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深入了解糖尿病患者慢性肾脏病远程诊断筛查的体验

Gaining Insights Into Patients' Experiences of Remote Diagnostic Screening for Chronic Kidney Disease in Patients With Diabetes.

作者信息

Deaney Carl, Reesby Danielle

机构信息

Marsh Medical Practice, Louth, UK.

出版信息

J Patient Exp. 2024 Oct 29;11:23743735241293624. doi: 10.1177/23743735241293624. eCollection 2024.

Abstract

Chronic kidney disease (CKD) affects a significant portion of the UK population and is a pressing public health issue. Current screening methods have a low patient uptake rate. This retrospective study explores the patient experience of remote diagnostic screening. This article retrospectively analyses patient-reported experiences, focusing on at-home urinary screening to detect CKD. Our primary care network commissioned a remote diagnostic service for adult patients with diabetes (Types I and II) who had not taken urinary albumin: creatinine ratio test within 12 months. Patients were provided with an at-home kit and guided by a smartphone application. Qualitative clinical data was collected during screening, with a questionnaire capturing patients' experiences. A total of 60% of eligible patients performed testing, and 35% were detected to have abnormal results. A total of 80% of patients preferred remote screening. This study provides evidence for remote CKD screening and opens avenues for innovation. Most patients reported a positive experience, underscoring the potential of this approach to improve health outcomes, especially in higher-risk populations.

摘要

慢性肾脏病(CKD)影响着英国相当一部分人口,是一个紧迫的公共卫生问题。目前的筛查方法患者接受率较低。这项回顾性研究探讨了远程诊断筛查的患者体验。本文回顾性分析了患者报告的经历,重点是在家进行尿液筛查以检测CKD。我们的初级医疗网络为12个月内未进行尿白蛋白:肌酐比值检测的成年糖尿病(I型和II型)患者委托了一项远程诊断服务。为患者提供了家用试剂盒,并由智能手机应用程序进行指导。在筛查过程中收集了定性临床数据,通过问卷调查获取患者的体验。共有60%的符合条件的患者进行了检测,35%被检测出结果异常。共有80%的患者更喜欢远程筛查。这项研究为远程CKD筛查提供了证据,并为创新开辟了道路。大多数患者报告了积极的体验,强调了这种方法改善健康结果的潜力,特别是在高风险人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeba/11523146/3226930caefc/10.1177_23743735241293624-fig1.jpg

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