评估基层医疗机构为糖尿病患者提供的医疗服务:系统综述

Pub Date : 2024-03-29 DOI:10.1016/j.semerg.2024.102214
F.M. Escandell-Rico , L. Pérez-Fernández
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引用次数: 0

摘要

方法在综述过程中,我们遵循了改进系统综述和荟萃分析出版的建议以及 PRISMA 系统综述的首选报告要点。文献检索在《护理及相关健康文献累积索引》(CINAHL)、SCOPUS、Scielo、MedLine / PubMed、Cochrane 数据库和 Google Scholar 搜索引擎中进行,使用 MeSh 检索词,使用自由和受控语言:"医生、初级保健"、"糖尿病、2 型"。对所选的八篇文章进行了分析。这些文章是根据其相关性筛选出来的,发表在同行评审的学术期刊上,发表时间为 2019 年至 2023 年。结果主要研究工具代表了初级保健医生在糖尿病患者护理知识和实践方面的干预措施。分析文章中提取的最重要的讨论主题涉及知识、临床惰性、患者住房挑战、坚持干预计划和糖尿病患者自我护理应用程序。结论本研究的结果表明,需要通过初级保健中有关糖尿病患者的知识、态度和实践来改善医疗保健。因此,它可被视为促进初级保健中医疗保健的有用工具。
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Evaluación de la asistencia sanitaria del paciente con diabetes en atención primaria: una revisión sistemática

Objective

Have the most current evidence in relation to the evaluation of medical healthcare for patients with diabetes in primary care.

Method

During the review process, we followed the recommendations to improve the publication of systematic reviews and meta-analyses and the preferred reporting points for PRISMA systematic reviews. The bibliographic search was carried out in Cumulative Index to Nursing and Allied Health Literature (CINAHL), SCOPUS, Scielo, MedLine / PubMed, Cochrane databases and in the Google Scholar search engine, with free and controlled language, using the MeSh search terms: «Physicians, Primary Care», «Diabetes Mellitus, Type 2». Eight selected articles were analyzed. The articles were selected based on their relevance, published in peer-reviewed academic journals and published between 2019 and 2023.

Results

The main study tool represents interventions in knowledge and practice about the care of patients with diabetes among primary care physicians. The most important discussion topics extracted in the analyzed articles refer to knowledge, clinical inertia, patients’ housing challenges, adherence intervention programs, and a self-care application for patients with diabetes.

Conclusions

The findings of this study indicate the need to improve medical health care through knowledge, attitudes and practices in primary care regarding patients with diabetes. In this way, it could be considered a useful tool to promote medical healthcare in primary care.

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