Chronic Illness最新文献

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Investigating the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease: A cross-sectional study from Iran. 调查冠状动脉疾病女性治疗依从性在预测婚姻满意度中的作用:一项来自伊朗的横断面研究。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-06-01 Epub Date: 2023-11-08 DOI: 10.1177/17423953231213850
Parvin Zandi Rad, Tayebeh Gharibi, Hakimeh Vahedparast, Razieh Bagherzadeh
{"title":"Investigating the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease: A cross-sectional study from Iran.","authors":"Parvin Zandi Rad, Tayebeh Gharibi, Hakimeh Vahedparast, Razieh Bagherzadeh","doi":"10.1177/17423953231213850","DOIUrl":"10.1177/17423953231213850","url":null,"abstract":"<p><p>IntroductionDespite the effect of coronary artery disease on sexual function and the relation between sexual function and marital satisfaction, few studies have investigated the effect of treatment adherence on marital satisfaction. The present study aims to investigate the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease.MethodologyIn this cross-sectional study, 385 women with coronary artery disease in Bushehr-Iran, 2021, were selected using a convenient sampling method. The data were collected using the demographic form, Seyed Fatemi medication adherence scale, female sexual function index, and evaluation and nurturing relationship issues, communication, and happiness marital satisfaction scale. The data was analyzed using univariate and multivariate logistic regression tests.ResultsThe mean (± standard deviation) age of the participants was 52.19 ± 12.15 years old. Considering the effect of demographic variables, treatment adherence (<i>β</i> = 0.164, <i>P</i> = 0.001) and sexual function (<i>β</i> = 0.156, <i>P </i>= 0.001) were positive predictors of marital satisfaction.ConclusionTreatment adherence was a positive predictor of marital satisfaction. Healthcare providers should pay attention to the family consequences of non-adherence to treatment. Moreover, when counseling patients to adhere to the treatment, they should mention the physical benefits as well as psychological and family outcomes in order to motivate patients to follow their treatment.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"242-252"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Personal variation in patient-centered relevance Index based on individual characteristics and medical conditions among patients with diabetes Mellitus in Korea. 韩国糖尿病患者基于个体特征和医疗条件的以患者为中心的相关指数的个体差异
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-06-01 Epub Date: 2024-12-05 DOI: 10.1177/17423953241277900
Hyeki Park, Eun-Cheol Park, Woo-Ri Lee, Sungyoun Chun
{"title":"Personal variation in patient-centered relevance Index based on individual characteristics and medical conditions among patients with diabetes Mellitus in Korea.","authors":"Hyeki Park, Eun-Cheol Park, Woo-Ri Lee, Sungyoun Chun","doi":"10.1177/17423953241277900","DOIUrl":"10.1177/17423953241277900","url":null,"abstract":"<p><p>ObjectivesThis study aimed to identify patients at higher risk for regional disengagement from health services using the Patient-centered Relevance Index (P-RI).MethodsThis nationwide retrospective cohort study analyzed the relationship between the P-RI and individual patient characteristics, including medical conditions and healthcare utilization patterns. The National Health Insurance Service claims database was used to characterize healthcare utilization by 3,046,914 patients with DM from 2017 to 2020.ResultsAs compared to the mild condition group, all other groups had a lower P-RI. Significant differences were observed among the groups with P-RI lower by 16.5%, 14%, 13%, 0.4%, and 0.6% in the repeated inpatient treatment (β = -0.165, P < 0.001), complication (β = -0.141, P < 0.001), extended long-term care stay (β = -0.130, P < 0.001), comorbidity (β = -0.041, P < 0.001), and other (β = -0.058, P < 0.001) groups, respectively. Additionally, the P-RI was high among low-income and older patients with high acuity.DiscussionSouth Korea's healthcare delivery system is not regionally self-sufficient. A relatively low P-RI in the high income and younger groups indicates healthcare access inequity. Therefore, a continuous management system that ensures uniform healthcare access needs to be established.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"263-276"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of self-efficacy on functional limitations among persons with spinal cord injury. 自我效能感在脊髓损伤患者功能限制中的作用。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-09-26 DOI: 10.1177/17423953231203731
Muna Bhattarai, Yuki Shigemoto, Susan Miller Smedema
{"title":"Role of self-efficacy on functional limitations among persons with spinal cord injury.","authors":"Muna Bhattarai, Yuki Shigemoto, Susan Miller Smedema","doi":"10.1177/17423953231203731","DOIUrl":"10.1177/17423953231203731","url":null,"abstract":"<p><p>ObjectivesSpinal cord injury (SCI) results in mild to severe functional limitations, decreasing a person's ability to perform activities of daily living. This study aims to identify the influence of SCI characteristics and self-efficacy on functional limitations, controlling for sociodemographic factors.MethodsParticipants for this cross-sectional descriptive study included 272 persons with SCI. The participants completed questionnaires on sociodemographic information, secondary physical conditions, self-efficacy, and functional limitations, using an online Qualtrics Survey. Multiple hierarchical regression analysis was performed to test the hypothesis.ResultsParticipants reported higher functional limitations on dressing the lower body and managing their bowels compared to other activities of daily living. The sociodemographics, injury characteristics, and self-efficacy collectively accounted for 66% variance in functional limitations. A higher level of secondary physical conditions and tetraplegia injury contributed to higher functional limitations. As hypothesized, greater self-efficacy significantly contributed to low functional limitations above and beyond sociodemographic and SCI-related variables.DiscussionFunctional limitations following SCI are a pervasive challange in persons with SCI. Early recognition and management of secondary conditions and implementation of psychological interventions to strengthen self-efficacy in performing activities and managing secondary complications could potentially enhance functional independence and, ultimately, quality of life in this population.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"94-104"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic illness adjustment scale (CIAS): Development and validation. 慢性病调整量表(CIAS):开发和验证。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-10-06 DOI: 10.1177/17423953231205911
Meera Padhy, Meena Hariharan, Prachi Pandey, Riswana Maryam, Varsha Anand
{"title":"Chronic illness adjustment scale (CIAS): Development and validation.","authors":"Meera Padhy, Meena Hariharan, Prachi Pandey, Riswana Maryam, Varsha Anand","doi":"10.1177/17423953231205911","DOIUrl":"10.1177/17423953231205911","url":null,"abstract":"<p><p>ObjectivesThe objectives of this study were to (i) develop a self-report instrument to measure adjustment to chronic illness, (ii) evaluate its core structure and (iii) study various psychometric properties in the development of this instrument.MethodThe entire process of developing and validating the instrument is conducted in different phases: item writing and content validation; exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to extract dimensions of the instrument; reliability and validity testing. A total of 1095 participants were included in the study. The EFA was run using IBM SPSS 23 and CFA was done by AMOS 21.ResultsThe Cronbach alpha of the chronic illness adjustment scale was found to be .70. The instrument correlates positively with illness perception and well-being which supports the notion that the chronic illness adjustment scale has satisfactory convergent validity.DiscussionThe multifaceted nature of the chronic illness adjustment scale can serve as a global indicator of adjustment to chronic illness, allowing various interventions to flow toward the healthcare arena.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"130-144"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of primary and secondary hypertension among hospitalized patients with cancer in the United States. 美国住院癌症患者中原发性和继发性高血压的患病率
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-08-22 DOI: 10.1177/17423953231196613
Chanhyun Park, Sola Han, Kathryn P Litten, Sanica Mehta, Boon Peng Ng
{"title":"Prevalence of primary and secondary hypertension among hospitalized patients with cancer in the United States.","authors":"Chanhyun Park, Sola Han, Kathryn P Litten, Sanica Mehta, Boon Peng Ng","doi":"10.1177/17423953231196613","DOIUrl":"10.1177/17423953231196613","url":null,"abstract":"<p><p>BackgroundHypertension is the most common comorbidity in patients with cancer. We aimed to estimate the prevalence of hypertension by demographic characteristics and cancer type among hospitalized patients with cancer.MethodsHospitalized cancer patients were included using 2016-2018 National Inpatient Sample data. The independent variable was the presence of hypertension, which was further classified as primary, secondary, and other hypertension. Patient characteristics were grouped by age, sex, race/ethnicity, and the 12 most common cancer types. Multinomial logistic regression was used.ResultsAmong 638,670 hospitalized patients with cancer, 56.8% had hypertension. The predicted percentages of having any hypertension were higher with age, male gender, and black race. The predicted percentages of any hypertension were the highest in kidney cancer patients across all age and race/ethnicity groups. Uterine cancer was associated with the highest percentages of primary hypertension, followed by kidney cancer. Leukemia was associated with the highest percentages of secondary hypertension, followed by non-Hodgkin lymphoma.DiscussionKidney cancer patients had the highest predicted percentage of hypertension overall, while uterine cancer and leukemia had the highest percentages of primary and secondary hypertension, respectively. This study provides evidence for identifying cancer patients who need more attention for the prevention and management of hypertension.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"42-55"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic illness and psychopathology in emerging adults: Moderation by parent-child relationship quality. 初生成人的慢性疾病与精神病理:亲子关系质量的调节作用。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-09-12 DOI: 10.1177/17423953231200681
Abigail Kukay, Cliff McKinney
{"title":"Chronic illness and psychopathology in emerging adults: Moderation by parent-child relationship quality.","authors":"Abigail Kukay, Cliff McKinney","doi":"10.1177/17423953231200681","DOIUrl":"10.1177/17423953231200681","url":null,"abstract":"<p><p>ObjectiveThe current study aimed to better understand how parent-child relationships might moderate the effects of the presence and severity (as measured by physical quality of life) of a chronic illness on psychological problems in emerging adulthood.MethodsThe participants included 538 emerging adults (53.5% women) with a mean age of 19.04. The participants completed an online study including chronic illness questions, the World Health Organization Quality of Life-Brief, the Parental Environment Questionnaire, and the Adult Self-Report scale.ResultsEndorsing a health condition significantly associated with psychological problems in emerging adult men. The three-way interaction between endorsing a health condition, physical quality of life, and maternal parent-child relationship quality significantly predicted psychological problems in emerging adult men and women. Specifically, higher maternal relationship quality was associated with a weaker relation between psychological problems and having a health condition with a low physical quality of life.DiscussionThe emerging adults who reported the most psychological problems also reported having a health condition, low physical quality of life, and low maternal relationship quality, highlighting that the combination of these variables predicted the highest rate of psychological problems. A low maternal relationship quality contributes to poor psychological adjustment while a high maternal relationship quality contributes to good psychological adjustment.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"81-93"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study. 多病患者的医院护理协调小组干预:一项基于实践的参与性试点研究。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-09-06 DOI: 10.1177/17423953231196611
Marlies Verhoeff, Janke F de Groot, Hanneke Peters-Siskens, Erik van Kan, Yolande Vermeeren, Barbara C van Munster
{"title":"A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study.","authors":"Marlies Verhoeff, Janke F de Groot, Hanneke Peters-Siskens, Erik van Kan, Yolande Vermeeren, Barbara C van Munster","doi":"10.1177/17423953231196611","DOIUrl":"10.1177/17423953231196611","url":null,"abstract":"<p><p>ObjectivesThis study aims to develop and pilot a hospital care coordination team intervention for patients with multimorbidity and identify key uncertaintiesMethodsPractice-based, participatory pilot study with mixed methods in a middle-large teaching hospital. We included adult patients who had visited seven or more outpatient specialist clinics in 2018. The intervention consisted of an intake, a comprehensive review by a dedicated care coordination team, a consultation to discuss results and two follow-up appointments. We collected both quantitative and qualitative data.ResultsOut of 131 invited patients, 28 participants received the intake and comprehensive review. The intervention resulted in mixed outputs and short-term outcomes. Among the 28 participants, 21 received recommendations for at least two out of three categories (medication, involved medical specialists, other). Patients' experienced effects ranged from no to very large effects. Key uncertainties were how to identify patients with a need for care coordination and the minimum of required data that can be collected during regular clinical care with feasible effort.DiscussionRecruitment and selection for hospital care coordination should be refined to include patients with multimorbidity who might benefit most. Outcomes of research and clinical care should align and first focus on evaluating the results of care coordination before evaluating health-related outcomes.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"25-41"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
General medication adherence scale in patients with chronic illnesses: Persian translation and psychometric evaluation. 慢性病患者的一般药物依从性量表:波斯语翻译和心理测量评估。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-10-04 DOI: 10.1177/17423953231203906
Amir Jalali, Mohammad Mehdi Mohammadi, Hooman Ghasemi, Niloufar Darvishi, Mahbod Khodamorovati, Khalil Moradi
{"title":"General medication adherence scale in patients with chronic illnesses: Persian translation and psychometric evaluation.","authors":"Amir Jalali, Mohammad Mehdi Mohammadi, Hooman Ghasemi, Niloufar Darvishi, Mahbod Khodamorovati, Khalil Moradi","doi":"10.1177/17423953231203906","DOIUrl":"10.1177/17423953231203906","url":null,"abstract":"<p><p>ObjectivesThis study was conducted with the aim of determining the validity and reliability of the Persian version of \"General Medication Adherence Scale (GMAS)\" in chronic patients in Iran.MethodologyThe study was conducted among patients with chronic diseases in five hospitals of Iran. In this study, after cultural validation, using the steps of Content, Response Reaction, and Internal structure evaluations, the research sample was increased to 150 individuals for exploratory factor analysis (EFA) and 313 chronic patients for confirmatory factor analysis (CFA) to confirm the construct validity. Cronbach's alpha coefficient was used to assess internal consistency, and test-retest method was used to evaluate the reliability of the tool.FindingsThe results of EFA and CFA confirmed the tool with three factors and 11 items. The <i>R</i><sup>2</sup> index in the above model was estimated at 0.99, indicating that 99% of the variation in medication adherence scores in research units was explained by GMAS with 11 items. The main indices of the model in factor analysis were all above 0.9, indicating a good fit for the model.DiscussionOverall, the study results showed that the Persian version of GMAS has acceptable and practical characteristics for evaluating medication adherence, and it can be used as a valid tool in various related fields.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"115-129"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights into the epidemiology and clinical aspects of post-COVID-19 conditions in adult. 成人covid -19后疾病的流行病学和临床方面的见解。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-11-13 DOI: 10.1177/17423953231209377
Dieu Hien T Huynh, Dat T Nguyen, Thu Suong T Nguyen, Bao An H Nguyen, Anh T T Huynh, Vy N N Nguyen, Dat Q Tran, Thi N N Hoang, Huy Dung Tran, Dao Thanh Liem, Giau V Vo, Minh Nam Nguyen
{"title":"Insights into the epidemiology and clinical aspects of post-COVID-19 conditions in adult.","authors":"Dieu Hien T Huynh, Dat T Nguyen, Thu Suong T Nguyen, Bao An H Nguyen, Anh T T Huynh, Vy N N Nguyen, Dat Q Tran, Thi N N Hoang, Huy Dung Tran, Dao Thanh Liem, Giau V Vo, Minh Nam Nguyen","doi":"10.1177/17423953231209377","DOIUrl":"10.1177/17423953231209377","url":null,"abstract":"<p><p>ObjectivesWhile most individuals infected with COVID-19 recover completely within a few weeks, some continue to experience lingering symptoms. This study was conducted to identify and describe the clinical and subclinical manifestations of adult patients from the long-term effects of COVID-19.MethodsThe study analyzed 205 medical records of inpatients (age ≥ 16 years, ≥ 4 weeks post-COVID-19 recovery, and a negative SARS-CoV-2 status at enrollment) at Thong Nhat Hospital, Vietnam, from 6 September 2021 to 26 August 2022, using R language software.ResultsThe majority of patients hospitalized with long COVID-19 symptoms (92.68%) had normal consciousness. The most common symptoms on admission were fatigue (59.02%), dyspnea (52.68%), and cough (42.93%). In total, 80% of patients observed respiratory symptoms, primarily dyspnea, while 42.44% reported neurological symptoms, with sleep disturbance being the most common. Noticeably, 42.93% of patients experienced respiratory failure in the post-COVID-19 period, resembling acute respiratory distress syndrome.DiscussionThese findings provide crucial insights into the epidemiology, clinical, and subclinical aspects of post-COVID-19 conditions, shedding light on the prevalence of common symptoms and the demographic distribution of affected patients. Understanding these manifestations is vital for patient well-being, improved clinical practice, and targeted healthcare planning, potentially leading to better patient care, management, and future interventions.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"157-169"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing cardiovascular risk factors with telemedicine in primary care: A systematic review and meta-analysis of patients with arterial hypertension and type 2 diabetes. 在初级保健中利用远程医疗管理心血管风险因素:动脉高血压和 2 型糖尿病患者的系统回顾和荟萃分析。
IF 1.8 4区 医学
Chronic Illness Pub Date : 2025-03-01 Epub Date: 2024-08-28 DOI: 10.1177/17423953241277896
Matic Mihevc, Tina Virtič Potočnik, Črt Zavrnik, Zalika Klemenc-Ketiš, Antonija Poplas Susič, Marija Petek Šter
{"title":"Managing cardiovascular risk factors with telemedicine in primary care: A systematic review and meta-analysis of patients with arterial hypertension and type 2 diabetes.","authors":"Matic Mihevc, Tina Virtič Potočnik, Črt Zavrnik, Zalika Klemenc-Ketiš, Antonija Poplas Susič, Marija Petek Šter","doi":"10.1177/17423953241277896","DOIUrl":"10.1177/17423953241277896","url":null,"abstract":"<p><p>ObjectivesTo review the effect of telemedicine interventions on cardiovascular risk factors control in people with arterial hypertension (AH), type 2 diabetes (T2D), or both in primary care.MethodsWe conducted a systematic review in February 2024 using PubMed/MEDLINE, Cochrane Library, and EMBASE databases. We included randomised controlled trials from 2010 onwards, lasting ≥3 months, comparing telemedicine to standard care for managing cardiovascular risk factors in adults with AH, T2D, or both.ResultsAmong 1803 records, 54 were included. Telemonitoring with teleconsultations showed the best outcomes. For AH, systolic blood pressure decreased by -5.63 mmHg (95% CI -9.13 to -2.13) at 6 months and -5.59 mmHg (95% CI -10.03 to -1.14) at 12 months compared to standard care. For T2D, HbA1c decreased by -0.45% (95% CI -0.90 to 0.00) at 6 months and -0.18% (95% CI -0.41 to 0.05) at 12 months compared to standard care. Blood glucose self-monitoring was as effective as telemonitoring for T2D at 6 months. The effect on diastolic blood pressure, low-density lipoprotein, triglycerides, and body mass index was non-significant.DiscussionTelemedicine offers short-term benefits but lacks long-term effectiveness. Optimal outcomes require a combined telemedicine approach, health education co-intervention, ≥12-month follow-up, and careful patient selection.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"3-24"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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