了解高血压和糖尿病护理级联中的差距:系统范围审查
Jie Wang1, Fangqin Tan1, Zhenzhong Wang1
1School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
JMIR public health and surveillance
|December 27, 2023
概括
本综述强调了影响高血压和糖尿病护理级联的因素. 未来的研究应该专注于早期阶段和定制干预措施,以获得更好的患者结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压和糖尿病是全球主要的健康挑战.
- 有效的管理依赖于完成护理级联的各个阶段.
研究的目的:
- 描述对高血压和糖尿病护理级联的研究.
- 确定干预措施和影响级联阶段的因素.
主要方法:
- 使用Arksey和O'Malley框架进行范围审查.
- 在MEDLINE,Embase,Web of Science (2011年以后) 的系统搜索.
- 包括对高血压和糖尿病护理级联至少一个阶段的研究;针对障碍物/促进物的诱导性内容分析.
主要成果:
- 包括128项研究:47%用于高血压,49%用于糖尿病,14%用于两者.
- 大多数研究 (75%) 是观察性,重点关注治疗和控制阶段.
- 许多个体和系统层面的因素会影响级联完成;干预措施各不相同.
结论:
- 综合了解高血压和糖尿病管理护理级联.
- 需要研究上游级联阶段和特定背景的干预措施.
- 优化患者保留和结果需要解决已识别的因素.
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