在一个自助糖尿病管理项目中，社区卫生工作者与护士作为咨询顾问或病例管理员的比较。
Community Health Workers Versus Nurses as Counselors or Case Managers in a Self-Help Diabetes Management Program.
作者信息
Kim Kim B, Kim Miyong T, Lee Hochang B, Nguyen Tam, Bone Lee R, Levine David
机构信息
Kim B. Kim is with Korean Resource Center, Ellicott City, MD. Miyong T. Kim is with the School of Nursing, University of Texas at Austin. Hochang B. Lee is with the School of Medicine, Yale University, New Haven, CT. Tam Nguyen is with the Connell School of Nursing, Boston College, Boston, MA. Lee R. Bone is with the School of Public Health, Johns Hopkins University, Baltimore, MD. David Levine is with the School of Medicine, Johns Hopkins University.
出版信息
Am J Public Health. 2016 Jun;106(6):1052-8. doi: 10.2105/AJPH.2016.303054. Epub 2016 Mar 17.
OBJECTIVES
To confirm the effectiveness of community health workers' involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014.
METHODS
Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker-counseled (n = 54) and registered nurse (RN)-counseled (n = 51) intervention groups in comparison with the control group (n = 104).
RESULTS
The community health workers' performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes. The community health worker-counseled group showed hemoglobin A1C reductions from baseline (-1.2%, -1.5%, -1.3%, and -1.6%, at months 3, 6, 9, and 12, respectively), all of which were greater than reductions in the RN-counseled (-0.7%, -0.9%, -0.9%, and -1.0%) or the control (-0.5%, -0.5%, -0.6%, and -0.7%) groups.
CONCLUSIONS
Community health workers performed as well as or better than nurses as counselors or case managers in a self-help diabetes management program in a Korean American community.
目的
确认2009年至2014年社区卫生工作者作为顾问或病例管理员参与自助式糖尿病管理项目的有效性。
方法
我们的开放标签随机对照试验确定了巴尔的摩 - 华盛顿大都市地区35至80岁、2型糖尿病未得到控制的韩裔美国人中自助干预措施的有效性。我们测量并分析了社区卫生工作者指导组（n = 54）和注册护士（RN）指导组（n = 51）的生理和心理行为健康结果，并与对照组（n = 104）进行比较。
结果
在心理行为结果（如自我效能感、生活质量）和生理结果方面，社区卫生工作者的表现与注册护士相当。社区卫生工作者指导组的糖化血红蛋白从基线水平开始下降（分别在第3、6、9和12个月时下降了-1.2%、-1.5%、-1.3%和-1.6%），所有这些降幅均大于注册护士指导组（-0.7%、-0.9%、-0.9%和-1.0%）或对照组（-0.5%、-0.5%、-0.6%和-0.7%）。
结论
在韩裔美国人社区的自助式糖尿病管理项目中，社区卫生工作者作为顾问或病例管理员的表现与护士相当或优于护士。
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