@文章{信息:doi/10.2196/33401，作者="White, Audrey and Bradley, David and Buschur, Elizabeth and Harris, Cara and LaFleur, Jacob and Pennell, Michael and Soliman, Adam and wne, Kathleen and Dungan, Kathleen"，标题="以糖尿病为重点的电子出院单集和出院后护理支持在控制不良的住院患者中的有效性:随机对照试验”，期刊=“JMIR糖尿病”，年份=“2022”，月份=“7月”，日期=“26”，卷=“7”，数=“3”，页数=“e33401”，关键词=“2型糖尿病;放电;背景:虽然使用电子订单集已成为住院糖尿病患者管理的标准实践，但在出院时的决策支持有限。目的:在本研究中，我们评估了电子出院单集(DOS)加护士随访电话是否能改善2型糖尿病住院患者的出院单和出院后的结果。方法:这是一项随机、开放标签、单中心研究，比较了住院需要胰岛素的2型糖尿病患者的电子DOS和护士电话与强化标准护理(ESC)。主要终点是出院后24周糖化血红蛋白(HbA1c)水平的变化。次要结果包括与糖尿病相关的出院处方的完整性和准确性。结果:由于长期随访的可行性问题，本研究提前终止。然而，158名参与者被登记(DOS: n=82; ESC: n=76), of whom 155 had discharge data. The DOS group had a greater frequency of prescriptions for bolus insulin (78{\%} vs 44{\%}; P=.01), needles or syringes (95{\%} vs 63{\%}; P=.03), and glucometers (86{\%} vs 36{\%}; P<.001). The clarity of the orders was similar. HbA1c data were available for 54 participants in each arm at 12 weeks and for 44 and 45 participants in the DOS and ESC arms, respectively, at 24 weeks. The unadjusted difference in change in HbA1c level (DOS -- ESC) was −0.6{\%} (SD 0.4{\%}; P=.18) at 12 weeks and −1.1{\%} (SD 0.4{\%}; P=.01) at 24 weeks. The adjusted difference in change in HbA1c level was −0.5{\%} (SD 0.4{\%}; P=.20) at 12 weeks and −0.7{\%} (SD 0.4{\%}; P=.09) at 24 weeks. The achievement of the individualized HbA1c target was greater in the DOS group at 12 weeks but not at 24 weeks. Conclusions: An intervention that included a DOS plus a postdischarge nurse phone call resulted in more complete discharge prescriptions. The assessment of postdischarge outcomes was limited, owing to the loss of the long-term follow-up, but it suggested a possible benefit in glucose control. Trial Registration: ClinicalTrials.gov NCT03455985; https://clinicaltrials.gov/ct2/show/NCT03455985 ", issn="2371-4379", doi="10.2196/33401", url="https://diabetes.www.mybigtv.com/2022/3/e33401", url="https://doi.org/10.2196/33401", url="http://www.ncbi.nlm.nih.gov/pubmed/35881437" }