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在护理过渡期间,识别妊娠糖尿病中产后随访的不一致性
Brittany Strelow1,2, Justine Herndon1,2, Alex Ferrier2
1Mayo Clinic, Rochester, MN, USA.
患有妊娠糖尿病 (GDM) 的女性往往不会接受2型糖尿病 (T2DM) 的查. 一项干预措施改善了查完成率,确定了近四分之一的参与者有异常结果.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 预防医学 预防医学
背景情况:
- 妊娠期糖尿病 (GDM) 显著增加了怀孕后发展2型糖尿病 (T2DM) 的风险.
- 目前的指导方针建议在产后6周和3年进行T2DM查,并较早对异常结果进行查.
- 在GDM后对T2DM的查指南的全球遵守率低于最佳水平.
研究的目的:
- 为了评估推的T2DM查的完成率,在女性有GDM史.
- 评估涉及教育材料和电子订单的干预对查遵守的影响.
- 确定影响查完成的因素和异常T2DM查结果的流行率.
主要方法:
- 对203名年龄在18-55岁的女性进行了回顾性图表审查,这些女性有GDM病史.
- 该研究追踪了在6周,1年和3年的分娩后间隔完成T2DM查.
- 一项干预措施包括提供教育材料,并为不合规患者订购HbA1c测试.
主要成果:
- 干预后,50%的患者完成了HbA1c查,超过了5%的改善目标.
- 产后1年健康的BMI与更高的查完成率 (89%) 相比,患有不健康的BMI的年轻患者 (27%) 有关.
- 在接受查的人中,23.7%的HbA1c结果异常,表明潜在的T2DM或糖尿病前期.
结论:
- 在有史以来GDM的妇女中,随访T2DM查往往不足.
- 使用电子健康记录和有针对性的干预措施可以有效地识别和解决产后护理方面的差距.
- 标准化的教育和电子订单输入改善了从产科到初级保健的过渡期间的查遵守.
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