未来的队列研究评估可行性,可接受性和糖尿病自我管理教育在利比里亚东南部PEN-Plus计划中的临床影响
Gina Ferrari1,2, Joe Davies3, Ada Thapa1
1Division of Global Health Equity, Department of Medicine, Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.
PLOS global public health
|December 15, 2025
概括
糖尿病自我管理教育 (DSME) 在利比里亚农村是可行的和有效的. 该计划改善了患者的知识,自我护理行为,并降低了胰岛素依赖糖尿病患者的血红蛋白A1c水平.
科学领域:
- 全球健康 全球健康
- 非传染性疾病 非传染性疾病
- 糖尿病管理 糖尿病管理
背景情况:
- 在低收入和中低收入国家 (LLMICs) 生活在胰岛素依赖糖尿病 (PLWIDD) 的人面临着严重的糖尿病管理障碍.
- 糖尿病自我管理教育 (DSME) 是一个以证据为基础的干预措施,以赋予PLWIDD.
- 在LLMIC的农村地区,往往缺乏足够的糖尿病护理资源.
研究的目的:
- 评估DSME计划的可行性和临床影响.
- 评估提供者和患者对DSME的接受度和采用程度.
- 在利比里亚农村环境中测量自我管理行为,知识和HbA1c的变化.
主要方法:
- 在利比里亚的两个农村非传染性疾病-Plus (PEN-Plus) 诊所进行了试点研究.
- 经过培训的诊所提供者在例行月度访问期间将DSME交付给PLWIDD.
- 主要结果:接受度,采用度,忠诚度,自我管理行为. 二次结果:知识,HbA1c.
主要成果:
- DSME是可行的,并得到了三个提供商和26个PLWIDD的良好接受.
- 12个月后,患者知识分数从33%增加到64.6%.
- 平均每周血糖检查增加,错过的胰岛素注射减少,平均HbA1c从12.0%降至10.9%.
结论:
- DSME是解决农村LLMICs糖尿病管理障碍的可行的干预措施.
- 该计划对患者的知识,自我护理和血糖控制产生了积极的影响.
- 进一步的研究应该探索在PEN-Plus框架内将DSME与其他非传染性疾病战略相结合.
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