使用自然语言处理的2型糖尿病患者报告的结果和治疗坚持:观察性国际糖尿病管理实践研究的第8波
Juliana Cn Chan1, Jean Claude Mbanya2, Jean-Marc Chantelot3
1Department of Medicine and Therapeutics, Hong Kong Institute of Diabetes and Obesity and Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
Journal of diabetes investigation
|June 6, 2024
概括
患者的经验显著影响2型糖尿病治疗的坚持和自我管理. 通过患者报告的结果了解这些因素可以指导更好,个性化的护理,以改善血糖控制.
科学领域:
- 内分泌学 在内分泌学.
- 患者报告的结果
- 糖尿病管理 糖尿病管理
背景情况:
- 2型糖尿病的管理需要有效的患者坚持和自我管理.
- 患者的感知和经验对于治疗成功至关重要,但往往是研究不足的因素.
研究的目的:
- 分析2型糖尿病患者报告的结果,以了解影响治疗坚持的感知和经验.
- 在全球群体中识别坚持和自我管理的障碍和促进因素.
主要方法:
- 利用了国际糖尿病管理实践研究的数据,包括结构化问卷 (慢性治疗接受问卷,糖尿病自我管理问卷) 和自由文本答案.
- 采用自然语言处理来分析治疗价值,副作用和坚持障碍/支持者的定性数据.
- 在2018-2020年期间,在13个国家招募了2,475名2型糖尿病患者.
主要成果:
- 三分之一的患者报告治疗不坚持,尽管对治疗价值和副作用的普遍接受.
- 坚持的主要障碍包括治疗持续时间,治疗方案的复杂性和日常生活的破坏;习惯形成是关键的推动因素.
- 坚持治疗的患者年龄较大,疾病持续时间较长,更容易接触糖尿病教育,并实现更好的血糖控制 (降低HbA1c).
结论:
- 患者的感知和经验是治疗坚持和2型糖尿病自我管理的关键决定因素.
- 以患者为中心的教育和支持计划,重点是赋权和日常发展,根据患者报告的结果,可以提高血糖控制.
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