Davis & Henley College of Nursing, Sacred Heart University, Fairfield, CT, USA.
West J Nurs Res. 2021 Apr;43(4):323-329. doi: 10.1177/0193945920944809. Epub 2020 Jul 22.
A retrospective chart review study was conducted to evaluate health outcomes after a nurse-led short-term medical mission group provided free health care in four communities in Kingston, Jamaica over a four-year period. Participants were adult patients who had visited short-term medical mission clinics at least twice and were diagnosed with hypertension and/or diabetes. Blood pressure (BP) and blood sugar (BS) results along with factors including adherence and control per guidelines were analyzed using descriptive, -tests and chi-square analysis. The data revealed that overall BP and BS measurements trended down, and there was a significant decrease in BP in patients with uncontrolled hypertension at the first visit. Medication adherence between the visits and gender had a statistically significant impact on BP and BS control. Outcomes suggest short-term medical missions are an effective model to address hypertension and diabetes in developing countries when using a sustainable approach.
一项回顾性图表审查研究评估了在牙买加金斯敦的四个社区进行了为期四年的护士主导的短期医学使命小组提供免费医疗保健后的健康结果。参与者为至少两次访问短期医学使命诊所的成年患者，并被诊断患有高血压和/或糖尿病。使用描述性统计、t 检验和卡方分析分析了血压（BP）和血糖（BS）结果以及包括依从性和指南控制在内的因素。数据显示，总体 BP 和 BS 测量呈下降趋势，首次就诊时血压不受控制的高血压患者的 BP 显著下降。两次就诊之间的药物依从性和性别对 BP 和 BS 控制有统计学意义的影响。结果表明，短期医学使命是一种有效的模式，用于在发展中国家解决高血压和糖尿病问题，采用可持续的方法。
