使用临床指南与常规实践进行糖尿病管理:在尼泊尔的阿育吠陀医师和患者中进行了一项基于可行性试验的定性研究
Kaushik Chattopadhyay1,2, Nisha Rana3, Shristi Karki3
1Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK.
Therapeutic advances in endocrinology and metabolism
|February 16, 2026
概括
尼泊尔的阿育吠陀医生发现,针对2型糖尿病 (T2DM) 的基于证据的临床实践指南 (EB-CPG) 是有益的. 这项可行性试验显示了积极的经验,突出了未来对传统医学管理的大规模研究的改进领域.
科学领域:
- 综合医学是一个整体的医学.
- 公共卫生 公共卫生
- 临床实践指南 临床实践指南
背景情况:
- 2型糖尿病 (T2DM) 在尼泊尔很普遍,许多患者使用阿育吠陀传统医学.
- 目前对T2DM的阿育吠陀临床实践在护理的一致性和质量方面面临挑战.
- 在阿育吠陀系统内,缺乏基于证据的临床实践指南 (EB-CPGs) 用于T2DM管理.
研究的目的:
- 在阿育吠陀实践中开发EB-CPG用于T2DM管理.
- 进行EB-CPG的可行性试验,为更大的最终试验提供信息.
- 探索医生和患者在EB-CPG基础上的护理与常规护理方面的经验.
主要方法:
- 采用了一个构造主义的定性研究设计.
- 与41名阿育吠陀医师和患者进行了半结构化访谈.
- 使用诱导方法进行主题分析,并使用框架方法进行数据分析.
主要成果:
- 参与者报告了以EB-CPG为基础的T2DM护理的主要积极经验.
- 确定了试验招募,患者护理和药物合规性方面的促进者和挑战.
- 实践者讨论了患者的动机,试验参与以及将EB-CPG整合到他们的实践中的后勤挑战.
结论:
- 在阿育吠陀实践中EB-CPG对T2DM管理的方法得到了很好的欢迎,并被认为优于通常的护理.
- 可行性试验的经验在很大程度上是积极的,表明EB-CPG的潜力.
- 在试验期间发现的挑战需要在未来的最终研究中解决,包括集群随机对照试验.
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