一个360度的方法来个性化生活方式治疗在2型糖尿病患者的初级保健:可行性研究
Zeena Harakeh1, Iris de Hoogh2,3, Anne-Margreeth Krijger-Dijkema4
1Department of Child Health, TNO, Netherlands Organization for Applied Scientific Research, Leiden, Netherlands.
360度的方法,整合身体,精神,行为和环境因素,显示了对2型糖尿病管理的希望. 这种整体方法在初级保健中是可以接受和实施的,可能会导致积极的健康变化.
科学领域:
- 整体健康评估 整体健康评估
- 多学科的初级保健服务.
- 2型糖尿病的管理和管理
背景情况:
- 2型糖尿病 (T2D) 是多因素的,需要一个整体和多学科的医疗保健方法.
- 一个基于Web的360度 (360°) 诊断工具被开发来评估身体健康,心理健康,生活方式行为和环境因素.
研究的目的:
- 检查360度诊断工具和定制治疗方法的可接受性,实施和潜在的健康影响.
- 评估将这种整体方法整合到标准的初级医疗保健环境中的可行性.
主要方法:
- 在荷兰初级保健中进行了为期6个月的可行性研究,涉及15名T2D患者及其医疗保健提供者.
- 使用单组设计,进行基线,3个月和6个月的随访.
- 包括360度诊断 (临床测量和自我报告),多学科咨询和量身定制的干预措施;定性访谈评估了可接受性和实施性.
主要成果:
- 参与者和医疗保健专业人员都报告了360度方法的积极经验,包括数据收集,咨询和专业合作.
- 促进因素包括专业支持和多学科团队合作;阻碍因素涉及信息过载和时间限制.
- 3个月后观察到心理健康和减少快餐消费的改善;在6个月后,观察到减少感知压力和快餐消费.
结论:
- 360度的方法是可以接受的,可以实施的,并且可能有效地促进T2D患者的积极健康变化.
- 该研究表明,将这种综合方法整合到常规初级医疗保健中的可行性.
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