基于远程医疗服务提高2型糖尿病患者医疗服务和预防质量

IF 0.3 Q4 REHABILITATION Acta Balneologica Pub Date : 2022-01-01 DOI:10.36740/abal202201105
V. Smiianov, Nataliia O. Dryha, L. Rudenko
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引用次数: 0

摘要

目的:分析远程医疗服务的实施效果,对2型糖尿病患者的健康和治疗情况进行动态监测,以优化基层卫生保健的医疗服务和预防质量。材料与方法:研究对象为18 ~ 70岁的糖尿病患者。在引入综合信息系统之前,他们参加了一项医学和社会学调查,并同意处理和使用他们的个人数据。共涉及96例患者。我们在2019年12月期间使用医学和社会学研究的封闭式问卷对该研究进行了调查。研究方法包括系统研究法、文献语义学分析、比较与统计分析、逻辑概括等。结果:在随后的医学和社会学调查中,对苏梅地区18 ~ 69岁居民的96份问卷进行了研究,其中女性58名(60,42±3.53 %),男性38名(39,58±3.53 %)。对再监测结果的分析表明,在初级卫生保健一级实施ICS期间,MCQ指标和被调查者的健康状况有所改善。定期控制血压的患者比例增加了32.29%,控制血糖的患者比例增加了31.24%。低血糖和/或酮症酸中毒状态的发生率下降了4.17%。在调查过程中,血压水平达到目标的受访者比例增加了25.00%,糖尿病代偿满意的受访者比例增加了29.18%。调查显示,更多受访者(12.5%)开始定期服用处方药;开始遵循饮食和饮食方案的人数增加了28.12%;5.19%的受访者放弃了不良习惯(吸烟)。体重指数≥30.0的受访者减少了4.69%。结论:在基层卫生保健机构层面,引入患者与医疗服务提供者之间的反馈信息沟通系统(ICS),对患者参与健康动态监测、对慢性非传染性疾病发展及其并发症的预防负责任态度、对改变的危险因素对其健康影响的认识产生了积极影响。
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Improving the Quality of Medical Care and Prevention in Patients with Type 2 Diabetes on the Basis of Remote Medical Service
Aim: To analyze the effectiveness of implementation of remote medical service, involving patients with type 2 diabetes mellitus in dynamic monitoring of their health and treatment, designed to optimize the quality of medical care and prevention at the primary health care level. Materials and Methods: The study included adults aged 18 to 70 years, residents of Sumy who suffer from diabetes. They took part in a medical and sociological survey before introduction of the ICS and gave consent for processing and using of their personal data. A total of 96 patients were involved. We conducted a survey form of the study, using a closed questionnaire for medical and sociological research, conducted during December 2019. The study included such methods as systematic approach, bibliosemantic, comparative and statistical analyses, logical generalization. Results: During the following medical and sociological survey, 96 questionnaires from Sumy residents aged 18 to 69 years, 58 women (60,42±3,53%) and 38 men (39,58±3,53%)) were studied. Analysis of re-monitoring results showed that during the period of implementation of the ICS at the level of primary health care, the indicators of MCQ and health status of respondents have improved. The proportion of patients, who regularly control the level of blood pressure, increased by 32.29%, and those, who control the level of blood glucose – by 31.24%. The incidence of hypoglycemia and/or ketoacidosis states has decreased by 4.17%. During the survey, the part of respondents with targeted blood pressure level increased by 25.00% and the number of respondents with satisfactory level of diabetes compensation increased by 29.18%. The survey showed that more respondents (12.5%) began to regularly take prescribed medications; the number of those, who began to follow diet and dietary regimen has increased by 28.12%; 5.19% of respondents abandoned bad habits (smoking). The number of respondents who have a body mass index ≥ 30.0 has decreased by 4.69%. Conclusions: The introduction of information and communication system (ICS) with feedback between patient and provider of medical services at the primary health care institution level has shown a positive impact on involvement of patients in dynamic monitoring of their health, responsible attitude to prevention of chronic non-communicable diseases` development and their complications, awareness of the impact of modified risk factors on their health.
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Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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