第二型糖尿病病患接受遠距照護服務之成效

To explore the effectiveness of glycemic control before and after diabetic patients who received ＂diabetic telecare＂ and ＂usual care＂. From October 2016 to December 2018, using a quasi-experimental research design, using conceptual sampling and fixed sampling methods, the experimental group enrolled 38 people with type 2 diabetes who received diabetes telecare, and enrolled 190 people with usual care in the control group, and glycated hemoglobin (HbA1c) was followed up 3 times. Statistical methods include descriptive statistics, paired t-tests, filling in missing data using Last Observation Carrying Forward(LOCF), and generalized estimation equation analysis(GEE). The HbA1c of the two groups decreased in the two post-tests. The HbA1c of the experimental group decreased by 2.37 ± 2.28 in the first post-test and 3.01 ± 2.38 in the second post-test compared with the pre-test. The decrease was significant(P＜.001). Using the estimated marginal average to compare the difference between the pre- and post-tests, the experimental group's HbA1c decreased by -2.18 at the second time and -2.47 at the third time. The HbA1c decreased significantly in the two post-tests. Repeated measurements using the generalized estimation model showed that the HbA1c of the experimental group at the second time point was 2.11 lower than that of the control group; the HbA1c at the third time point was 2.27 lower than that of the control group, both reaching a significant level. The results of this study support that patients with type 2 diabetes who receive ＂distant diabetic care＂ can effectively reduce glycated hemoglobin, and the effect of blood sugar control after intervention is significant. Recommendations for intervention in telecare include: immediate feedback from nurses, assistance in analyzing abnormal blood glucose problems and guiding adjustments to blood glucose control plans, prompting the case to improve self-management, and assisting in communicating with doctors regarding the adjustment of diabetes treatment plans.

並列關鍵字

type 2 diabetes ； diabetes telecare ； glycosylated hemoglobin

參考文獻

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第二型糖尿病病患接受遠距照護服務之成效

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