在初级保健中实施适合环境的脚运动计划,以预防糖尿病患者的的可修改风险因素:混合型2型研究的协议
Carla B Rodrigues1, Paula N C Soares1, Ana Carolina B Schmitt1
1School of Medicine, Physical Therapy, Speech and Occupational Therapy Dept, University of São Paulo, São Paulo, Brazil.
BMJ open
|February 5, 2024
概括
这项研究测试了一项脚运动计划,以预防糖尿病脚部并发症. 该干预措施旨在改善糖尿病患者的流动性和生活质量.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病是一种普遍的疾病,导致严重的健康问题,如糖尿病外围神经病变 (DPN) 和足部并发症.
- DPN会导致和截肢,严重影响患者的生活质量.
- 国际指导方针建议足运动作为糖尿病足的预防策略.
研究的目的:
- 评估足运动计划与初级保健机构的教育策略相结合的有效性.
- 为了改善糖尿病患者的脚的运动范围 (ROM),强度和功能.
- 为了提高糖尿病患者和足部并发症风险的人的生活质量.
主要方法:
- 一个混合型2实施效率研究,在圣保罗的利梅拉进行了四个阶段.
- 第三阶段涉及一个为期12周的基于小组的干预,通过一个集群随机对照试验测试,其中包括18个初级保健单位的356名参与者.
- 主要结局包括DPN症状和脚/关节ROM,使用范围,有效性,采用,实施和维护 (RE-AIM) 框架进行评估.
主要成果:
- 该研究目前处于协议开发和实施阶段.
- 在干预阶段完成后,将收集和分析有效性数据.
- 该研究旨在提供强有力的证据,证明干预措施在现实世界初级保健环境中的有效性.
结论:
- 预计这些发现将证明脚运动计划在预防糖尿病脚部并发症方面的有效性.
- 在初级保健中成功实施和维护该计划可能会降低医疗保健成本并改善患者的治疗结果.
- 这项研究将为基于证据的糖尿病足部护理管理策略提供宝贵的见解.
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