在初级保健中通过嵌入套件采用2型糖尿病患者的自我管理教育计划:一个集群随机对照试验和民族学研究
Melanie J Davies1,2,3, Danielle H Bodicoat4, Alan Brennan5
1Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. melanie.davies@uhl-tr.nhs.uk.
BMC primary care
|April 25, 2024
概括
嵌入套件并没有显著改善初级保健中的2型糖尿病 (HbA1c) 管理. 然而,它显示了少数民族群体和长期出席的潜力,表明未来的研究是必要的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 糖尿病 自主管理 教育 教育
- 初级保健干预措施 初级保健干预措施
背景情况:
- 自主管理教育计划对2型糖尿病有效,但转诊率和出席率较低.
- 嵌入套件是为了改善初级保健机构的出席率而开发的.
研究的目的:
- 评估嵌入套餐在增加2型糖尿病自我管理计划的出席率和改善初级保健中的血糖控制 (HbA1c) 方面的有效性.
- 使用混合方法方法探索实施挑战和患者的结果.
主要方法:
- 集群随机试验涉及66个18个月的初级保健实践.
- 干预组接受了嵌入包,而对照组接受了通常的护理.
- 收集的数据包括HbA1c,转诊/出席率和来自92,977名患者的临床数据;民族学研究使用了观察,采访和文档分析.
主要成果:
- 干预组和对照组之间HbA1c没有显著差异.
- 在干预期间,少数民族群体的HbA1c降低具有统计学意义,但没有临床意义.
- 干预后,观察到有统计学意义但没有临床意义的HbA1c降低和更高的节目出席率.
结论:
- 实施障碍可能限制了嵌入包的有效性.
- 研究结果表明,对少数民族群体和长期出勤有潜在的益处,因此需要进一步研究将自我管理计划纳入常规护理.
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