Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study

被引:1
作者
Lee, Sejeong [1 ,2 ]
Kim, KyungYi [3 ]
Kim, Ji Eun [4 ]
Hyun, Yura [5 ]
Lee, Minyoung [6 ]
Hahm, Myung-Il [7 ]
Lee, Sang Gyu [8 ]
Kang, Eun Seok [6 ]
机构
[1] Yonsei Univ, Grad Sch, Coll Med, Seoul, South Korea
[2] CHA Univ, CHA Gangnam Med Ctr, Dept Internal Med, Div Endocrinol & Metab,Sch Med, Seoul, South Korea
[3] Yonsei Univ, Dept Med Device Engn & Management, Grad Sch, Seoul, South Korea
[4] Soonchunhyang Univ, Dept Med Sci, Grad Sch, Asan, South Korea
[5] Yonsei Univ, Severance Hosp, Diabet Ctr, Coll Med, Seoul, South Korea
[6] Yonsei Univ, Dept Internal Med, Div Endocrinol & Metab, Coll Med, 50-1 Yonsei Ro, Seoul 03722, South Korea
[7] Soonchunhyang Univ, Coll Med Sci, Dept Hlth Adm & Management, Asan, South Korea
[8] Yonsei Univ, Dept Prevent Med, Coll Med, 50-1 Yonsei Ro, Seoul 03722, South Korea
关键词
Diabetes mellitus; type; 1; Home care services; Remote consultation; RANDOMIZED CONTROLLED-TRIAL; SELF-MANAGEMENT EDUCATION; GLYCEMIC CONTROL; ADOLESCENTS; SUPPORT; ADULTS; YOUTH;
D O I
10.4093/dmj.2022.0170
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Given the importance of continuous self-care for people with type 1 diabetes mellitus (T1DM), the Ministry of Health and Welfare of Korea launched a pilot program for chronic disease management. Herein, we applied a home care pilot program to people with T1DM to investigate its effects. Methods: This retrospective cohort study was conducted at a single tertiary hospital (January 2019 to October 2021). A multidisciplinary team comprising doctors, nurses, and clinical nutritionists provided specialized education and periodically assessed patients' health status through phone calls or text messages. A linear mixed model adjusting for age, sex, and body mass index was used to analyze the glycemic control changes before and after implementing the program between the intervention and control groups. Results: Among 408 people with T1DM, 196 were enrolled in the intervention group and 212 in the control group. The reduction in glycosylated hemoglobin (HbA1c) after the program was significantly greater in the intervention group than in the control group (estimated marginal mean, -0.57% vs. -0.23%, P= 0.008); the same trend was confirmed for glycoalbumin (GA) (-3.2% vs. -0.39%, P< 0.001). More patients achieved the target values of HbA1c (< 7.0%) and GA (< 20%) in the intervention group than in the control group at the 9-month follow-up (34.5% vs. 19.6% and 46.7% vs. 28.0%, respectively). Conclusion: The home care program for T1DM was clinically effective in improving glycemic control and may provide an efficient care option for people with T1DM, and positive outcomes are expected to expand the program to include more patients.
引用
收藏
页码:693 / 702
页数:10
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