min/1.73m<sup>2</sup>). There were no differences in body composition between groups postintervention. CONCLUSIONS The use of wearable devices, a health management platform, and social media support not only strengthened self-efficacy and self-management but also improved quality of life and a slower eGFR decline in people with CKD at stages 1-4. These results outline a new self-management model to promote healthy lifestyle behaviors for patients with CKD. CLINICALTRIAL ClinicalTrials.gov NCT04617431; https://www.clinicaltrials.gov/ct2/show/NCT04617431

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