针对老年糖尿病患者的家庭远程医疗干预措施。

Home Telehealth Interventions for Older Adults With Diabetes.

作者信息

Walker Cassondra L, Kopp Mary, Binford Roxanne M, Bowers Cynthia J

机构信息

Cassondra L. Walker, BSN, RN-BC, is a Clinical Analyst, Information Services, Indiana University Health, MSN Nursing and Health Systems Leadership Student, University of Indianapolis, Indianapolis, IN. Mary Kopp, BSN, RN, is Director, Cardiovascular Statewide Strategy, Indiana University Health, MSN Nursing and Health Systems Leadership Student, University of Indianapolis, Indianapolis, Indiana. Roxanne M. Binford, BSN, RN, CHPC, is Program Director, Corporate Compliance, Indiana University Health, MSN Nursing and Health Systems Leadership Student, University of Indianapolis, Indianapolis, Indiana. Cynthia J. Bowers, DNP, RN, CNE, is an Assistant Professor, School of Nursing, University of Indianapolis, Indianapolis, Indiana.

出版信息

Home Healthc Now. 2017 Apr;35(4):202-210. doi: 10.1097/NHH.0000000000000522.

DOI:10.1097/NHH.0000000000000522

PMID:28353510

Abstract

The purpose of this literature review was to explore home telemedicine interventions for the treatment of older adults with diabetes. Eight databases were searched for articles published between 2011 and 2016, in the English language, and in peer-reviewed journals, resulting in 1,274 relevant articles. Following review against inclusion and exclusion criteria, six articles were retained. Studies included participants with a mean age from 68 to 76.8 years and from three different countries, with either Type 1 or Type 2 Diabetes Mellitus. The articles reviewed suggest that case management, education, closed-loop feedback and communication, home telemonitoring devices or units, and motivational interviewing or coaching can effectively decrease admissions, costs per person per year, mortality, and cognitive decline in older adults with diabetes. The scarcity of high-quality studies is consistent with findings from previous systematic reviews, and highlights the need for additional investigation before applying the results in practice.

摘要

本综述的目的是探讨用于治疗老年糖尿病患者的家庭远程医疗干预措施。检索了八个数据库，查找2011年至2016年间发表的、英文撰写且发表于同行评审期刊的文章，共得到1274篇相关文章。根据纳入和排除标准进行评审后，保留了六篇文章。研究纳入的参与者平均年龄在68岁至76.8岁之间，来自三个不同国家，患有1型或2型糖尿病。所综述的文章表明，病例管理、教育、闭环反馈与沟通、家庭远程监测设备或装置，以及动机访谈或辅导，可有效减少老年糖尿病患者的住院次数、人均年度费用、死亡率和认知能力下降。高质量研究的匮乏与之前系统评价的结果一致，并突出了在将结果应用于实践之前进行更多调查的必要性。