远程护理对老年糖尿病患者血糖控制的影响:一项随机对照试验

Q3 Medicine

Evidence Based Care Journal Pub Date : 2021-09-19 DOI:10.22038/EBCJ.2021.58874.2531

A. Ravari, Alireza Sheikhoshaqi, T. Mirzaei, M. Raeisi, Elham Hassanshahi, Z. Kamiab

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引用次数: 2

摘要

背景:糖尿病是老年人最常见的衰弱性疾病之一，需要合理控制血糖以预防并发症的发生。远程护理被认为是控制血糖水平的一种经济有效的方法。目的:探讨远程护理对老年糖尿病患者血糖控制的影响。方法:选取拉夫桑詹市糖尿病门诊的老年糖尿病患者进行临床试验研究。随机选取80名受试者，根据纳入标准随机分为干预组和对照组。干预组通过电话随访了三个月。而对照组则接受临床提供的干预。除了糖尿病患者的人口学特征和变量外，还测量了干预前和干预后三个月的空腹血糖(FBS)和糖化血红蛋白(HbA1c)。结果:参与者平均年龄大于64岁(干预组= 64.4±4.9，对照组= 65.09±5.63)，有8年以上糖尿病病史。干预前，两组平均FBS和hba1无显著差异，干预后差异明显。配对t检验显示，干预后FBS和HbA1c分别降至33.92±21.51和1.51±0.86。实践意义:我们的研究结果表明，远程护理在老年糖尿病患者中是一种有效的策略，可以提高自我护理能力，从而控制血糖。

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The Effect of Tele-nursing on Blood Glucose Control in the Elderly with Diabetes: a Randomized Controlled Trial

Background: Diabetes is one of the most common debilitating diseases in the elderly and requires reasonable blood sugar control to prevent complications. Telenursing has been presented as a cost-effective method to control blood glucose levels.Aim: This study aimed to investigate the effect of Tele-nursing on blood glucose control in the elderly with diabetes. Method: The present clinical trial study was performed among diabetic elderly referring to the diabetes clinic in Rafsanjan City. Eighty participants were selected randomly and randomly divided into intervention and control groups based on the inclusion criteria. The intervention group was followed up via phone for three months. However, the control group received the intervention provided in the clinic. In addition to demographic characteristics and variables of diabetic patients, the Fasting Blood Sugar (FBS) and Glycated Hemoglobin (HbA1c) were measured before and three months after the interventions.Results: The mean ages of participants were higher than 64 years (intervention group = 64.4± 4.9 and control group = 65.09± 5.63) with over eight years of diabetes history. Before the intervention, mean FBS and HbA1cof both groups showed no significant difference, but there was a considerable difference after the intervention. Paired T-test showed that after the intervention, the amount of FBS and HbA1c was reduced to 33.92± 21.51 and 1.51± 0.86, respectively.Implications for practice: Our results indicate that the use of telenursing in elderly patients with diabetes is an effective strategy that leads to increased self-care and thus control of blood sugar.

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.