1型糖尿病年轻人的临床结果和满意度与使用视频会议进行1型糖尿病医疗保健相关:一项叙述性综述

IF 3.8 3区 医学 Q2 Medicine Diabetes Therapy Pub Date : 2025-01-12 DOI:10.1007/s13300-024-01688-2
Steven James, Mahira Saiyed, Olive James, Rutul Gokalani, Megan Paterson, Kiran Mejia Mehta, Emma Klatman, Judy Craft, Roopa Mehta
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引用次数: 0

摘要

年轻的成年期是一个特别具有挑战性的1型糖尿病(T1D)医疗保健领域。许多患有T1D (YAT1D)的年轻人无法进行有效的疾病自我管理;T1D医疗保健服务参与可能存在问题和不一致,并且普遍存在计划外医疗保健联系的高比例。视频会议的使用可以促进业务的灵活和响应。我们的目的是评估YAT1D患者使用视频会议进行T1D医疗保健的临床结果和满意度。方法:采用系统的方法进行定量的叙述性回顾。检索PubMed、Scopus和CINAHL(截止到2023年8月),使用医学主题标题和关键词识别相关文章。共检索了来自4个国家的12项记录(8项研究)。结果:10条记录考虑临床结果;这些记录中有8个侧重于视频会议作为常规护理一部分的有效性。研究结果在很大程度上证明了血糖控制的益处,特别是在COVID-19大流行期间使用时;没有关于使用视频会议对YAT1D患者血压和血脂控制影响的数据。四项记录认为对使用视频会议感到满意,数据表明YAT1D对使用视频会议技术感到满意。结论:有必要配置T1D医疗保健服务,在YAT1D适用、适当和可接受的情况下,将视频会议技术纳入并提供使用,并且对服务提供商来说是可行的。这将需要对医疗保健系统进行一些调整,并可能对筹资机制进行改变。
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Young Adults with Type 1 Diabetes' Clinical Outcomes and Satisfaction Related to the Use of Videoconferencing for Type 1 Diabetes Healthcare: A Narrative Review.

Introduction: Young adulthood is well documented as being a particularly challenging area of type 1 diabetes (T1D) healthcare. Many young adults with T1D (YAT1D) are distracted from effective disease self-management; T1D healthcare service engagement can be problematic and inconsistent, and high rates of unplanned healthcare contacts prevail. Video conferencing use can facilitate services to be flexible and responsive. We aimed to evaluate clinical outcomes and satisfaction related to the use of videoconferencing for T1D healthcare in YAT1D.

Methods: A quantitative narrative review was undertaken, using a systematic process. PubMed, Scopus and CINAHL were searched (until August 2023) to identify relevant articles, using Medical Subject Headings and keywords. A total of 12 records (eight studies) from four countries were retrieved.

Results: Ten records considered clinical outcomes; eight of these records focused on the effectiveness of videoconferencing as part of routine care. Findings largely demonstrate benefits to glycaemic control, particularly when used during the COVID-19 pandemic; no data were available relating to the impact of videoconferencing use on blood pressure and lipid control in YAT1D. Four records considered satisfaction with use of videoconferencing, with data indicating YAT1D were satisfied with the use of videoconferencing technology.

Conclusions: There is a need to configure T1D healthcare services to incorporate and offer use of videoconferencing technology, where applicable, appropriate and acceptable for YAT1D, and feasible and workable for service providers. This will require some adjustments from healthcare systems and possible changes to funding mechanisms.

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来源期刊
Diabetes Therapy
Diabetes Therapy Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.90
自引率
7.90%
发文量
130
审稿时长
6 weeks
期刊介绍: Diabetes Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all areas of diabetes. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Diabetes Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
期刊最新文献
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