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关于1型糖尿病护理的过渡模式:系统性审查
Yvonne Zurynski1,2, Ann Carrigan3, Isabelle Meulenbroeks4
1NHMRC Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. Yvonne.Zurynski@mq.edu.au.
BMC health services research
|July 20, 2023
概括
对1型糖尿病 (T1D) 护理的过渡模型显示,对于新兴成年人来说,结果各不相同. 虽然一些结构化教育和多学科团队方法改善了结果,但缺乏关于实施的证据.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 管理1型糖尿病 (T1D) 是复杂的新兴成年人过渡到自我管理.
- 对于儿科到成人服务过渡存在各种护理模式,但对其有效性的证据有限.
- 本研究综合了T1D过渡模型,其结果和实施因素的证据.
研究的目的:
- 综合关于1型糖尿病过渡模型及其组件的证据.
- 检查与这些模型相关的健康和心理社会结果.
- 确定实施以人为中心的过渡护理的决定因素.
主要方法:
- 在 Medline,CINAHL,EMBASE 和 Scopus 搜索同行评审研究 (2010-2021).
- 包括对T1D护理模式的经验研究 (实验,定性,混合方法,观察).
- 专注于以英语出版的研究.
主要成果:
- 14项研究报告了健康,心理社会结果和医疗保健参与度.
- 确定了关键模式:结构化教育 (6项研究),多学科团队 (MDT,5项研究) 和远程医疗 (3项研究).
- 结构化教育和MDT模型在血糖控制,心理健康和参与度方面显示出混合但一些改善;远程医疗改善了坚持,但没有改善健康结果.
结论:
- 报道了T1D过渡模型的一些健康和社会心理益处,但研究结果不一致.
- 没有关于临床医生或管理人员实施结果 (可接受性,采用性,适当性) 的研究报告.
- 解决实施差距对于未来成功采用T1D过渡模型至关重要.
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