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糖尿病护理的最终前沿:在现实世界实践中实施研究
Jennifer B Green1, Matthew J Crowley2, Sathish Thirunavukkarasu3,4
1Division of Endocrinology, Department of Medicine, and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
实施基于证据的2型糖尿病 (T2D) 护理至关重要,但具有挑战性. 本综述强调了T2D预防和管理的成功策略,强调以社区为基础,以团队为中心的方法来克服护理差距.
科学领域:
- 临床医学 临床医学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 对于2型糖尿病 (T2D) 的预防和管理,有大量的证据,但基于指南的护理尚未得到广泛实施.
- 大多数患有T2D风险或被诊断患有T2D的人没有接受推的护理,这限制了研究结果的影响.
- 将经过验证的T2D策略临床转化为现实环境对于改善患者的治疗结果至关重要.
研究的目的:
- 审查在现实环境中实施有效的T2D预防和护理策略的承诺和挑战.
- 描述糖尿病管理的关键领域的成功实施项目.
- 为临床转化和社区一级的T2D控制提供基础.
主要方法:
- 审查现有文献和成功实施的项目在糖尿病护理.
- 关键领域的分析:糖尿病预防,血糖控制和并发症预防.
- 在临床实践中识别障碍和克服障碍的策略.
主要成果:
- 成功实施的项目证明了糖尿病预防,血糖控制和并发症预防的可行性.
- 解决护理差距,障碍和制定当地适当的计划是推动护理的关键.
- 基于团队的护理模式显示出增强综合糖尿病管理的前景.
结论:
- 基于证据的T2D护理的临床实施至关重要,并面临重大挑战.
- 成功的策略包括识别护理差距,识别障碍,并实施定制解决方案.
- 推以团队为基础的护理模式,以改善当代,全面的T2D管理的交付.
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