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在初级保健中对2型糖尿病患者进行专业间随访干预的评估 - 一个随机对照试验,嵌入了定性访谈
Marit Graue1, Jannicke Igland1,2, Anne Haugstvedt1
1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
PloS one
|November 15, 2023
概括
一项专业间的干预改善了2型糖尿病患者的血糖控制,体重和腰围. 虽然患者激活没有变化,但定性见解显示健康意识和理解增加.
科学领域:
- 主要护理是指初级护理.
- 糖尿病管理 糖尿病管理
- 健康心理学 心理健康心理学
背景情况:
- 人口老龄化和改善的治疗方法导致更多的慢性病患者生活,增加初级保健的复杂性.
- 目前的2型糖尿病管理指南建议跨专业的合作,以有效的自我管理支持.
- 多病症患者在初级保健机构中存在重大挑战.
研究的目的:
- 评估一项基于赋权的专业间随访干预,用于初级保健中的2型糖尿病患者.
- 评估干预对患者报告结果,生物标志物和体重的影响.
- 探索患者与专业间干预的经验.
主要方法:
- 一个为期12个月的随机对照试验,将一个跨专业干预组与一个仅由医生组成的对照组进行比较.
- 干预包括基于赋权的咨询和标准化的医疗报告.
- 主要结局是患者激活量;次要结局包括血糖控制,体重和腰围. 进行了定性采访.
主要成果:
- 在主要结局 (患者激活度量得分) 中,两组之间没有发现显著差异.
- 干预组在12个月后显示出血糖控制的显著改善 (平均差异为-8.6 mmol/l).
- 在干预组中观察到体重 (-1.8公斤) 和腰围 (-3.9厘米) 显著减少.
结论:
- 基于赋权的专业间干预表明了对二次结果的积极影响,如2型糖尿病患者的血糖控制和体重管理.
- 定性研究结果表明,患者对健康挑战的认识和理解增加了,尽管采取行动需要时间.
- 进一步的研究应该探索这种干预措施在患有较高疾病负担和更强烈的变化动机的患者.
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