长期 1 型和 2 型糖尿病患者的团体护理与个体护理：三级糖尿病诊所的为期一年的前瞻性非劣效性研究。
Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic.
机构信息
Institute of Endocrinology, Diabetes and Metabolism, Beilinson Hospital, Rabin Medical Center, Jabotinski Road 39, 49100 Petah Tikva, Israel.
Sackler School of Medicine, Tel Aviv University, Chaim Lebanon 30, 6997801 Tel Aviv, Israel.
出版信息
J Diabetes Res. 2018 May 28;2018:1807246. doi: 10.1155/2018/1807246. eCollection 2018.
AIMS
To explore the feasibility and noninferiority of group care in a diabetes outpatient clinic in comparison with individual care.
METHODS
In this prospective, randomized, nonblinded, one center (university hospital) trial, 60 patients (28 with type 1 and 32 with type 2 diabetes) with a mean duration of diabetes of 22.5 ± 11.7 years were randomly assigned to group (6 patients per group) or individual care for one year. The primary endpoints were the change in HbA1c and visits to outpatient clinics. The secondary endpoints were changes in body mass index, blood pressure levels, waist circumference, non-HDL cholesterol, diabetes-related and well-being index questionnaires, and the number of hospitalizations.
RESULTS
Group care was not inferior to individual care for any of the above parameters except for the number of visits to a primary care physician.
CONCLUSION
Group care is feasible in a diabetes clinic and is as effective as individual care. Implementation of group care may facilitate access to specialized care to a larger population of patients with diabetes type 1 and 2.
目的
探讨与个体护理相比，在糖尿病门诊中实施小组护理的可行性和非劣效性。
方法
这是一项前瞻性、随机、非盲、单中心（大学医院）试验，纳入了 60 名患者（1型糖尿病 28 例，2 型糖尿病 32 例），平均糖尿病病程为 22.5±11.7 年，他们被随机分配至小组护理（每组 6 名患者）或个体护理组，接受为期一年的护理。主要终点是 HbA1c 的变化和门诊就诊次数。次要终点包括体重指数、血压水平、腰围、非高密度脂蛋白胆固醇、糖尿病相关和幸福感指数问卷以及住院次数的变化。
结果
小组护理在除了初级保健医生就诊次数以外的所有上述参数方面均不劣于个体护理。
结论
小组护理在糖尿病诊所中是可行的，与个体护理同样有效。实施小组护理可能会使更多的 1 型和 2 型糖尿病患者更容易获得专业护理。
Zotero 插件