Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure
Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure
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DOI：
10.2147/jmdh.s69000
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发表时间：
2014-01-01
影响因子：
3.3
通讯作者：
Cannon, Wayne
中科院分区：
文献类型：
--
作者：
Brunisholz, Kimberly D.;Briot, Pascal;Cannon, Wayne
目的：本研究的目的是确定糖尿病自我管理教育（DSME）在改善2型糖尿病（T2DM）患者糖尿病护理过程和结果方面的影响，该影响由五成分糖尿病束和HbA（1c）测量。方法：对2011-2012年在Intermountain Healthcare （IH）认可的美国糖尿病协会中心接受DSME培训并在前3个月内和完成首次DSME访问后2-6个月内进行HbA（1c）测量的成年T2DM患者进行回顾性分析。使用随机数生成器从与病例患者相同的诊所中选择对照患者，以达到1:4的比例。1)教育前HbA（1c）在6.0%-14.0%之间；2)主要提供者为初级保健医生；3)他们符合纳入IH糖尿病登记的国家卫生保健有效性数据和信息集标准。IH糖尿病包包括视网膜眼科检查，肾病筛查或处方血管紧张素转换酶或血管紧张素受体阻滞剂；血压
Purpose: The purpose of this study was to determine the impact of diabetes self-management education ( DSME) in improving processes and outcomes of diabetes care as measured by a five component diabetes bundle and HbA(1c), in individuals with type 2 diabetes mellitus (T2DM).Methods: A retrospective analysis was performed for adult T2DM patients who received DSME training in 2011-2012 from an accredited American Diabetes Association center at Intermountain Healthcare ( IH) and had an HbA(1c) measurement within the prior 3 months and 2-6 months after completing their first DSME visit. Control patients were selected from the same clinics as case-patients using random number generator to achieve a 1 to 4 ratio. Case and control patients were included if 1) pre-education HbA(1c) was between 6.0%-14.0%; 2) their main provider was a primary care physician; 3) they met the national Healthcare Effectiveness Data and Information Set criteria for inclusion in the IH diabetes registry. The IH diabetes bundle includes retinal eye exam, nephropathy screening or prescription of angiotensin converting enzyme or angiotensin receptor blocker; blood pressure