一种卫生系统的方法,以护士为主导,在脆弱人群中实施糖尿病预防和管理
Patricia C Underwood1,2, Brielle Ruscitti1, Tam Nguyen1
1William F. Connell School of Nursing, Boston College, Boston, Massachusetts, USA.
Health systems and reform
|June 9, 2025
概括
护士主导的糖尿病预防计划 (DPP) 和糖尿病自我管理教育计划 (DSME) 对于管理2型糖尿病 (T2DM) 至关重要. 在卫生系统中有效实施可以改善患者的治疗结果和获得护理的机会,特别是对弱势群体.
科学领域:
- 公共卫生 公共卫生
- 护理 护理 护理
- 卫生系统管理管理卫生系统管理
背景情况:
- 糖尿病是导致死亡的首要原因,在美国造成了相当大的经济成本.
- 2型糖尿病 (T2DM) 的发病率正在上升,不成比例地影响弱势群体.
- 为了预防和管理糖尿病,需要有效的,文化定制的护士领导的计划.
研究的目的:
- 分析卫生系统内护士主导的糖尿病预防计划 (DPP) 和糖尿病自我管理教育计划 (DSME) 的整合和实施情况.
- 提供基于证据的护士主导的干预措施的综述,跨越各种卫生系统设置.
- 突出针对弱势群体的成功的大规模和小规模实施.
主要方法:
- 采用卫生系统方法的两阶段分析.
- 一项综合性审查,为以卫生系统为重点的框架提供信息.
- 该框架应用于护士主导干预的两个案例研究.
主要成果:
- 退伍军人卫生管理局 (VHA) 的大型DSME改善了退伍军人的糖尿病自我管理和获取.
- 在社区卫生中心进行的规模较小的DPP和DSME提高了弱势群体的健康素养和自我管理.
- 成功的整合证明了改善糖尿病护理准入和结果的关键步骤.
结论:
- 护士主导的糖尿病干预对卫生系统至关重要.
- 对于DPP和DSME项目来说,财务和组织支持至关重要.
- 通过这些计划克服进入障碍,改善糖尿病管理和结果.
相关概念视频
Diabetes: Management and Pharmacotherapy
1.2K
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.2K
Nursing Implementation
6.4K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
6.4K
Peripheral Artery Disease IV: Nursing Management
517
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
517
Nursing Diagnosis
4.5K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
4.5K
Levels of Health Promotion and Illness Prevention
15.4K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
15.4K
Diabetes Mellitus: Type 2 and Gestational
5.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.3K

