糖尿病诊断后14年中结构化个人护理对糖尿病症状及自评健康状况的影响。

The effect of structured personal care on diabetes symptoms and self-rated health over 14 years after diabetes diagnosis.

作者信息

Willadsen Tora Grauers, Siersma Volkert, Nielsen Anni Brit Sternhagen, Køster-Rasmussen Rasmus, Guassora Ann Dorrit, Jarbøl Dorte Ejg, Eusebi Paolo, Malterud Kirsti, Reventlow Susanne, de Fine Olivarius Niels

机构信息

The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

出版信息

Prim Care Diabetes. 2018 Aug;12(4):354-363. doi: 10.1016/j.pcd.2018.03.007. Epub 2018 Apr 26.

DOI:10.1016/j.pcd.2018.03.007

PMID:29705674

Abstract

AIMS

To explore the effect of structured personal care on diabetes symptoms and self-rated health over 14 years after diabetes diagnosis while patients are gradually diagnosed with other chronic conditions (multimorbidity).

METHODS

Post hoc analysis of the Danish randomized controlled trial Diabetes Care in General Practice including 1381 patients newly diagnosed with type 2 diabetes. The effect of structured personal care compared with routine care on diabetes symptoms and self-rated health was analysed 6 and 14 years after diagnosis with a generalized multilevel Rasch model.

RESULTS

Structured personal care reduced the overall likelihood of reporting diabetes symptoms at the end of the intervention (OR 0.79; 95% CI: 0.64-0.97), but this effect was not explained by glycaemic control or multimorbidity. There was no effect of the intervention on diabetes symptoms after 14 years or on self-rated health after 6 years or 14 years.

CONCLUSIONS

Structured personal care had a beneficial effect on diabetes symptoms 6 years after diagnosis, but not on self-rated health at either follow up point. To optimally manage patients over time it is important to supplement clinical information by information provided by the patients.

摘要