A Telehealth Rural Practice Change for Diabetes Education and Management

被引：5

作者：

Barker, Kendra ^{[1
]}

Mallow, Jennifer ^{[1
]}

Theeke, Laurie ^{[1
]}

Schwertfeger, Renee ^{[1
]}

机构：

[1] W Virginia Univ, Robert C Byrd Hlth Sci Ctr, Morgantown, WV 26506 USA

来源：

JNP-JOURNAL FOR NURSE PRACTITIONERS | 2016年 / 12卷 / 05期

关键词：

diabetes; education; health care; rural; telehealth; INTERVENTION; ADULTS;

D O I：

10.1016/j.nurpra.2016.01.015

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Education may improve glycemic control for patients with type 2 diabetes, but patients from rural areas may experience barriers to participation. A nurse-led rural telehealth intervention examined the impact on health behaviors, weight, and blood glucose levels. Patients reported an increased number of days being active (P = .05), enhanced view of activity as important (P = .02), and enhanced assuredness about taking medications (P = .011). There were clinically significant decreases in mean blood glucose values and weight, both trending downward. Feasibility was challenging due to lack of reimbursement, time, and staffing, but patients and providers reported satisfaction with the intervention.

引用

页码：E225 / E229

页数：5

共 16 条

[1] Improvements in illness self-management and psychological distress associated with telemonitoring support for adults with diabetes [J].

Aikens, James E. ;

Rosland, Ann-Marie ;

Piette, John D. .

PRIMARY CARE DIABETES, 2015, 9 (02) :127-134

[2]

American Association of Diabetes Educators, 2013, PRACT PAT RES

[3]

American Diabetes Association, 2013, DIAB BAS LIV DIAB

[4] The Empirical Evidence for the Telemedicine Intervention in Diabetes Management [J].

Bashshur, Rashid L. ;

Shannon, Gary W. ;

Smith, Brian R. ;

Woodward, Maria A. .

TELEMEDICINE AND E-HEALTH, 2015, 21 (05) :321-354

[5]

Center for Connected Health Policy. The National Telehealth Policy Resource Center, 2015, WV MED TEL TEL DEF

[6] Improvement of glycaemia control in subjects with type 2 diabetes by self-monitoring of blood glucose: comparison of two management programs adjusting bedtime insulin dosage [J].

Chen, H. -S. ;

Wu, T. -E. ;

Jap, T. -S. ;

Lin, S. -H. ;

Hsiao, L. -C. ;

Lin, H. -D. .

DIABETES OBESITY & METABOLISM, 2008, 10 (01) :34-40

[7]

Çinar FI, 2010, TURK J ENDOCRINOL ME, V14, P1

[8] The effect of intensive glycaemic control on cardiovascular outcomes [J].

Hill, D. ;

Fisher, M. .

DIABETES OBESITY & METABOLISM, 2010, 12 (08) :641-647

[9]

Huttlinger K.W., 2008, Transcultural health care, V3rd, P95

[10]

Mallow Jennifer A, 2014, Online J Rural Nurs Health Care, V14, P43

← 1 2 →