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以患者为中心的糖尿病自我管理研究:一项范围综述

Patient Centered Studies Focusing on Diabetes Self-Management: A Scoping Review.

作者信息

Salkar Monika, Rosenthal Meagen, Thakur Tanvee, Arnold Austin

机构信息

Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, Oxford, MS, United States.

Social and Administrative Science Division, School of Pharmacy, University of Wisconsin, Madison, WI, United States.

出版信息

Curr Diabetes Rev. 2020;16(6):557-569. doi: 10.2174/1573399816666191230112657.

DOI:10.2174/1573399816666191230112657
PMID:31886751
Abstract

BACKGROUND

Type 2 diabetes continues to be a significant burden to patients and health systems globally. Addressing this condition from an alternative perspective, patients and various other stakeholders from three northern Mississippi communities co-created patient-centered research questions focused on type 2 diabetes management.

OBJECTIVE

The objective of this scoping review was to explore current literature focusing on nine patient- centered research questions to establish current knowledge and identify future research needs in the area of type 2 diabetes.

METHODS

A scoping review was conducted to obtain an overview of research related to the study purpose. The PubMed database was searched from March 2013 to March 2018 to identify patient-centered studies focused on type 2 diabetes and relevant to one of the nine research questions.

RESULTS

A total of 33 studies were identified and included. For five of the research questions, there was either no previous research literature or only "related" studies could be identified. These largely unexplored topics included how the understanding of guidelines by healthcare providers, specialty, and communication of medication side-effects impact patients' understanding and outcomes, the impact of improving patients' preparedness to communicate with providers, and whether younger patients require weight management programs that account for this populations' needs.

CONCLUSION

This lack of previous literature presents a unique opportunity to partner with patients to conduct this study and help improve the management of type 2 diabetes.

摘要

背景

2型糖尿病仍然是全球患者和卫生系统的重大负担。从另一个角度来看,来自密西西比州北部三个社区的患者和其他利益相关者共同提出了以患者为中心的研究问题,重点关注2型糖尿病的管理。

目的

本范围综述的目的是探索当前聚焦于九个以患者为中心的研究问题的文献,以确立该领域的现有知识并确定未来的研究需求。

方法

进行了一项范围综述,以获取与研究目的相关的研究概述。检索了2013年3月至2018年3月的PubMed数据库,以识别聚焦于2型糖尿病且与九个研究问题之一相关的以患者为中心的研究。

结果

共识别并纳入了33项研究。对于其中五个研究问题,之前要么没有研究文献,要么只能识别出“相关”研究。这些基本上未被探索的主题包括医疗保健提供者对指南的理解、专业以及药物副作用的沟通如何影响患者的理解和结果,提高患者与提供者沟通准备的影响,以及年轻患者是否需要考虑该人群需求的体重管理计划。

结论

之前缺乏相关文献为与患者合作开展这项研究并帮助改善2型糖尿病的管理提供了一个独特的机会。

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