在初级保健中糖尿病自我管理辅导计划的可行性:混合方法随机控制可行性试验
Fikadu Ambaw Yehualashet1,2, Dorothy Kessler1, Segenet M Bizuneh3
1Department of Rehabilitation Science, School of Rehabilitation Therapy, Queen's University, 31 George St., Kingston, ON K7L 3N6, Canada.
概括
这项研究发现,糖尿病自我管理辅导计划在埃塞俄比亚的初级保健中是可行的和可以接受的. 高招聘和保留率支持其改善糖尿病护理的潜力.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病是一种全球性健康挑战,增加了患病率和死亡率.
- 初级保健机构在管理糖尿病患病率上升方面面临着挑战.
- 糖尿病自我管理辅导提供以客户为中心的方法来改善患者的治疗结果.
研究的目的:
- 评估埃塞俄比亚初级保健中糖尿病自我管理辅导计划的可行性,可接受性和忠实性.
- 解决埃塞俄比亚初级保健中缺乏糖尿病自我管理支持策略的问题.
主要方法:
- 进行了一项单中心,单盲,混合方法随机对照试验.
- 患有2型糖尿病的成年患者 (HbA1c ≥7%) 被随机分配到12周的辅导计划或常规护理中.
- 数据收集涉及基线,干预后和后续的定量和定性方法.
主要成果:
- 资格,招聘,保留和坚持率分别为23%,70%,90%和85%.
- 定性和定量数据都证实了该计划的可行性和可接受性.
- 忠诚度评估表明,辅导干预措施的适当实施.
结论:
- 糖尿病自我管理辅导计划表现出高的招聘,保留和坚持.
- 该计划在埃塞俄比亚的初级保健机构中是可行的,可接受的和可实施的.
- 建议进行大型多中心试验,以评估该计划对临床和行为结果的影响.
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