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结核病服务如何更好地支持患有糖尿病并发症的患者? 在菲律宾的一项混合方法研究
Lauren Oliveira Hashiguchi1,2,3, Sharon E Cox4,5,6, Tansy Edwards4,7
1National Institute of Nursing Research, National Institutes of Health, 31 Center Drive, Bethesda, MD, 20892-2178, USA. lauren.oliveirahashiguchi@nih.gov.
BMC health services research
|September 25, 2023
概括
糖尿病和结核病患者需要综合护理. 许多患者不知道糖尿病如何影响结核病治疗,这凸显了菲律宾需要更好的联合管理策略的需要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病 (DM) 显著增加结核病 (TB) 治疗不良结果的风险.
- 目前的结核病计划往往缺乏在结核病治疗期间管理DM的综合服务.
- 有效的联合管理策略对于改善患者的治疗结果至关重要.
研究的目的:
- 探索菲律宾接受结核病治疗的糖尿病患者的看法和生活经验.
- 为开发结核病和DM综合疾病联合管理战略提供信息.
主要方法:
- 混合方法研究涉及菲律宾189名糖尿病结核病患者的前性队列.
- 纵向血糖数据和后勤回归分析,以评估血糖控制.
- 半结构面试与31名有意抽样参与者进行主题分析.
主要成果:
- 参与者表现出对糖尿病管理的了解,但对DM对结核病结局的影响的认识有限.
- 新诊断的糖尿病患者往往缺乏先前的症状,这强调了结核病诊所查的重要性.
- 免费获得降血糖药物是有益的,但人们担心副作用和供应中断,以及对植物疗法的偏好.
- 结核病治疗所带来的身体和财务负担给糖尿病管理带来了挑战.
结论:
- 公共结核病诊所的位置很好,可以为患有结核病的糖尿病患者提供增强的医疗保健资源和教育.
- 结核病计划应考虑识别和管理复杂的DM病例,以减轻并发症的复杂负担.
- 将DM监测和管理整合到结核病护理中对于改善患者整体健康和治疗成功至关重要.
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