在COVID-19期间为2型糖尿病患者提供虚拟护理
Héctor Velázquez-Jurado1, Liliana Pérez-Peralta1, Daniela Valle-Nava1
1Secretaría de Salud, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Centro de Atención Integral del Paciente con Diabetes. Ciudad de México, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 7, 2024
概括
对于2型糖尿病 (T2DM) 的虚拟和面对面的护理在COVID-19大流行期间显示出类似的好处. 远程咨询为管理T2DM提供了安全有效的替代方案.
科学领域:
- 内分泌学 在内分泌学.
- 糖尿病管理 糖尿病管理
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,对2型糖尿病 (T2DM) 的自我管理提出了挑战.
- 一些医疗服务机构为慢性疾病管理采用了远程护理模式.
研究的目的:
- 在COVID-19大流行期间对T2DM进行面对面 (AP) 与虚拟 (AV) 护理模式进行比较.
- 评估护理方式对临床和心理健康变量的影响.
主要方法:
- 从2020年6月到2021年12月,对75名T2DM患者 (平均年龄49岁) 的前性队列研究.
- 40名患者接受了虚拟关注 (VA),35人接受了面对面的关注 (AP).
- 统计分析包括千平方,曼-惠特尼U和弗里德曼测试.
主要成果:
- 在AP和VA组中,HbA1c,甘油三和非HDL胆固醇均降低.
- 在这两组中,生活质量和情绪疲劳都有所改善.
- 两个月后,良好的生活质量和甘油三控制预测了更好的HbA1c控制.
结论:
- 面对面和虚拟的护理模式都为T2DM管理提供了可比的好处.
- 在疫情期间,虚拟咨询被证明是安全有效的替代方案.
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