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基于团队的照护对慢性病控制的影响:高血压和糖尿病

Effect of Team-Based Care on Chronic Disease Control: Hypertension and Diabetes.

作者信息

Alshaiti Zainb A, Alburayh Yasamiyan A, Bu-Khamseen Montaser A, Al Jabr Qasem, Khan Abdul Sattar, Al Jamaan Fatimah N

机构信息

Familly Medicine, King Faisal University, Al-Ahsa, SAU.

Family Medicine, Al-Ahsa Family Medicine Academy, Al-Ahsa, SAU.

出版信息

Cureus. 2025 Jun 29;17(6):e86971. doi: 10.7759/cureus.86971. eCollection 2025 Jun.

DOI:10.7759/cureus.86971
PMID:40734870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12306587/
Abstract

INTRODUCTION

Chronic diseases are a major challenge for healthcare systems. Primary care providers face time constraints, leaving urgent care needs unmet. Team-based care (TBC) has emerged as an effective approach, fostering collaboration among healthcare professionals to improve patient outcomes and disease management.

AIM

The aim of this study was to investigate the impact of TBC on chronic disease management in Al-Ahsa, Saudi Arabia, with a focus on hypertension and diabetes control.

METHODS

A retrospective study was conducted in all primary healthcare centers (PHCs) in Al-Ahsa, Saudi Arabia, from 2021 to 2025. The study included 23,495 patients, including 13,492 diabetic and 10,003 hypertensive patients. Data were collected from electronic health records. Statistical analysis was conducted using IBM SPSS Statistics for Windows, version 27, and paired sample t-tests were used to assess the effectiveness of TBC. The significance level for all statistical tests was set at p < 0.05.

RESULTS

The study included 23,492 patients, including 13,492 diabetic and 10,003 hypertensive patients. TBC intervention significantly improved diabetic patients' glycemic control, evidenced by a mean HbA1c reduction from 7.5% to 7.2% across all demographic subgroups. Furthermore, TBC led to a statistically significant reduction in systolic blood pressure (SBP) among hypertensive patients across most demographic groups, with an overall mean decrease from 134.3 to 131.2 mmHg.  Conclusion: The study confirms the effectiveness of TBC in managing hypertension and diabetes. To maximize benefits, tailored interventions, regional adaptations, and comprehensive training for healthcare providers are crucial.

摘要

引言

慢性病是医疗保健系统面临的一项重大挑战。初级保健提供者面临时间限制,导致紧急护理需求无法得到满足。基于团队的护理(TBC)已成为一种有效的方法,促进医疗保健专业人员之间的协作,以改善患者预后和疾病管理。

目的

本研究的目的是调查TBC对沙特阿拉伯艾哈萨慢性病管理的影响,重点关注高血压和糖尿病的控制。

方法

对沙特阿拉伯艾哈萨所有初级医疗保健中心(PHC)在2021年至2025年期间进行了一项回顾性研究。该研究纳入了23495名患者,其中包括13492名糖尿病患者和10003名高血压患者。数据从电子健康记录中收集。使用IBM SPSS Statistics for Windows 27版进行统计分析,并使用配对样本t检验评估TBC的有效性。所有统计检验的显著性水平设定为p < 0.05。

结果

该研究纳入了23492名患者,其中包括13492名糖尿病患者和10003名高血压患者。TBC干预显著改善了糖尿病患者的血糖控制,所有人口统计学亚组的平均糖化血红蛋白(HbA1c)从7.5%降至7.2%即可证明。此外,TBC导致大多数人口统计学组的高血压患者收缩压(SBP)在统计学上显著降低,总体平均从134.3 mmHg降至131.2 mmHg。结论:该研究证实了TBC在管理高血压和糖尿病方面的有效性。为了最大化益处,为医疗保健提供者量身定制干预措施、进行区域调整和提供全面培训至关重要。

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