通过数字技术解决孟加拉农村高血压和糖尿病护理连续性的差距 支持分散的初级保健:研究协议和基线结果为混合有效性-实施试验
Wubin Xie1, Sabrina Ahmed2,3, Ali Ahsan4
1Population and Global Health, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
JMIR research protocols
|February 2, 2026
概括
这项在孟加拉国农村进行的研究评估了多组件初级保健模式与仅使用数字方法来管理高血压和糖尿病的方法. 研究结果将为可扩展的,分散的非传染性疾病护理策略提供信息.
科学领域:
- 全球健康 全球健康
- 非传染性疾病管理
- 主要医疗保健系统主要是医疗保健系统.
背景情况:
- 高血压和糖尿病是普遍存在的,相互关联的慢性疾病,在全球范围内控制率低.
- 获得这些疾病的优质护理是一个重大挑战,特别是在农村,低收入和中等收入国家.
- 加强初级卫生保健,整合数字工具,对于有效的慢性疾病管理至关重要.
研究的目的:
- 评估多组件,分散的初级保健模式的实施和有效性.
- 将这个模型与数字健康干预和常规护理进行比较.
- 评估孟加拉农村的慢性疾病管理.
主要方法:
- 一种2型混合有效性实施设计,采用三臂准实验方法.
- 在孟加拉国Dinajpur的3个分区进行了干预.
- 通过基于人口的调查和基于设施的队列数据来衡量结果,并通过混合方法的过程评估来补充.
主要成果:
- 从6849名参与者 (平均年龄55.9岁) 的基线数据显示,教育程度低,自雇/家庭工作率高.
- 根据年龄标准化的基线控制率很低:高血压10.2%,糖尿病14.9%.
- 意识和治疗率也低于最佳水平,特别是在高血压方面 (35.3%的意识,23.0%的治疗).
结论:
- 该研究提供了分散的非传染性疾病护理可扩展模型的证据.
- 这些发现对改善高血压和糖尿病管理在资源有限的环境中具有重大意义.
- 分散和数字化健康战略显示出增强慢性护理服务的前景.
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