A nurse-coordinated intervention for primary care patients with non-insulin-dependent diabetes mellitus
A nurse-coordinated intervention for primary care patients with non-insulin-dependent diabetes mellitus
复制标题
针对非胰岛素依赖型糖尿病初级保健患者的护士协调干预
DOI：
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发表时间：
1995
影响因子：
5.7
通讯作者：
J. Feussner
中科院分区：
文献类型：
--
作者：
M. Weinberger;M. S. Kirkman;G. Samsa;E. Shortliffe;P. Landsman;P. Cowper;D. Simel;J. Feussner
摘要：目的：探讨护士协调干预对非胰岛素依赖型糖尿病患者就诊间的影响。
AbstractOBJECTIVE: To examine the impact of a nurse-coordinated intervention delivered to patients with non-insulin-dependent diabetes mellitus between office visits to primary care physicians.
DESIGN: Randomized, controlled trial.
SETTING: Veterans Affairs general medical clinic.
PATIENTS: 275 veterans who had NIDDM and were receiving primary care from general internists.
INTERVENTION: Nurse-initiated contacts were made by telephone at least monthly to provide patient education (with special emphasis on regimens and significant signs and symptoms of hyperglycemia and hypoglycemia), reinforce compliance with regimens, monitor patients’ health status, facilitate resolution of identified problems, and facilitate access to primary care.
MEASUREMENTS: Glycemic control was assessed using glycosylated hemoglobin (GHb) and fasting blood sugar (FBS) levels. Health-related quality of life (HRQOL) was measured with the Medical Outcomes Study SF-36, and diabetes-related symptoms were assessed using patients’ self-reports of signs and symptoms of hyper- and hypoglycemia during the previous month.
MAIN RESULTS: At one year, between-group differences favored intervention patients for FBS (174.1 mg/dL vs 193.1 mg/dL, p=0.011) and GHb (10.5% vs 11.1%, p=0.046). Statistically significant differences were not observed for either SF-36 scores (p=0.66) or diabetes-related symptoms (p=0.23).
CONCLUSIONS: The intervention, designed to be a pragmatic, low-intensity adjunct to care delivered by physicians, modestly improved glycemic control but not HRQOL or diabetes-related symptoms.
老年人糖尿病的经济影响。
影响因子：
3.3
作者：
Weinberger,M;Cowper,PA;Kirkman,MS;Vinicor,F
通讯作者：
Vinicor,F