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对支持糖尿病自我护理的社区卫生工作者项目中与患者流失相关因素的综合综述。

An Integrative Review of Factors Associated with Patient Attrition from Community Health Worker Programs that Support Diabetes Self-Care.

作者信息

Merius Heidy N, Rohan Annie J

机构信息

a School of Nursing, Stony Brook University , Stony Brook , New York.

出版信息

J Community Health Nurs. 2017 Oct-Dec;34(4):214-228. doi: 10.1080/07370016.2017.1369811.

DOI:10.1080/07370016.2017.1369811
PMID:29023161
Abstract

An integrative review was conducted using PubMed and CINAHL databases to answer: What is known about adult attrition from community health worker (CHW) programs on diabetes self-care? The 14 articles described patients of multiple races who were mainly of lower socioeconomic status. CHW interventions were given in individual meetings and/or group sessions. Incentives to reduce attrition came in different forms. Barriers involved transportation, family obligations, and scheduling conflicts. Attrition from these programs is a multifactorial problem. Alleviating transportation barrier appears to be protective. Program planners should consider these barriers when planning CHW programs.

摘要

使用PubMed和CINAHL数据库进行了一项综合综述,以回答:关于社区卫生工作者(CHW)糖尿病自我护理项目中的成人流失情况,我们了解到了什么?这14篇文章描述了多个种族的患者,他们主要是社会经济地位较低的人群。CHW干预通过个别会议和/或小组会议进行。减少流失的激励措施有不同形式。障碍包括交通、家庭义务和日程冲突。这些项目中的流失是一个多因素问题。减轻交通障碍似乎具有保护作用。项目规划者在规划CHW项目时应考虑这些障碍。

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