杂志文章@ 2371-4379 I JMIR出版物以糖尿病为中心的电子卡塔尔世界杯8强波胆分析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%A White,Audrey %A Bradley,David %A Buschur,Elizabeth %A Harris,Cara %A LaFleur,Jacob %A Pennell,Michael %A Soliman,Adam %A wne,Kathleen %A Dungan,Kathleen +内分泌、糖尿病和代谢科，俄亥俄州立大学，517 McCampbell Hall, 1581 Dodd Drive, Columbus, OH, 43210，美国，1 614 685 3333，kathleen.dungan@osumc.edu %K 2型糖尿病%K出院%K订单集%D 2022 %7 26.7.2022 %9原始论文%J JMIR糖尿病%G英文%X背景:虽然使用电子订单集已成为住院糖尿病管理的标准做法，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)，其中155人有放电数据。 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 %M 35881437 %R 10.2196/33401 %U https://diabetes.www.mybigtv.com/2022/3/e33401 %U https://doi.org/10.2196/33401 %U http://www.ncbi.nlm.nih.gov/pubmed/35881437