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Research article
Yan Yang
Shandong University Qilu Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0001-5329-8451
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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.
Keywords
Nonalcoholic fatty liver disease, health education, health management, quality of life
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CURRENT STATUS: Under Revision
Version 3
Posted 26 May, 2020
No community comments so far
Editorial decision: Minor revision
On 27 May, 2020
Reviewers invited
Invitations sent on 18 May, 2020
Reviewer #1 agreed
On 18 May, 2020
Reviewer #2 agreed
On 18 May, 2020
Review #1 received
Received 18 May, 2020
Review #2 received
Received 18 May, 2020
Editor assigned
On 13 May, 2020
Submission checks complete
On 12 May, 2020
Editor invited
On 12 May, 2020
No comments provided
Editorial decision: Minor revision
On 04 May, 2020
Review #2 received
Received 29 Apr, 2020
Reviewers invited
Invitations sent on 28 Apr, 2020
Reviewer #1 agreed
On 28 Apr, 2020
Reviewer #2 agreed
On 28 Apr, 2020
Review #1 received
Received 28 Apr, 2020
Editor assigned
On 20 Apr, 2020
Submission checks complete
On 19 Apr, 2020
Editor invited
On 19 Apr, 2020
No comments provided
Editorial decision: Major revision
On 06 Apr, 2020
Reviewer #2 agreed
On 29 Mar, 2020
Review #2 received
Received 29 Mar, 2020
Reviewer #1 agreed
On 20 Sep, 2019
Review #1 received
Received 20 Sep, 2019
Editor assigned
On 05 Aug, 2019
Reviewers invited
Invitations sent on 05 Aug, 2019
Submission checks complete
On 04 Aug, 2019
Editor invited
On 04 Aug, 2019
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This preprint is under consideration at BMC Public Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Yan Yang
Shandong University Qilu Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0001-5329-8451
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Revision
Version 3
Posted 26 May, 2020
No community comments so far
Editorial decision: Minor revision
On 27 May, 2020
Reviewers invited
Invitations sent on 18 May, 2020
Reviewer #1 agreed
On 18 May, 2020
Reviewer #2 agreed
On 18 May, 2020
Review #1 received
Received 18 May, 2020
Review #2 received
Received 18 May, 2020
Editor assigned
On 13 May, 2020
Submission checks complete
On 12 May, 2020
Editor invited
On 12 May, 2020
No comments provided
Editorial decision: Minor revision
On 04 May, 2020
Review #2 received
Received 29 Apr, 2020
Reviewers invited
Invitations sent on 28 Apr, 2020
Reviewer #1 agreed
On 28 Apr, 2020
Reviewer #2 agreed
On 28 Apr, 2020
Review #1 received
Received 28 Apr, 2020
Editor assigned
On 20 Apr, 2020
Submission checks complete
On 19 Apr, 2020
Editor invited
On 19 Apr, 2020
No comments provided
Editorial decision: Major revision
On 06 Apr, 2020
Reviewer #2 agreed
On 29 Mar, 2020
Review #2 received
Received 29 Mar, 2020
Reviewer #1 agreed
On 20 Sep, 2019
Review #1 received
Received 20 Sep, 2019
Editor assigned
On 05 Aug, 2019
Reviewers invited
Invitations sent on 05 Aug, 2019
Submission checks complete
On 04 Aug, 2019
Editor invited
On 04 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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.
Figure 1
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