糖尿病成人社区护理人员糖尿病自我管理教育项目的试点实用试验

IF 16.6 1区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes Care Pub Date : 2025-10-07 DOI:10.2337/dc25-1580

Allison Ducharme-Smith, Michael Juntunen, Anna Espinoza, Chad Liedl, Karen Fischer, Angela Meilander, Jaxon Quillen, Rozalina G. McCoy

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引用次数: 0

摘要

目的评估社区护理人员（CP）提供的家庭糖尿病自我管理教育和支持（DSMES）对管理不善的糖尿病成年人的影响。研究设计和方法在一项实用的单臂试点试验中，HbA1c≥9%且最近就诊过急诊室或医院的成年人接受了1个月的cp主导的DSMES干预。结果包括HbA1c、医疗保健参与度和患者报告的满意度。结果：70名参与者（中位年龄61岁，50%来自农村，84%患有2型糖尿病）完成了干预。4个月时HbA1c从9.8降至8.2% （P < 0.001）。与初级保健、内分泌学和DSMES的接触有所改善。满意度很高（平均评分9分，满分10分）。结论：cp主导的DSMES改善了服务不足人群的血糖管理和护理参与。这种可扩展的模型值得进一步研究。

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Pilot Pragmatic Trial of a Community Paramedic Diabetes Self-Management Education Program for Adults With Diabetes

OBJECTIVE To evaluate the impact of community paramedic (CP)-delivered, in-home diabetes self-management education and support (DSMES) for adults with poorly managed diabetes. RESEARCH DESIGN AND METHODS In a pragmatic, single-arm pilot trial, adults with HbA1c ≥9% and a recent emergency department or hospital visit received a 1-month CP-led DSMES intervention. Outcomes included HbA1c, health care engagement, and patient-reported satisfaction. RESULTS Seventy participants (median age 61 years, 50% rural, 84% with type 2 diabetes) completed the intervention. HbA1c declined from 9.8 to 8.2% at 4 months (P < 0.001). Engagement with primary care, endocrinology, and DSMES improved. Satisfaction was high (mean rating 9 out of 10). CONCLUSIONS CP-led DSMES improved glycemic management and care engagement in underserved populations. This scalable model warrants further study.

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来源期刊

Diabetes Care 医学-内分泌学与代谢

CiteScore

27.80

自引率

4.90%

发文量

449

审稿时长

1 months

期刊介绍： The journal's overarching mission can be captured by the simple word "Care," reflecting its commitment to enhancing patient well-being. Diabetes Care aims to support better patient care by addressing the comprehensive needs of healthcare professionals dedicated to managing diabetes. Diabetes Care serves as a valuable resource for healthcare practitioners, aiming to advance knowledge, foster research, and improve diabetes management. The journal publishes original research across various categories, including Clinical Care, Education, Nutrition, Psychosocial Research, Epidemiology, Health Services Research, Emerging Treatments and Technologies, Pathophysiology, Complications, and Cardiovascular and Metabolic Risk. Additionally, Diabetes Care features ADA statements, consensus reports, review articles, letters to the editor, and health/medical news, appealing to a diverse audience of physicians, researchers, psychologists, educators, and other healthcare professionals.