虚拟与面对面的医疗营养治疗在患有高脂血症的患者中的比较
Shannon Zoulek1, Jackson Shriver1, Navkiranjot Kaur1
1Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States.
Journal of clinical lipidology
|December 1, 2023
概括
远程医疗访问有效地管理超脂血症,与面对面咨询相比,脂质标志物呈现出类似的改善. 这突出了远程医疗的重要意义.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,远程医疗的普及加速了.
- 虚拟咨询对高脂血症管理的有效性仍未得到充分研究.
- 面对面 (F2F) 访问是营养治疗的传统标准.
研究的目的:
- 为了比较虚拟与F2F访问在改善超脂血症脂质标志物的有效性.
- 为了评估营养咨询后脂质谱的变化.
- 确定远程医疗是否是医疗营养治疗的可行替代方案.
主要方法:
- 观察性研究比较访问前后的脂质标记物.
- 包括41次虚拟和151次F2F与注册饮食师营养学家的访问.
- 脂质标记物 (TC,HDL,TG,LDL-C) 通过对T测试和线性回归分析.
主要成果:
- 在虚拟和F2F组中观察到总胆固醇 (TC),低密度脂蛋白胆固醇 (LDL-C) 和非HDL-C的显著降低.
- 在虚拟和F2F访问类型之间,没有发现脂质标记物的平均变化有统计学意义的差异.
- 远程医疗证明了与高脂血症管理的F2F访问相似的结果.
结论:
- 远程医疗是一种有前途且有效的战略,用于为高脂血症提供医疗营养治疗.
- 虚拟访问提供了与F2F咨询相似的替代方案,可能增加对护理的准入.
- 进一步的研究可以探索长期结果和患者对远程医疗干预治疗慢性疾病管理的满意度.
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