在中国农村地区揭示改善高血压和糖尿病护理的途径:使用护理级联模型进行混合方法研究
Xuejun Yin1,2,3, Zhenzhong Wang4, Jia Li3
1School of Public Health, Institute of Biomedical Innovation, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
The Lancet regional health. Western Pacific
|June 9, 2025
概括
在中国农村地区,高血压和糖尿病护理方面的差距仍然存在,疾病失控率很高. 需要综合战略来改善患者教育,初级保健和数字卫生系统,以更好地管理慢性疾病.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在高血压和糖尿病查,诊断,治疗和控制方面存在重大差距.
- 在中国农村,对这些慢性病的护理需要改进.
研究的目的:
- 评估中国农村地区对高血压和糖尿病的护理级联.
- 在护理级联的每个阶段识别障碍物和促进者.
- 为改善这些疾病的护理提供提供策略提供信息.
主要方法:
- 在中国三个农村县进行了一项连续的探索性混合方法研究.
- 定性访谈探讨了与政策制定者,医疗保健提供者和患者之间的障碍和促进者.
- 一项定量调查评估了大量农村居民样本中发现的因素.
主要成果:
- 观察到高比例的不受控制的高血压 (87.6%),糖尿病 (72.3%) 和并发性疾病 (96.6%).
- 患者层面的障碍包括对疾病严重程度的误解和对治疗的恐惧.
- 系统层面的挑战涉及到有限的诊断能力和不一致的后续行动,因资源限制而加剧.
结论:
- 确定了针对高血压,糖尿病和并发性疾病的明显护理级联.
- 综合,具体的背景策略对于改善护理是必不可少的.
- 建议加强健康教育,加强初级保健和电子健康系统,以改善护理的连续性.
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