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Updated: Jan 10, 2026

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糖尿病的健康扩展:基于社区的糖尿病自我管理支持计划的开发,实施和有效性
Windsor Westbrook Sherrill1, Luke C Hall1,2, Samantha Kanny1
1Department of Public Health Sciences, Clemson University College of Behavioral, Social and Health Sciences, Clemson, SC, USA.
Public health reports (Washington, D.C. : 1974)
|November 24, 2025
概括
糖尿病健康扩展 (HED) 计划显著改善了农村参与者的糖尿病自我管理,生活质量和健康行为. 这种基于社区的支持模式是可扩展和可持续的糖尿病护理.
科学领域:
- 公共卫生 公共卫生
- 社区健康 社区健康
- 糖尿病管理 糖尿病管理
背景情况:
- 基于社区的计划对于管理糖尿病等慢性疾病至关重要.
- 糖尿病健康扩展 (HED) 计划利用受过培训的农村代理人提供糖尿病自我管理支持.
- 通过RE-AIM框架对HED进行评估,可以了解其在现实世界中的应用.
研究的目的:
- 通过RE-AIM框架评估糖尿病健康扩展 (HED) 计划.
- 评估该计划的覆盖范围,有效性,采用,实施和维护.
- 确定该计划对糖尿病自我管理和健康结果的影响.
主要方法:
- 从2018-2024年对1526名参与者的纵向评估.
- 前期和后期调查测量了基线,1年和2年的知识,自我效能和健康行为.
- 配对样本t测试分析了结果的显著变化.
主要成果:
- 94%的毕业率表明计划的参与度很高.
- 在生活质量,饮食,运动,血糖检测和足部护理方面观察到显著的改善.
- 增加糖尿病知识和自我效能,减轻体重,BMI和HbA1c.
结论:
- 该HED计划展示了一个可扩展和可持续的模式,以社区为基础的糖尿病自我管理.
- 通过RE-AIM评估确定的关键实施策略可以指导未来的计划扩展.
- HED有效地支持农村人口管理他们的糖尿病.
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