医生访问频率及其对2型糖尿病患者血糖控制的影响:从追溯电子健康记录数据中量化护理接受度参数
Mukulesh Gupta1, Tanusree Gupta2, Tuhina Gupta3
1General Medicine, Udyaan Health Care Pvt. Ltd., Lucknow, IND.
Cureus
|January 29, 2025
概括
定期去看医生可以改善2型糖尿病患者的血糖 (BG) 控制. 访问频率增加与较低的血红蛋白A1c (HbA1c) 水平相关,增强治疗坚持和预防并发症.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 临床研究 临床研究
背景情况:
- 2型糖尿病是一种全球代谢障碍,其特征是胰岛素抵抗和高血糖.
- 有效的管理需要遵守医生访问,改变生活方式和药物治疗.
- 定期咨询对于改善坚持和预防糖尿病相关并发症至关重要.
研究的目的:
- 研究医生访问频率对2型糖尿病患者血糖 (BG) 控制的影响.
- 分析每次访问的季度比率 (VQR) 和血红蛋白A1c (HbA1c) 水平之间的关系.
- 评估医疗咨询频率如何影响治疗坚持和健康结果.
主要方法:
- 对577名2型糖尿病成年人的回顾性单中心研究.
- 分析每季度访问比例 (VQR) 和标准化三角血红蛋白A1c (ΔHbA1c).
- 使用Kruskal-Wallis和Dwass-Steel-Critchlow-Fligner测试进行统计比较.
主要成果:
- 较高的VQR (更频繁的访问) 与显著较低的HbA1c结果 (7.4%与7.7%) 相关.
- 良好的合规群体与不良的合规群体相比,平均 ΔHbA1c 值显著降低.
- 在高VQR组中,更大比例的患者达到目标HbA1c水平.
结论:
- 医生访问的频率增加对2型糖尿病中BG控制有积极的影响.
- 定期咨询有助于及时调整治疗,并提高治疗的遵守性.
- 研究结果强调了患者和医生的持续参与对于管理2型糖尿病等慢性疾病的重要性.
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