School of Psychology, London Metropolitan University, London, UK.
Institute for Research in Healthcare Policy & Practice, University of the West of Scotland, London Campus, 2 Clove Crescent, 7th Floor, London, E14 2BE, UK.
Int J Public Health. 2020 Dec;65(9):1773-1783. doi: 10.1007/s00038-020-01513-0. Epub 2020 Oct 23.
Recent studies investigating diabetes show that inequalities to access appropriate care still persists. Whilst most of the general population are able to access a suitable quality of care, there are a number of groups who fail to receive the same standard. The objective of this review was to identify existing diabetes management interventions for homeless adults.
A literature search was conducted in February 2017, and repeated in September 2020.
Of the 223 potentially relevant articles identified, only 26 were retrieved for detailed evaluation, and 6 met the inclusion criteria. Papers focusing on the management of diabetes in homeless people were included. The studies used interventions including diabetes education; medication support and supplies for blood monitoring; improvements in self-care behaviours; improvements in diabetes control; patient empowerment/engagement; and community engagement/partnerships.
Effective strategies for addressing the challenges and obstacles that the homeless population face, requires innovative, multi-sectored, flexible and well-coordinated models of care. Without appropriate support, these groups of people are prone to experience poor control of their diabetes; resulting in an increased risk of developing major health complications.
最近有关糖尿病的研究表明，获得适当护理的不平等现象仍然存在。虽然大多数普通民众能够获得适当的护理质量，但仍有一些群体无法获得相同的标准。本研究的目的是确定针对无家可归成年人的现有糖尿病管理干预措施。
于 2017 年 2 月进行了文献检索，并于 2020 年 9 月重复了检索。
在 223 篇可能相关的文章中，仅有 26 篇被检索用于详细评估，其中 6 篇符合纳入标准。纳入了专注于无家可归者糖尿病管理的研究。这些研究采用的干预措施包括糖尿病教育；药物支持和血液监测用品；改善自我护理行为；改善糖尿病控制；患者赋权/参与；以及社区参与/合作。
要解决无家可归人群所面临的挑战和障碍，需要创新、多部门、灵活和协调良好的护理模式。如果没有适当的支持，这些人群易出现糖尿病控制不佳的情况；从而增加发生重大健康并发症的风险。
