Res Gerontol Nurs. 2020 May 1;13(3):138-145. doi: 10.3928/19404921-20191210-03. Epub 2019 Dec 13.
The current study investigated the feasibility of telehealth-delivered diabetes self-management education and support (DSMES) for older adults with type 2 diabetes mellitus following hospital discharge. The intervention included one in-person home visit and follow-up weekly virtual DSMES for 4 additional weeks. Diabetes knowledge was measured at baseline and completion of the program. The Telehealth Usability Questionnaire was completed following the final session. Hemoglobin A1C (A1C) level was abstracted from the electronic health record at baseline and 3 months post hospital discharge. Hospital re-admissions were measured at 30 days post index hospital stay. Of the 20 patients enrolled, 12 completed the intervention. The most common reason for attrition was discharge to a skilled nursing facility (3/20). Participants who completed the intervention increased their diabetes knowledge scores. A1C values decreased by 1.1%, and there were no hospital readmissions for any patient who completed the program. Participants described the program as useful and were satisfied with the program. These results suggest that it is feasible to identify and enroll patients in a telehealth education program for diabetes during hospital admission. [Research in Gerontological Nursing, 13(3), 138-145.].
本研究旨在探讨在老年 2 型糖尿病患者出院后，通过远程医疗提供糖尿病自我管理教育和支持（DSMES）的可行性。该干预措施包括一次上门家访和随后的每周 4 次虚拟 DSMES，共持续 4 周。在基线和项目完成时测量糖尿病知识。在最后一次会议后完成远程医疗可用性问卷。在基线和出院后 3 个月从电子健康记录中提取糖化血红蛋白（A1C）水平。在指数住院后 30 天测量医院再入院情况。在 20 名入组患者中，有 12 名完成了干预。最常见的脱落原因是出院到养老院（3/20）。完成干预的参与者的糖尿病知识得分有所提高。A1C 值下降了 1.1%，并且没有任何患者在完成项目后再次住院。参与者认为该项目有用，并对该项目感到满意。这些结果表明，在住院期间通过远程医疗为糖尿病患者确定并招募参加教育项目是可行的。[老年护理学研究，13(3)，138-145]。
