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Updated: Jan 13, 2026

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基于社区的2型糖尿病护理模式:有效性,实施和卫生系统整合的审查
Vandana Esht1, Madhur Verma2, Shazia Malik1
1Physical Therapy Department, College of Nursing and Health Sciences, Jazan University, Jizan, Saudi Arabia.
Advances in therapy
|January 7, 2026
概括
基于社区的糖尿病护理模式改善了低资源环境中的2型糖尿病管理. 将这些计划整合到卫生系统中可以提高有效性和可持续性,从而改善患者的治疗结果.
科学领域:
- 全球卫生健康 全球卫生健康
- 公共卫生 公共卫生
- 糖尿病管理 糖尿病管理
背景情况:
- 2型糖尿病 (T2DM) 在低收入和中等收入国家 (LMICs) 面临重大挑战,原因是医疗保健系统的局限性.
- 基于社区的糖尿病护理模式正在成为可扩展的解决方案,以改善自我管理和服务可访问性.
研究的目的:
- 综合基于社区的T2DM护理模式的全球证据.
- 为了分类干预类型,并评估它们与糖尿病护理连续性的结合.
- 评估这些模型的有效性和实施特性.
主要方法:
- 对2010年1月至2025年3月期间的研究进行了叙述性审查.
- 这些搜索包括PubMed,Scopus,Web of Science和Embase.
- 干预措施使用RE-AIM框架和整合模型进行了分类和评估.
主要成果:
- 十一项研究表明,社区卫生工作者 (CHW) 领导的混合模型在LMIC中普遍存在.
- 干预措施导致HbA1c,BMI和自我有效性的显著改善.
- 集成到公共卫生系统或社区平台的成功模型显示了更好的采用和维护;数字工具改善了覆盖范围,但面临着参与挑战.
结论:
- 基于社区的T2DM护理模式是疾病控制的可扩展和可持续的战略.
- 整合到国家卫生平台,监督和数字工具中,加强了实施.
- 优先考虑整合,融资和CHW能力对于成功扩大规模至关重要.
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