Birgisdóttir Matthildur, Skúladóttir Hafdís, Sigurðardóttir Árún K
Healthcare Institution of North Iceland Blönduós, Iceland.
School of Health, Business and Natural Sciences - Faculty of Nursing, University of Akureyri Akureyri Iceland.
Int J Circumpolar Health. 2025 Dec;84(1):2517932. doi: 10.1080/22423982.2025.2517932. Epub 2025 Jun 11.
As the prevalence of type 2 diabetes increases in Iceland, more nurse-led diabetes clinics have been established in primary health. This study aimed to evaluate treatment outcomes in patients with type 2 diabetes at two rural nurse-led diabetes clinics and compare these outcomes with guidelines. A retrospective cohort study was conducted in primary care settings in Northern Iceland using secondary data from medical recording systems. The sample ( = 88) included patients with two glycated haemoglobin (HbA1c) measurements taken at least 6 months apart (Time 1 and 2). Between Time 1 and 2, HbA1c levels ( = 0.049), body mass index ( = 0.013), and systolic blood pressure ( = 0.040) decreased. At time 2, approximately 70% of patients reached clinical goals for HbA1c levels, 33% for body mass index, 56% for systolic blood pressure, and 49% for diastolic blood pressure. This finding is consistent with those of other European studies in diabetes care. Assessing healthcare outcomes is beneficial for small rural clinics, where work is often conducted in isolation. This programme evaluation study conducted in two nurse-led clinics in Iceland demonstrated improved diabetes outcomes with care aligned with clinical guidelines and provided a baseline for measuring future outcomes.
随着冰岛2型糖尿病患病率的上升,初级卫生保健领域设立了更多由护士主导的糖尿病诊所。本研究旨在评估两家农村地区由护士主导的糖尿病诊所中2型糖尿病患者的治疗效果,并将这些效果与指南进行比较。在冰岛北部的初级保健机构中进行了一项回顾性队列研究,使用医疗记录系统中的二手数据。样本(n = 88)包括至少间隔6个月进行两次糖化血红蛋白(HbA1c)测量(时间1和时间2)的患者。在时间1和时间2之间,HbA1c水平(P = 0.049)、体重指数(P = 0.013)和收缩压(P = 0.040)均有所下降。在时间2时,约70%的患者达到了HbA1c水平的临床目标,33%达到了体重指数目标,56%达到了收缩压目标,49%达到了舒张压目标。这一发现与欧洲其他糖尿病护理研究的结果一致。评估医疗保健效果对小型农村诊所有益,因为这些诊所的工作往往是独立进行的。在冰岛两家由护士主导的诊所进行的这项项目评估研究表明,遵循临床指南进行护理可改善糖尿病治疗效果,并为衡量未来效果提供了基线。