通过远程患者监测进行糖尿病管理:对计划入学和消耗的混合方法评估
Dejun Su1, Tzeyu L Michaud1,2, Jessica Ern2
1Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Healthcare (Basel, Switzerland)
|April 12, 2025
概括
年轻的患者或健康指标较差的患者更有可能退出糖尿病远程患者监测 (RPM). 解决时间限制和患者需求可以改善RPM程序保留.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 糖尿病管理 糖尿病管理
背景情况:
- 远程患者监测 (RPM) 越来越多地用于糖尿病护理,但入学和退休因素未得到充分研究.
- 很少有研究研究了患者参与或放弃糖尿病管理RPM计划的原因.
研究的目的:
- 调查影响糖尿病管理远程患者监测计划的入学和退学因素.
- 识别患者的特征和与参与,退出和完成RPM干预相关的反.
主要方法:
- 一种混合方法的方法,结合了定量数据分析和定性访谈.
- 患者组的比较 (完成,撤回,拒绝) 使用奇平方和t测试.
- 后勤回归确定了与中断相关的因素,而专题分析探索了患者的反.
主要成果:
- 在1993年邀请的患者中,13%的人拒绝了,16%的人退出,71%的人完成了RPM干预.
- 年轻的年龄和较差的基线健康状况 (较高的血糖/血压) 与更高的戒断率相关.
- 时间不足是拒绝或退出RPM计划的主要原因.
结论:
- 年轻的患者和基线健康状况较差的患者面临更高的退出RPM计划的风险.
- RPM计划应适应患者的需求,并可能提供激励措施或更多信息来改善保留.
- 针对弱势群体量身定制干预措施,可以加强远程糖尿病管理的参与和成功.
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