Effects of nurse telesupport on transition between specialized and primary care in diabetic patients: study protocol for a randomized controlled trial

Trials
Ana Marina MoreiraTelessaudeRS

Abstract

According to the Global Diabetes Plan, a unified health system with preventive and educational strategies is essential to proper diabetes care and primary settings should be the main site of care. In Brazil, there is limited access to outpatient hospital diabetes services, while primary-care diabetes support is underutilized. Telemedicine can be a useful adjunct to support discharge of stable patients with type 2 diabetes to the primary care setting. In this paper, we present a randomized controlled trial (RCT) protocol designed to evaluate the effects of telehealth support for stable type 2 diabetes patients discharged from hospital outpatient diabetes clinics. We designed a RCT. Patients with stable type 2 diabetes (glycated hemoglobin < 8%) considered eligible for discharge from specialized to primary care will be included. Those with uncontrolled ischemic heart disease, severe neuropathy, and stage IV/V nephropathy will be excluded. Enrolled patients will be randomized into two groups: follow-up supported by periodic phone calls by a nurse (intervention group) plus primary care or routine primary care only (control group). The intervention group will receive regular telephone calls (every three months for one year) and will...Continue Reading

References

Mar 25, 2010·BMJ : British Medical Journal·David MoherDouglas G Altman
Jan 11, 2013·BMJ : British Medical Journal·An-Wen ChanDavid Moher
Feb 5, 2013·Diabetes Research and Clinical Practice·Uma MudaliarMohammed Ali
Nov 20, 2013·PloS One·Milena Soriano MarcolinoAntonio Luiz Ribeiro
Jun 30, 2015·Diabetes Research and Clinical Practice· Idf Diabetes Atlas Group
Aug 4, 2015·American Journal of Preventive Medicine·Shadi ChamanyLynn D Silver
Apr 21, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Erno HarzheimSotero Serrate Mengue

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Citations

Nov 26, 2020·PloS One·Angélica Baptista SilvaRosângela Caetano
Jul 1, 2021·Revista da Escola de Enfermagem da U S P·Antonia Fabiana Rodrigues da SilvaAna Roberta Vilarouca da Silva

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Methods Mentioned

BETA
urine collection

Software Mentioned

TelessaúdeRS

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