Velázquez-Jurado Héctor, Pérez-Peralta Liliana, Valle-Nava Daniela, Reynoso-Noverón Nancy, Hernández-Jiménez Sergio, Arcila-Martínez Denise, Arizmendi-Rodríguez Rodrigo, Garnica-Carrillo Fernanda
Secretaría de Salud, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Centro de Atención Integral del Paciente con Diabetes. Ciudad de México, México.
Secretaría de Salud, Instituto Nacional de Cancerología, Centro de Investigación en Prevención. Ciudad de México, México.
Rev Med Inst Mex Seguro Soc. 2024 Mar 4;62(2):1-8. doi: 10.5281/zenodo.10711427.
The covid-19 pandemic made self-management difficult for people with type 2 diabetes mellitus (T2DM). Some health services provided remote care to people with chronic illnesses.
To compare the modalities of care, in-person (AP) versus virtual (AV), during the covid-19 pandemic on clinical and mental health variables.
Prospective cohort study of 75 patients with a diagnosis of DM2 (age Me = 49 years) treated between June 2020 and December 2021. A total of 40 (53%) received VA and 35 (47%) AP. The Chi square and Mann-Whitney U statistical tests were used to show homogeneity between groups and the Friedman test to compare the pre- and post-test change, considering each attention group as a comparison factor.
In both groups the values of HbA1c, triglycerides and Non-HDL cholesterol decreased. Both groups improved in quality of life and emotional exhaustion. A Cox regression model showed that the perception of a good quality of life and triglyceride control at two months increase the HR of HbA1c control, after adjusting the model for age and sex.
Both care modalities generate a similar benefit in the management of T2DM. The virtual consultation was a useful and safe alternative.
2019冠状病毒病疫情使2型糖尿病（T2DM）患者的自我管理变得困难。一些医疗服务机构为慢性病患者提供远程护理。
比较2019冠状病毒病疫情期间面对面护理（AP）与虚拟护理（AV）这两种护理方式对临床和心理健康变量的影响。
对2020年6月至2021年12月期间接受治疗的75例确诊为2型糖尿病的患者（年龄中位数为49岁）进行前瞻性队列研究。共有40例（53%）接受虚拟护理，35例（47%）接受面对面护理。采用卡方检验和曼-惠特尼U检验来显示组间的同质性，并采用弗里德曼检验来比较各护理组作为比较因素时的前后测试变化。
两组患者的糖化血红蛋白、甘油三酯和非高密度脂蛋白胆固醇值均下降。两组患者的生活质量和情感耗竭情况均有所改善。在对年龄和性别进行模型调整后，Cox回归模型显示，两个月时良好生活质量的感知和甘油三酯控制可增加糖化血红蛋白控制的风险比。
两种护理方式在2型糖尿病管理中产生的益处相似。虚拟咨询是一种有用且安全的替代方式。
