糖尿病自我管理教育和成人初级保健中的支持:综合性审查
Serina Gbaba1, Ruth Alma Turkson-Ocran2, Susan Renda1
1Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Journal of advanced nursing
|January 24, 2025
概括
多方面的糖尿病自我管理教育和支持整合到初级保健中,提高了转诊率和参与率. 这些干预措施改善了健康结果,例如A1C水平,并增加了糖尿病患者的满意度.
科学领域:
- 主要的护理是初级保健.
- 糖尿病管理 糖尿病管理
- 卫生教育健康教育
背景情况:
- 糖尿病自我管理教育和支持 (DSMES) 对于改善糖尿病患者的健康结果至关重要.
- 需要有效的策略来增加DSMES转诊和参与初级保健机构.
- 加强患者参与糖尿病管理是医疗保健提供者的关键目标.
研究的目的:
- 确定有效的糖尿病自我管理教育和支持策略.
- 提高成人初级保健转诊率和糖尿病自我管理教育的参与率.
- 通过加强教育和支持,改善糖尿病患者的健康结果.
主要方法:
- 对文献进行了综合性审查.
- 按照PRISMA指南进行了PubMed/MEDLINE,Embase和CINAHL的系统搜索.
- 使用惠特莫尔和Knafl的方法将11篇论文纳入审查.
主要成果:
- 将DSMES整合到初级保健诊所中,使用多方面的方法改善了转诊和参与率.
- 这些干预措施导致了更好的糖化血红蛋白A1C水平.
- 通过集成的DSMES模型,患者,提供者和工作人员的满意度得到了提高.
结论:
- 以患者为中心,多方面的干预措施可以增加DSMES的转诊和参与,改善糖尿病患者的健康结果.
- 护士,在各种角色,有很好的位置来领导和实施这些有效的DSMES干预措施.
- 需要进一步的研究来探索这些干预措施在不同的人口和全球地区的影响.
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