了解初级保健提供者对糖尿病自我管理教育和支持的知识和看法
Christina J Dietz1, Emily Doherty2, John Emerson3
1Division of Hospital Medicine, Department of Internal Medicine, The Ohio State University Wexner, Medical Center, 320 W. 10th Avenue, Columbus, OH 43210, United States.
Primary care diabetes
|October 21, 2024
概括
初级保健提供者对何时将患者推至糖尿病自我管理教育和支持 (DSMES) 的知识有限. 然而,他们认识到它的重要性,并愿意改善转诊实践.
科学领域:
- 糖尿病管理 糖尿病管理
- 医疗保健服务研究 医疗服务研究
- 主要护理是指初级护理.
背景情况:
- 美国糖尿病协会建议糖尿病自我管理教育和支持 (DSMES).
- 糖尿病患者中使用DSMES服务的比例仍然很低.
- 初级保健提供者 (PCP) 对DSMES的看法对于改善普及至关重要.
研究的目的:
- 探索PCP对DSMES的知识和看法.
- 确定在初级保健机构中对DSMES转诊的障碍和促进者.
主要方法:
- 融合混合方法研究设计.
- 使用了理论领域框架.
- 包括提供者调查 (n=140) 和半结构面试 (n=17).
主要成果:
- 对于正确的DSMES推时间,PCP获得了70.35%的平均知识分.
- 面试主题包括程序知识,能力,信念,强化和文化规范.
- 提供者希望与DSMES课程进行双向沟通,并受到推的文化规范的影响.
结论:
- 关于最佳的DSMES转介时间,PCP的知识有限.
- 医务人员表达了强烈的意愿,将患者转移到DSMES.
- 提高PCP知识和解决文化规范可以提高DSMES的利用率.
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