通过远程患者监测与远程医疗相结合为 2 型糖尿病成人患者提供糖尿病自我管理教育：最佳实践实施项目。
Diabetes self-management education for adults with type 2 diabetes via telehealth in conjunction with remote patient monitoring: a best practice implementation project.
机构信息
School of Nursing, DNP Student.
Mississippi Centre for Evidence-Based Practice: A JBI Centre of Excellence, USA.
出版信息
JBI Evid Implement. 2023 Jun 1;21(2):156-166. doi: 10.1097/XEB.0000000000000360.
OBJECTIVES
The purpose of this evidence implementation project was to promote evidence-based practices regarding the delivery of diabetes self-management education via telehealth in conjunction with remote patient monitoring within the University of Mississippi Medical Center, Center for Telehealth.
INTRODUCTION
Diabetes self-management education plays a critical role in supporting self-care behaviors that can improve glycemic control, but certain patient populations have poor access to this service. Telehealth offers an innovative approach to addressing geographical and socioeconomic barriers to diabetes self-management education.
METHODS
This evidence implementation project used the JBI Practical Application of Clinical Evidence System (JBI PACES) and Getting Research into Practice (GRiP) framework for promoting evidence-based healthcare.
APPLICATION
A baseline audit was conducted to identify areas of strengths where best practices were already being implemented and areas of opportunity for improvement. The project team aligned on practical and sustainable interventions for delivering optimal diabetes self-management education via telehealth. Postimplementation audits were conducted to determine success of the interventions.
RESULTS
Baseline audits revealed an average compliance of 47.7% with five best practices for diabetes self-management education for adults with type 2 diabetes via telehealth. After strategies to improve compliance were implemented, compliance improved to 80%.
CONCLUSIONS
The objectives of this project were realized. The team was able to promote evidence-based practices regarding the delivery of education via telehealth in conjunction with remote patient monitoring, as evidenced by a measurable improvement in adherence to best practices. The primary intervention focused on individualization of education based on patient-specific needs.
目的
本证据实施项目旨在通过远程患者监测与医疗中心内的远程医疗相结合，促进有关通过远程医疗提供糖尿病自我管理教育的循证实践，该医疗中心为远程医疗中心。
简介
糖尿病自我管理教育在支持可以改善血糖控制的自我护理行为方面起着至关重要的作用，但某些患者群体获得此服务的机会有限。远程医疗提供了一种创新的方法来解决糖尿病自我管理教育的地理和社会经济障碍。
方法
本证据实施项目使用 JBI 临床证据实用系统（JBI PACES）和将研究转化为实践（GRiP）框架来促进循证医疗。
应用
进行了基线审核，以确定已经实施最佳实践的优势领域和需要改进的机会领域。项目团队就通过远程医疗提供最佳糖尿病自我管理教育的实际和可持续干预措施达成一致。进行了实施后审核，以确定干预措施的成功。
结果
基线审核显示，通过远程医疗为 2 型糖尿病成人提供糖尿病自我管理教育的五项最佳实践的平均合规率为 47.7%。在实施提高合规性的策略后，合规性提高到 80%。
结论
该项目的目标已经实现。团队能够通过远程医疗与远程患者监测相结合，促进有关教育的循证实践，这一点从对最佳实践的遵守程度的可衡量改善中得到证明。主要干预措施侧重于根据患者的具体需求进行教育的个性化。
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