國家衛生研究院 NHRI:Item 3990099045/10939
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    題名: Factors related to diabetes' ABC control in a Taipei community hospital - A prospective follow-up study
    作者: Tai, TY;Chang, YK;Lin, JY;Wong, PY;Lin, IC;Lien, IJ;Chung, CH;Hsu, CC
    貢獻者: Institute of Population Health Sciences
    摘要: Background: The majority of diabetes patients in Taiwan have been cared in either community clinics or local hospitals; however, quality of diabetes control in community settings remains unclear. This study aimed at demonstrating performance of diabetes care and investigating factors that influenced ABC (HbA1c, blood pressure, and low-density lipoprotein cholesterol [LDL-C]) control in a community hospital in Taipei. Methods: We adopted the current status of ABC control in National Diabetes Health Promotion Centers in Taiwan, which have been regularly supervised and accredited by the Health Promotion Administration, as the performance indicators to evaluate quality of diabetes care in the investigated community hospital. Logistic regressions were used to identify significant factors related to diabetes’ ABC control. Results: Since 2006, the investigated community hospital has implemented a diabetes management program, strengthening dietetic consultation, health education, and case management. The data surveillance center has currently recorded 300 enrollees to this program. The percentage of good ABC control, including HbA1c < 7%, blood pressure <130/ 80 mmHg, and LDL-C < 100 mg/dL, one year after participating in the program was 40.7%, 33.7%, and 32.8%, respectively. Compared to the corresponding indicators in National Diabetes Health Promotion Centers, which was 32.5%, 30.6%, and 35.3%, respectively, the blood sugar and blood pressure control in the investigated community hospital were significantly better. Those who had HbA1c < 7% or blood pressure <130/80 mmHg at baseline were more likely to achieve all ABC goals after participating in the program. The significant factors related to ideal blood sugar control (HbA1c < 7%) included male, diabetes duration <5 years, non-smoker, regular exercise, and better glycemic control at baseline. Conclusion: After implementing a diabetes management program, more than one third of patients enrolled in the program could reach the optimal standard set by the National Diabetes Health promotion centers. Our results indicate more effects needed to promote quality of diabetes care in Taiwan. Our study also implies healthy behaviors such as non-smoking and regular exercise are conducive to better glycemic control. This is empirical evidence supporting health education in diabetes care.
    日期: 2016-10
    關聯: Diabetes Research and Clinical Practice. 2016 Oct;120(Suppl. 1):S109-S110.
    Link to: http://dx.doi.org/10.1016/S0168-8227(16)31193-7
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0168-8227&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000416113300323
    顯示於類別:[許志成] 會議論文/會議摘要

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