Continuity of care, self-management behaviors, and glucose control in patients with type 2 diabetes
Continuity of care, self-management behaviors, and glucose control in patients with type 2 diabetes
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DOI：
10.1097/00005650-200202000-00008
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发表时间：
2002-02-01
期刊：
影响因子：
3
通讯作者：
Larme, AC
中科院分区：
文献类型：
--
作者：
Parchman, ML;Pugh, JA;Larme, AC
背景持续护理对2型糖尿病患者护理结果的影响尚不清楚。通过自我管理行为的变化阶段，检查连续性、血糖控制和进展之间的关系。前瞻性队列研究。德克萨斯州和墨西哥边境的五个社区卫生中心。科目随机抽取256名成年人，年龄在18岁及以上，确诊为2型糖尿病。在两次患者访谈期间评估了饮食和运动的变化阶段，平均间隔18.9个月。每次访视时均进行放血术，以测量糖化血红蛋白（HbA，c）。提取病历用于门诊护理。根据就诊次数和就诊的提供者数量计算连续性评分。推进一个或多个阶段的饮食变化的患者具有更高水平的连续性。随着连续性的改善，HbA，c的变化较小。（r =-0.25; P
BACKGROUND. The influence of continuity of care on outcomes of care for patients with type 2 diabetes is poorly understood.OBJECTIVE. To examine the relationships between continuity, glucose control, and advancement through stages of change for self-management behaviors.DESIGN. Prospective cohort study.SETTING. Five community health centers on the Texas-Mexico border. SUBJECTS. A random sample of 256 adults, :18 years of age and older with an established diagnosis of type 2 diabetes.MEASURES. Stage of change for diet and exercise were assessed during two patient interviews, averaging 18.9 months apart. Phlebotomy was performed at each interview to measure glycosolated hemoglobin (HbA,c). Medical records were abstracted for ambulatory care utilization. A continuity score was calculated based on the number of visits and number of providers seen.RESULTS. Patients who advanced one or more stages of change for diet had higher levels of continuity. As continuity improved, the change in HbA,c was smaller. (r = -0.25; P