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The Impact of a Diabetes Self-Management Education Program Provided Through a Telemedicine Link to Rural California Health Care Clinics

机译:通过远程医疗链接提供的糖尿病自我管理教育计划对加利福尼亚州农村卫生保健诊所的影响

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Background: This project investigated the impact of a DM self-management education program provided through a telemedicine link at nine rural health clinics in Northern California.Methods: Two hundred thirty nine patients were provided with a single 2-hour class on DM delivered through a live televideo connection. Patients provided pre-intervention information on: demographics and overall health, self-care behaviors, and knowledge about DM. All participants completed a post-education survey on knowledge and self-care behaviors.Results: There was a significant decrease in the number of patients who felt overwhelmed with their DM; pre-intervention 18.8%; post-intervention 5.4% (P , 0.0001). Patients increased the number of days they exercised; pre-intervention 3.4 days; post-intervention 3.9 days (P = 0.02). Patients increased the number of days they checked their feet; pre-intervention 4.2 days; post-intervention 5.6 days (P , 0.01). Knowledge about DM improved over the study period (P , 0.01).Conclusions: A single 2-hour class on DM administered through a telemedicine link to patients in rural health clinics resulted in feeling less overwhelmed, more knowledgeable about DM, and demonstrated an increase in self-care behavior; ie, exercise and foot care.
机译:背景:该项目调查了北加州9个农村卫生诊所通过远程医疗链接提供的DM自我管理教育计划的影响。方法:向239例患者提供2小时的DM单次课程实时电视录像连接。患者提供了以下干预前信息:人口统计和总体健康,自我保健行为以及有关DM的知识。所有参与者均完成了关于知识和自我保健行为的教育后调查。结果:感到不堪重负的糖尿病患者人数显着减少;干预前18.8%;干预后为5.4%(P,0.0001)。患者增加了运动的天数;干预前3.4天;干预后3.9天(P = 0.02)。患者增加了检查脚的天数;干预前4.2天;干预后5.6天(P,0.01)。在研究期间,有关糖尿病的知识有所提高(P,0.01)。结论:通过远程医疗链接向农村卫生诊所的患者进行2个小时的DM班授课,使他们感到不堪重负,对DM的了解更多,并显示出增加的趋势自理行为;即运动和足部护理。

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