Browsing by Author "Kim, Hee-Seung"
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- ItemAdherence to diabetes control recommendations: impact of nurse telephone calls.(2003-12-03) Kim, Hee-Seung; Oh, Jeong-AhType 2 diabetes mellitus is increasing in incidence and research has shown that normalization of blood glucose levels can moderate the risk of microvascular and neurological complications
- ItemCellular phone and Internet-based individual intervention on blood pressure and obesity in obese patients with hypertension.(2009-08-24) Park, Min-Jeong; Kim, Hee-Seung; Kim, Kyung-SooPURPOSE The present study evaluated whether an intervention using a short message service SMS by cellular phone and Internet would improve blood pressure weight control and serum lipids of obese patients with hypertension during 8 weeks METHODS This is a quasi experimental design with pre and follow up tests Participants were recruited from the family medicine outpatient department of tertiary care hospital located in an urban city of South Korea Twenty eight patients were assigned to an intervention group and 21 to a control group The goal of intervention was to bring blood pressure body weight and serum lipids levels close to normal ranges Patients in the intervention group were requested to record their blood pressure and body weight in a weekly web based diary through the Internet or by cellular phones The researchers sent optimal recommendations as an intervention to each patient by both cellular phone and Internet weekly The intervention was applied for 8 weeks RESULTS Systolic SBP and diastolic blood pressures DBP significantly decreased by 9 1 and 7 2 mmHg respectively at 8 weeks from the baseline in the intervention group pUnder0 05 However after 8 weeks from the baseline both SBP and DBP in the control group had not changed significantly Yet There were significant mean decreases in body weight and waist circumference by 1 6 kg pUnder0 05 and 2 8 cm pUnder0 05 in the intervention group respectively In the control group increases in body weight and waist circumference pUnder0 05 mean changes were also significant High density lipoprotein cholesterol HDL C significantly increased with a mean change of 3 7 mg dl at 8 weeks from baseline in the intervention group pUnder0 05 The mean change of HDL C in the control group was however not significant CONCLUSION During 8 weeks using this web based intervention by way of cellular phone and Internet SMS improved blood pressure body weight waist circumference and HDL C in patients with obese hypertension
- ItemDevelopment of web-based diabetic patient management system using short message service (SMS).(2004-11-26) Kwon, Hyuk-Sang; Cho, Jae-Hyoung; Kim, Hee-Soo; Lee, Jin-Hee; Song, Bok-Re; Oh, Jung-Ah; Han, Je-Ho; Kim, Hee-Seung; Cha, Bong-Yun; Lee, Kwang-Woo; Son, Ho-Young; Kang, Sung-Koo; Lee, Won-Chul; Yoon, Kun-HoWe developed a blood glucose management system using the Internet and short message service SMS which can lessen the social economic burden and materialize an individualized diabetes mellitus management A total of 185 diabetic patients participated in this study and their mean age was 42 4 years old 8 79 year old Participants sent their self measured blood glucose levels medication and its dosages amount of meal and degree of exercise to their health providers in this specialized web based diabetes management system for 3 months The health providers consisting of endocrinology specialists dietitians and nurses sent recommendations for individualized diabetes management according to the data on the web Laboratory tests including lipid profiles and glycated hemoglobin HbA1c and a survey of satisfaction about this system were performed before and after the study period The mean HbA1c improved from 7 5 1 5 to 7 0 1 1 after using the management program P 0 003 The mean serum triglyceride and HDL cholesterol levels turned for the better also HbA1c improved from 8 4 1 2 to 7 5 1 0 after applying this program to patients with the HbA1c of 7 or higher at baseline P 0 010 We propose this web based diabetic patient management system as a new tool for communication between health care providers and patients
- ItemEffectiveness of mobile and internet intervention in patients with obese type 2 diabetes.(2008-04-25) Kim, Suk-Il; Kim, Hee-SeungPURPOSE The present study evaluated whether an intervention using the SMS by personal cellular phone and internet would improve the levels of plasma glucose of obese type 2 diabetes at 3 6 9 and 12 months METHODS This is a quasi experimental design with pre and follow up tests Participants were recruited from the endocrinology outpatient department of tertiary care hospital located in an urban city of South Korea Eighteen patients were randomly assigned to an intervention group and 16 to a control group The goal of the intervention was to decrease body weight and keep blood glucose concentrations close to the normal range Patients were requested to record their blood glucose level in a weekly diary on the website by personal cellular phones or computer internet The researcher sent optimal recommendations to each patient by both the cellular phone and the Internet weekly The intervention was applied for 1 year RESULTS Glycosylated hemoglobin HbA 1 c decreased 1 22 percentage points at 3 months 1 09 percentage points at 6 months 1 47 percentage points at 9 months and 1 49 percentage points at 12 months compared with baseline in the intervention group all time points pUnder0 05 The percentage change in the control group was however not significant Patients in the intervention group had a decrease of 2 h post prandial test 2HPPT of 120 1mg dl at 3 months 58 9 mg dl at 6 months 62 0mg dl at 9 months and 102 9 mg dl at 12 months compared with baseline all time points pUnder0 05 The mean change in the control group was however not significant CONCLUSION This web based intervention using SMS of personal cellular phone and Internet improved HbA 1 c and 2HPPT at 3 6 9 and 12 months in patients with obese type 2 diabetes
- ItemEffects of an Internet-based intervention on plasma glucose levels in patients with type 2 diabetes.(2005-09-22) Kim, Hee-Seung; Yoo, Yang-Suk; Shim, Hye-SumThis study applied a 12 week educational intervention that used both the cellular phone and the Internet to send short message service Forty two diabetic patients were asked to access a Web site by using a cellular phone or wire Internet and input their blood glucose levels every day Patients were sent the optimal recommendations by both the cellular phone and the Internet After 12 weeks the patients had a mean decrease of 28 6 mg dL in fasting plasma glucose and 78 4 mg dL in 2 hour postprandial blood sugar levels and a mean increase in the care satisfaction score
- Item[Effects of Web-based diabetic education in obese diabetic patients].(2005-10-06) Kim, Hee-SeungPURPOSE The purpose of this study was to evaluate the effect of web based diabetic education on plasma glucose and serum lipids in obese people with diabetes METHOD A random allocation design with control and experimental groups being assessed pre and post intervention was used Eighteen patients were randomly allocated to an intervention group and 16 to a control group Participants were requested to input their blood glucose levels weekly for 3 months at http www biodang com by cellular phone or wire Internet The researcher sentoptimal recommendations to each patient weekly for 3 months using a short message service SMS of the cellular phone and wire Internet RESULTS Patients in the intervention group had a mean decrease of 1 2 in glycosylated haemoglobin HbA1c levels and those in the control group had no difference in HbA1c levels There was a significant mean change in 2 hour post prandial blood glucose 2HPPG for the intervention group with a mean change of 120 1 mg dl The mean change in the control group however was not significant CONCLUSION These findings indicate that this web based intervention using SMS of the cellular phone for 3 months improved HbA1c and 2HPPG but did not affect total cholesterol triglyceride and high density lipoprotein cholesterol in obese type 2 diabetic patient
- Item[Effects of Web-based health education on blood glucose and blood pressure improvement in postmenopausal women with impaired fasting blood glucose].(2011-12-06) Oh, Jeong-Ah; Kim, Hee-Seung; Park, Min-Jeong; Shim, Hye-SunPURPOSE The purpose of this study was to investigate the effectiveness of an educational intervention that used both cellular phones and the Internet to provide a short messaging service SMS relating to blood glucose blood pressure and serum lipid levels in postmenopausal women with impaired fasting glucose IFG METHODS Twenty eight postmenopausal women were assigned to an intervention group and twenty one postmenopausal women to a control group The intervention was provided for 12 weeks Patients in the intervention group were asked to access a web site by using a cellular phone or to use the Internet directly and input their blood glucose and blood pressure levels weekly Participants were sent the optimal recommendations weekly by both cellular phone and Internet RESULTS The intervention group had a mean decrease in systolic blood pressure SBP level of 8 1 mmHg but changes for the control group were not significant There was a significant mean change in diastolic blood pressure DBP level for the intervention group 7 7 mmHg The mean change in the control group was not significant CONCLUSION This educational intervention using the Internet and a SMS by cellular phone improved levels of SBP and DBP in postmenopausal women with IFG
- ItemEvaluation of mobile phone and Internet intervention on waist circumference and blood pressure in post-menopausal women with abdominal obesity.(2012-05-07) Park, Min-Jeong; Kim, Hee-SeungPURPOSE The present study evaluated whether an intervention using a short message service SMS by personal cellular phone and Internet would reduce cardiovascular risk factors in post menopausal women with abdominal obesity over 12 weeks METHODS This is a quasi experimental design with pre and post tests Participants were recruited from the gynecology outpatient and family medicine departments of a tertiary care hospital located in an urban city of South Korea Only 67 subjects completed the entire study 34 in the intervention group and 33 controls The goal of intervention was to reduce waist circumference WC body weight BW and blood pressure BP levels Before the intervention demographic variables WC BW BP fasting plasma glucose FPG and serum lipids were measured as pre test data The WC BW BP FPG and serum lipids were measured again 12 weeks later Patients in the intervention group were requested to record their WC BW BP type and amount of diet and exercise in a weekly web based diary through the Internet or by cellular phone The researchers sent weekly recommendations on diet and exercise as an intervention to each patient by both cellular phone and Internet The intervention was applied for 12 weeks RESULTS WC and BW significantly decreased by 3 0 cm and 2 0 kg respectively at 12 weeks compared with the baseline in the intervention group However the mean changes in the control group significantly increased by 0 9 cm and 0 7 kg Systolic BP SBP and diastolic BP DBP significantly decreased by 6 5 and 4 6 mmHg in the intervention group respectively The mean changes in the control group were not significant in either SBP or DBP A significant mean decrease in total cholesterol TC was observed for the intervention group by 12 9 mg dl while the control group showed a significant mean increase by 1 5mg dl Low density lipoprotein cholesterol LDL C for the intervention group showed a significant mean decrease 11 3mg dl The mean change in the control group was however not significant CONCLUSION Web based individual intervention using both SMS and Internet improved WC BW BP TC and LDL C during 12 weeks in post menopausal women with abdominal obesity
- ItemImpact of a nurse short message service intervention for patients with diabetes.(2006-07-03) Kim, Hee-Seung; Kim, Nam-Cho; Ahn, Sung-HeeThe purpose of this study was to investigate the effect of a nurse short message service by cellular phone and the Internet on glycosylated hemoglobin HbA1c levels and adherence to diabetes control recommendations The patients with diabetes were asked to input their blood glucose levels every day by cellular phone or the Internet Optimal recommendations were sent weekly to each patient by short message service After 12 weeks the patients had a mean decrease of 1 1 in HbA1c level and an increase in diabetic medication taking 30 minutes of physical exercise and foot care adherence
- ItemA nurse short message service by cellular phone in type-2 diabetic patients for six months.(2007-05-23) Kim, Hee-Seung; Jeong, Hye-SunAIM To investigate the effectiveness of a nurse short message service SMS by cellular phone and wire Internet on plasma glucose levels in people with diabetes for six months BACKGROUND Blood glucose management system using telemedicine approaches may maintain the appropriate blood glucose levels in type 2 diabetic patients DESIGN A control group pre test post test design was used to assess the effectiveness of nurse s education METHODS Twenty five patients were randomly assigned to an intervention group and 26 to a control group The intervention was applied for six months The goal of the intervention was to keep blood glucose concentrations close to the normal range Participants were requested to input their blood glucose level diet and exercise diary everyday in the website by cellular phone or wire Internet The researcher sends optimal recommendations to each patient using SMS by cellular phone and wire Internet weekly RESULTS Glycosylated hemoglobin HbA 1 c decreased 1 15 points at three months and 1 05 points at six months compared with baseline in the intervention group Patients in the intervention group had a decrease of two hours post meal glucose 2HPMG of 85 1 mg dl at three months and 63 1 mg dl at six months compared with baseline CONCLUSION This web based intervention using SMS of cellular phone improved HbA 1 c and 2HPMG for six months in type 2 diabetic patients RELEVANCE TO CLINICAL PRACTICE An SMS of cellular phone intervention by a nurse can reduce HbA 1 c and 2HPMG for six months in type 2 diabetic patients
- ItemA randomized controlled trial of a nurse short-message service by cellular phone for people with diabetes.(2007-06-15) Kim, Hee-SeungBACKGROUND Nurse s education using telemedicine results in a decrease in blood glucose levels in patients with type 2 diabetes OBJECTIVE To investigate the effectiveness of an educational intervention that used both the cellular phone and the Internet to provide a short messaging service SMS relating to plasma glucose levels METHODS Twenty five patients were randomly assigned to an intervention group and 26 to a control group The intervention was applied for 12 weeks The goal of the intervention was to keep blood glucose concentrations close to the normal range Patients in the intervention group were asked to access a website by using a cellular phone or to wiring the Internet and input their blood glucose levels every day Participants were sent the optimal recommendations by both cellular phone and the Internet weekly RESULTS Patients in the intervention group had a mean decrease in glycosylated haemoglobin HbA 1 c levels of 1 15 and those in the control group had a mean increase of HbA 1 c levels of 0 07 p 0 005 There was a significant mean change in the 2hrs post meal glucose 2HPMG level for the intervention group pUnder0 05 with a mean change of 4 7mmol l The mean change in the control group was not significant CONCLUSION This educational intervention using the Internet and an SMS by cellular phone improved levels of HbA 1 c and 2HPMG
- ItemA short message service by cellular phone in type 2 diabetic patients for 12 months.(2008-02-01) Yoon, Kun-Ho; Kim, Hee-SeungOBJECTIVE Investigate the effectiveness of an educational intervention that used both the cellular phone with a short messaging service SMS and the Internet on the glycemic control of the patients with type 2 diabetes mellitus METHODS Twenty five patients were randomly assigned to an intervention group and twenty six to a control group The intervention was applied for 12 months The goal of the intervention was to keep blood glucose concentrations close to the normal range HbA 1 cUnder7 Patients in the intervention group were asked to access a website by using a cellular phone or to wiring the Internet and input their blood glucose levels weekly Participants were sent the optimal recommendations by both cellular phone and the Internet weekly RESULTS Participants in the intervention group had lower HbA 1 c over 12 months when compared with the control group At 12 months the change from baseline in HbA 1 c was 1 32 in the intervention group versus 0 81 in the control group Two hours post meal glucose 2HPMG had a significantly greater decline in the intervention group after 12 months when compared with the control group 100 0 versus 18 1mg dl CONCLUSION This educational intervention using the Internet and a SMS by cellular phone rapidly improved and stably maintained the glycemic control of the patients with type 2 diabetes mellitus
- ItemTechnological intervention for obese patients with type 2 diabetes.(2008-05-06) Kim, Hee-Seung; Song, Min-SunThis study applied a 6 month educational intervention that used the technology of the short message service via cellular phones and the Internet for obese patients with type 2 diabetes Eighteen patients were randomly assigned to an intervention group and 16 were assigned to a control group N 34 Patients in the intervention group were asked to access a web site by using personal cellular phones or computer Internet services to input their blood glucose levels daily Participants were then sent optimal recommendations via cellular phone and the Internet weekly After 6 months the intervention group had a statistically significant decrease in glycosylated hemoglobin fasting plasma glucose 2 hour postmeal glucose and total cholesterol as compared with the control group
- ItemA telephone-delivered intervention to improve glycemic control in type 2 diabetic patients.(2003-03-05) Oh, Jeong-Ah; Kim, Hee-Seung; Yoon, Kun-Ho; Choi, Euy-SoonThis study was performed to investigate the effect of a telephone delivered intervention on glycemic control and body mass index in Korean type 2 diabetic patients 38 patients were randomly selected with 20 assigned to a telephone group and 18 to a control group The goal of the intervention was to keep blood glucose concentrations close to the normal range The intervention was applied to the telephone group for 12 weeks It consisted of continuous education and reinforcement of diet exercise and medication adjustment as well as frequent self monitoring of blood glucose levels Telephone intervention was performed twice per week for the first month and then weekly for the second and third months Subjects were requested to write self management logs including blood glucose diet and an exercise diary The diet diaries were analyzed by a dietitian and subjects instructed about the results by telephone counseling or mail All medication adjustments were communicated to the subjects diabetes specialist Glycosylated hemoglobin HbA1c fasting blood glucose FBG and 2 hour postprandial glucose were measured before and after the intervention Patients in the telephone group had a mean decrease of 1 2 with those in the control group having a mean increase of 0 6 in HbA1c There were no significant differences in the body mass index BMI between the two groups These findings indicated that a telephone delivered intervention would improve HbA1c but would not affect BMI