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基于音频的护理管理成人糖尿病:一个系统的审查
Shivani Reddy1, Graham Booth1, Manny Coker-Schwimmer2
1RTI International Evidence 2 Practice, NC.
Medical care
|January 10, 2025
概括
基于音频的护理对补充糖尿病管理,改善A1c水平有希望. 需要进一步的研究来探索其作为人身护理替代品的有效性,特别是在多样化的人口中.
科学领域:
- 数字健康数字健康
- 远程医疗远程医疗
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病是美国普遍存在的慢性疾病.
- 基于音频的护理在糖尿病管理中的作用尚未得到充分理解.
- 许多糖尿病患者,特别是那些面临差距风险的人,依赖电话远程医疗服务.
研究的目的:
- 为了比较基于音频的护理的有效性,作为常规护理的替代或补充,用于管理糖尿病.
- 综合关于基于音频的糖尿病治疗干预措施的证据.
主要方法:
- 从2012年开始对英语随机对照试验 (RCT) 的系统审查.
- 包括被诊断为糖尿病的成年参与者.
- 对临床结果 (例如,A1c),患者报告的结果,医疗保健获取,质量和安全的数据的抽象.
主要成果:
- 有限的证据 (2项RCT) 表明,作为个人护理的替代品,音频护理对A1c有效性和危害的确定性很低.
- 补充音频护理 (23项RCT) 表明对A1c有中度确定性的积极影响 (组合平均差异-0.20%).
- 在A1c≤9%的患者,不存在差异风险的患者,每月接触的干预以及使用远程监测的患者中,观察到补充音频护理的有利结果.
结论:
- 基于音频的护理显示出作为糖尿病管理的个人护理的补充的潜力.
- 需要进一步研究以音频为基础的护理作为替代策略.
- 应修改干预措施,以更好地支持血糖控制不良的人和面临健康差异的人.
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