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一个护士驱动的护理管理计划,让老年糖尿病患者参与个性化的目标设定和疾病管理
Mengqi Zhu1,2, Michael Cui1,3, Aviva G Nathan1
1Department of Medicine University of Chicago Chicago Illinois USA.
Health science reports
|June 25, 2024
概括
一项电子健康记录 (EHR) 调查和护士管理有效地让2型糖尿病的老年人参与了个性化的A1C目标设定. 这种方法改善了EHR中的慢性疾病管理文档.
科学领域:
- 老年病的医生 老年病的医生
- 内分泌学 在内分泌学.
- 医疗信息学 医疗信息学
背景情况:
- 糖尿病护理指南强调个性化风险因素目标,药物管理和老年人自我护理.
- 实施研究对于评估个性化方法在糖尿病管理中的有效性至关重要.
- 老年患者需要量身定制的策略,以获得最佳的慢性疾病管理.
研究的目的:
- 通过嵌入电子医疗记录 (EHR) 的患者调查和电话护士护理管理来评估干预.
- 确定这种干预措施是否可以让老年患者参与糖尿病管理的个性化目标设定.
- 评估EHR中对慢性疾病管理文档的影响.
主要方法:
- 一个单中心,随机对照试验从2018年到2019年进行.
- 招募了100名65岁以上的2型糖尿病患者和活跃的患者门户账户.
- 干预组接受了EHR调查和每月的护士呼叫,以个性化A1C目标设定,而对照组在6个月后接受了它.
主要成果:
- 在EHR中对个性化A1C目标的记录在6个月后从干预组的42%显著增加到90% (p < 0.001).
- 对照组在A1C目标文档中显示出最小的变化 (54%至56%).
- 不同健康状况类别 (健康,复杂,非常复杂) 的患者设定了类似的A1C目标.
结论:
- 与护士护理管理相结合的EHR嵌入式干预可以成功地让老年患者参与个性化糖尿病目标设定.
- 这种方法提高了EHR系统中个性化目标的记录.
- 需要进一步的研究来探索老年患者的临床影响,这些老年患者有更复杂的健康状况和更高的葡萄糖水平.
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