在2型糖尿病患者中实施多学科糖尿病管理计划的实施和结果:一项比较研究
Youssef H Ahmed1, Hussain S Elbadawi2, Intessar Sultan3
1Department of Health Sciences, Syreon Middle East LLC, Alexandria, EGY.
Cureus
|June 24, 2024
概括
沙特阿拉伯的多学科糖尿病管理计划 (DMP) 在一年后改善了2型糖尿病患者的血糖控制,与医生主导的护理 (PLC) 相比. 在这两种护理模式中,脂质控制是相似的.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 目前的指导方针倡导从医生主导的护理 (PLC) 转向2型糖尿病 (T2DM) 的多学科医疗保健 (MHC).
- 沙特阿拉伯对T2DM的MHC计划的现实世界实施仍未得到充分研究.
- 本研究评估了T2DM多学科糖尿病管理计划 (DMP) 与沙特阿拉伯一家普通医院PLC的实施和结果.
研究的目的:
- 评估对T2DM患者的DMP的实际实施情况.
- 为了比较DMP与PLC在实现血糖和脂质控制目标方面的有效性.
- 为了在未来的改进中识别DMP中的实施差距.
主要方法:
- 一项比较性患者档案审查研究分析了来自两个私人护理中心的T2DM患者的医疗记录.
- 通过在一年后达到糖化血红蛋白 (HbA1c) <7%和低密度脂蛋白胆固醇 (LDL-c) <70 mg/dl来衡量有效性.
- 评估了DMP组件的实施,包括个人健康协调,营养,牙和足部护理.
主要成果:
- 检查了834个记录 (537个DMP,279个PLC).
- 与PLC相比,DMP显示HbA1c (-0.5%与-0.2%) 和LDL-c (-10与-5 mg/dl) 的显著改善.
- 血糖控制目标在DMP的患者中达到更高的百分比 (49.4%vs38.7%),而脂质控制类似 (28.7%vs30%).
- 在DMP中,在营养 (65.7%),牙科检查 (64.8%) 和足部护理 (58.3%) 方面发现了落实差距.
结论:
- 与PLC相比,DMP一年的治疗表明T2DM患者的血糖控制优越,尽管存在实施差距.
- 脂质控制结果在DMP和PLC组之间是可比的.
- 建议对DMP实施缺陷进行进一步研究,以提高沙特阿拉伯的计划可持续性和通用性.
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