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血糖结果和患者满意度和自我管理在从标准到虚拟多学科护理的过渡中得到改善
Noga Minsky1, Liat Arnon Klug2, Tatyana Kolobov3
1Division of Endocrinology, Diabetes, and Metabolism, Sheba Medical Center, Ramat Gan, Israel; Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Diabetes research and clinical practice
|February 18, 2024
概括
1型糖尿病 (T1DM) 的虚拟,多学科护理改善了血糖控制和患者满意度. 这种远程方法增加了护理接触,导致超出HbA1c的更好的健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 数字健康数字健康
- 糖尿病管理 糖尿病管理
背景情况:
- 基于云计算技术的日益普及,促进了1型糖尿病 (T1DM) 远程护理模型的扩展.
- 传统的面对面护理模式可能会在患者与提供者互动的可访问性和频率方面带来挑战.
研究的目的:
- 评估从标准模型到虚拟,多学科诊所的T1DM护理过渡的影响.
- 评估远程护理实施后血糖指标和患者报告结果的改善情况.
主要方法:
- 一组61名患有T1DM的成年人,主要使用胰岛素和持续血糖监测 (CGM),从标准护理过渡到虚拟护理.
- 糖尿病患者每年接受治疗的次数显著增加,从2.1次增加到12.8次.
- 血糖控制 (HbA1c,时间范围 - TIR) 和患者报告的结果在基线,6个月和12个月被评估.
主要成果:
- 平均HbA1c从基线时的7.9%降至12个月后的7.1% (p < 0.001).
- 在6个月 (p < 0.001) 和67.5%在12个月 (p = 0.03) 的时间范围 (TIR) 从63.1%提高到69.2%.
- 与治疗满意度和自我照顾行为相关的患者报告结果显著改善,并与更好的血糖控制有关.
结论:
- 过渡到虚拟,协调,多学科的T1DM护理提高了访问频率.
- 这种模式导致血糖控制,治疗满意度和自我护理行为显著改善.
- 远程护理为管理1型糖尿病提供了可行的和有效的策略.
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