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在COVID-19大流行期间,糖尿病护理和管理实践的变化
Kushagra Vashist1, Jennifer K Frediani2, Mary Beth Weber1
1Emory Global Diabetes Research Center of Woodruff Health Sciences Center and Emory University, Atlanta, GA 30322, USA.
Journal of public health (Oxford, England)
|November 9, 2024
概括
随着COVID-19大流行,糖尿病护理受到负面影响,减少了像HbA1c测试和眼科检查这样的必要查. 然而,在此期间,糖尿病患者的戒烟情况有所改善.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 糖尿病管理 糖尿病管理
背景情况:
- 检查了糖尿病护理和管理实践中的转变.
- 流行病前 (2019年) 和流行病期间 (2021年) 的时间比较.
研究的目的:
- 评估COVID-19流行病对糖尿病护理和自我管理的影响.
- 识别医疗保健参与和健康行为的变化.
主要方法:
- 利用来自行为风险因素监测系统的基于人口的数据.
- 分析了美国19个州和华盛顿特区糖尿病成年人的数据.
- 采用后勤回归来估计2019年至2021年间指标的变化.
主要成果:
- 两年间的HbA1c测试下降了2.6个百分点 (75.4%到73.1%).
- 年度眼科检查减少了4.0个百分点 (72.2%至68.7%).
- 综合医疗保健参与糖尿病控制下降了3.5个百分点 (44.9%至41.9%),而避免吸烟增加了2.0个百分点 (84.7%至87.1%).
结论:
- 疫情导致基于证据的糖尿病预防服务的普及率下降.
- 吸烟率的下降表明,糖尿病患者在疫情期间可能会出现积极的健康行为转变.
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