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基于慢性护理模型的社区网络开发和实施糖尿病护理
Kanniyaporn Boocha1, Chanuttha Ploylearmsang2
1Master degree student of Primary Care Pharmacy Program, Faculty of Pharmacy, Mahasarakham University, Katarawichai, Maha Sarakham, Thailand.
Journal of primary care & community health
|June 27, 2023
概括
一个社区主导的慢性护理模型 (CCM) 改善了泰国的糖尿病管理. 通过增加社区参与糖尿病护理,CCM增强了患者的知识,护理人员的支持和HbA1c控制.
科学领域:
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
- 社区健康研究 社区健康研究
背景情况:
- 糖尿病是一种日益严重的公共卫生问题,需要创新的管理策略.
- 初级保健机构对于有效的糖尿病管理和患者支持至关重要.
- 社区参与对于开发可持续的医疗保健模式至关重要.
研究的目的:
- 通过使用慢性护理模型 (CCM) 共同开发和评估基于社区的糖尿病护理模型.
- 评估已实施的CCM对糖尿病患者,家庭护理人员和初级保健社区网络的有效性.
- 加强社区参与泰国一个地区的糖尿病管理.
主要方法:
- 参与行动研究涉及一个协作健康团队和社区网络 (25名成员).
- 将41名2型糖尿病患者和41名家庭护理人员纳入数据收集 (2021年10月 - 2022年3月).
- 四个阶段的研究过程:计划,行动,观察和反思,利用定量和定性数据.
主要成果:
- 糖尿病患者,家庭护理人员和社区代表的平均知识分数显著增加.
- 糖尿病患者对家庭照顾者支持的满意度最高;社区网络重视参与模式规划.
- 实施后实现控制HbA1c水平 (<7毫克%) 的患者百分比显著增加 (0%至9.76%).
结论:
- 基于CCM的糖尿病护理模式成功促进了社区参与和参与糖尿病管理.
- 该模型对糖尿病患者的HbA1c控制和社区网络的满意度产生了积极影响.
- 这种方法突出了社区驱动的倡议在改善慢性疾病护理在初级卫生保健机构的潜力.
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