Quality of diabetes care among adults with serious mental illness.

Quality of diabetes care among adults with serious mental illness.
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患有严重精神疾病的成年人的糖尿病护理质量。

DOI:
10.1176/ps.2007.58.4.536
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发表时间:
2007
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Dixon,LisaB
Dixon,LisaB
中科院分区:
--
文献类型:
--
作者:
Goldberg,RichardW;Kreyenbuhl,JulieA;Medoff,DeborahR;Dickerson,FaithB;Wohlheiter,Karen;Fang,LiJuan;Brown,ClaytonH;Dixon,LisaB

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目的:本研究比较了两组2型糖尿病患者(有严重精神疾病的成年人和无严重精神疾病的成年人)在一系列社区诊所的护理质量。方法:采用横断面分析300例患者(201例有严重精神疾病,99例无严重精神疾病)的病历资料,对糖尿病质量改善项目制定的护理质量指标进行检验。评估的推荐服务包括糖化血红蛋白检查、眼睛和足部检查、血压检查、尿液和血脂检查。自我报告数据用于比较两个研究组接受提供者提供的糖尿病教育和接受关于糖尿病自我管理的提示。结果:与没有严重精神疾病的人相比,患有严重精神疾病的人的糖尿病护理质量较低,这反映在他们接受的推荐服务较少,关于糖尿病的教育较少。尽管患有严重精神疾病的参与者不太可能从医生那里得到关于血糖自我监测的提示,但他们与没有严重精神疾病的人一样,很可能得到关于饮食和药物依从性的提示。结论:尽管患有严重精神疾病的参与者接受了一些糖尿病护理质量标准中指出的服务,但他们不太可能接受完整的推荐服务和护理支持,这表明可能需要更多的努力来为这些弱势患者提供最佳的糖尿病护理。(精神科服务58:536-543,2007)
Objective: The study compared the quality of care for type 2 diabetes delivered to two groups with type 2 diabetes—adults with serious mental illness and those with no serious mental illness—in a range of community-based clinic settings. Methods: Cross-sectional analyses of medical chart data from 300 patients (201 with serious mental illness and 99 without serious mental illness) were used to examine indicators of the quality of care established by the Diabetes Quality Improvement Project. Recommended services assessed included glycosylated hemoglobin examination, eye and foot examinations, blood pressure check, and urine and lipid profiles. Self-report data were used to compare receipt of provider-delivered diabetes education and receipt of cues regarding self-management of diabetes for the two study groups.Results: Evidence of lower quality of diabetes care was found for per-sons with serious mental illness as reflected by their receipt of fewer recommended services and less education about diabetes, compared with those without serious mental illness. Although participants with serious mental illness were less likely to receive cues from providers regarding the need for glucose self-monitoring, they were as likely as those without serious mental illness to receive cues regarding diet and medication adherence. Conclusions: Although participants with serious mental illness received some services that are indicated in qualityof-care standards for diabetes, they were less likely to receive the full complement of recommended services and care support, suggesting that more effort may be required to provide optimal diabetes care to these vulnerable patients.(Psychiatric Services 58: 536–543, 2007)
DOI: 10.1093/oxfordjournals.schbul.a033504
发表时间: 2000-01-01
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DOI: --
发表时间: 1999
影响因子: 5.3
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患有严重精神疾病的 VA 患者的糖尿病治疗。
DOI: 10.1176/ps.2006.57.7.1016
发表时间: 2006
期刊: Psychiatric services (Washington, D.C.)
影响因子: --
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影响因子: 3.4
作者:
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