Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
J Immigr Minor Health. 2011 Oct;13(5):967-9. doi: 10.1007/s10903-011-9446-9.
There are multiple challenges to proactive diabetic management in minority, non-English speaking populations. In this study, we seek to determine if enrollment in a home health care program would improve diabetic outcomes in this traditionally vulnerable population. Of the 64 non-English speaking diabetics evaluated in our clinic between 1/1/2002 and 12/30/2005, 26 (40.6%) patients who met the criteria for poor glycemic control (defined by HgbA1c > 8% on two separate occasions) were identified, but three were excluded because they did not participate in home health. Comparing diabetic outcomes 24 months post-home health intervention to 24 months prior, patients showed improvement in mean HbA1c, mean LDL, and mean systolic blood pressure. With home health intervention, there appears to be improved diabetic outcomes across all measured parameters.
少数民族和非英语患者的积极糖尿病管理存在多种挑战。在这项研究中，我们旨在确定参加家庭保健计划是否会改善这一传统弱势群体的糖尿病治疗效果。在我们的诊所，于 2002 年 1 月 1 日至 2005 年 12 月 30 日期间评估的 64 名非英语糖尿病患者中，有 26 名（40.6%）患者符合血糖控制不佳的标准（两次 HbA1c 检测值>8%），但有 3 名患者因不参与家庭保健而被排除在外。将家庭健康干预后的 24 个月和干预前的 24 个月的糖尿病治疗效果进行比较，患者的平均 HbA1c、平均 LDL 和平均收缩压均有所改善。通过家庭健康干预，所有测量参数的糖尿病治疗效果似乎都有所改善。
