Omogbai Timothy, Milner Kerry A
Author Affiliations: Nurse Manager (Mr Omogbai), Hudson Valley Veteran Affairs Healthcare System, New York; Associate Professor (Dr Milner), College of Nursing, Sacred Heart University, Fairfield, Connecticut.
J Nurs Adm. 2018 Mar;48(3):154-159. doi: 10.1097/NNA.0000000000000590.
The aim of this study is to implement and evaluate shared medical appointments (SMA) in veterans with diabetes.
Health systems are challenged to meet the complex care needs of veterans with diabetes. Use of SMA has resulted in significant improvements in A1c, blood pressure, and self-management skills in this population.
Shared medical appointments were implemented in a Veterans Administration Health System. A1c, blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, weight, and height were collected at baseline, 3 months, and 6 months; hospitalization anytime; and veteran satisfaction at baseline and 6 months.
From October 15, 2015, to March 15, 2016, 30 male veterans with diabetes participated in monthly SMA. Outcome measures except for high-density lipoprotein improved significantly (P < .02) from baseline to 6 months. No veterans were hospitalized. Veteran satisfaction increased significantly (P < .001).
Shared medical appointment can be a highly effective intervention for veterans with diabetes. Nursing leaders need to be at the forefront of implementing SMA for populations with chronic conditions.
本研究旨在对患有糖尿病的退伍军人实施并评估共享医疗预约（SMA）。
卫生系统在满足患有糖尿病的退伍军人的复杂护理需求方面面临挑战。在这一人群中，使用共享医疗预约已使糖化血红蛋白（A1c）、血压和自我管理技能有了显著改善。
在一个退伍军人管理局卫生系统中实施共享医疗预约。在基线、3个月和6个月时收集糖化血红蛋白、血压、总胆固醇、高密度脂蛋白、低密度脂蛋白、甘油三酯、体重和身高数据；随时记录住院情况；并在基线和6个月时收集退伍军人的满意度。
从2015年10月15日至2016年3月15日，30名患有糖尿病的男性退伍军人参加了每月一次的共享医疗预约。从基线到6个月，除高密度脂蛋白外，其他结果指标均有显著改善（P < .02）。没有退伍军人住院。退伍军人的满意度显著提高（P < .001）。
共享医疗预约对患有糖尿病的退伍军人可能是一种非常有效的干预措施。护理领导者需要站在为慢性病患者实施共享医疗预约的前沿。
