多成分综合护理计划对实现糖尿病护理目标的影响:基层医疗质量改进计划

IF 2.6 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Ruben Silva-Tinoco , Teresa Cuatecontzi-Xochitiotzi , Lilia Castillo-Martínez , Viridiana de la Torre-Saldaña , Eileen Guzman-Olvera , Fernanda Bernal-Ceballos
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引用次数: 1

摘要

方法邀请墨西哥公共卫生系统的 T2D 患者和普通初级保健人员参加为期 5 个月的非住院 MIC 质量计划(DIAbetes Empowerment and Improvement of Care program,DIABEMPIC)。患者的血红蛋白 A1c、收缩压和舒张压以及低密度脂蛋白胆固醇的平均降幅分别为 2.4%、9 mmHg、3 mmHg 和 22.5 mg/dL(p <0.001)。最佳三重目标的实现率从 1.8% 提高到 26.7%(p <0.001)。在调整分析中,干预后的糖尿病知识和总体自我护理行为得分以及总体自我护理行为得分的增加与最佳综合危险因素控制目标的实现相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of a multicomponent integrated care delivery program on diabetes care goals achievement: a primary care quality improvement initiative

Aim

To evaluate the impact of multicomponent integrated care (MIC) delivery program in a primary care real-life setting on diabetes care goals.

Methods

Patients with T2D and usual primary care from the public health system in Mexico were invited to participate in a five-month ambulatory MIC quality initiative (DIAbetes Empowerment and Improvement of Care program, DIABEMPIC).

Results

841 patients who finished the program and with complete data were analyzed. The patients had a mean decrease in hemoglobin A1c, systolic and diastolic pressure, and LDL-cholesterol of 2.4%, 9 mmHg, 3 mmHg, and 22.5 mg/dL, respectively (p < 0.001). The achievement of the optimal triple target goal increased from 1.8% to 26.7% (p < 0.001). In the adjusted analysis, the diabetes knowledge and global self-care behavior score post-intervention, as well as the increment of global self-care behavior score were associated with the optimal composite risk factor control achievement.

Conclusion

The incorporation of diabetes therapeutic education interventions to improve self-care behaviors along with adequate treatment intensification in diabetes care are fundamental to attaining optimal risk factor control and attenuating disease burden.

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来源期刊
Primary Care Diabetes
Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE
CiteScore
5.00
自引率
3.40%
发文量
134
审稿时长
47 days
期刊介绍: The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.
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