Factors related to hospital‐to‐home transitional self‐monitoring blood glucose behaviour among patients with diabetes‐related foot ulcer

Chin, Yen Fan; Huang, Tzu Ting; Yu, Hsing Yi; Yang, Hui-Mei; Hsu, Brend Ray‐Sea

doi:10.1111/ijn.12950

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…Since uncontrolled hyperglycemia is one of the reasons why the readmission rate of DFU patients is as high as 30%, which is much higher than that of other patients, intensive glycemic control will help prevent such readmissions[ 102 , 103 ]. Besides, intensive glycemic control will help form a “glycemic memory” or “legacy effect”, which implies that the benefits of earlier interventions are still evident while following the disease course[ 104 ].…”

Section: Dfu Prevention and Managementmentioning

confidence: 99%

Diabetic foot ulcers: Classification, risk factors and management

Wang¹,

Yuan²,

Xu³

et al. 2022

World J Diabetes

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Diabetic foot ulceration is a devastating complication of diabetes that is associated with infection, amputation, and death, and is affecting increasing numbers of patients with diabetes mellitus. The pathogenesis of foot ulcers is complex, and different factors play major roles in different stages. The refractory nature of foot ulcer is reflected in that even after healing there is still a high recurrence rate and amputation rate, which means that management and nursing plans need to be considered carefully. The importance of establishment of measures for prevention and management of DFU has been emphasized. Therefore, a validated and appropriate DFU classification matching the progression is necessary for clinical diagnosis and management. In the first part of this review, we list several commonly used classification systems and describe their application conditions, scope, strengths, and limitations; in the second part, we briefly introduce the common risk factors for DFU, such as neuropathy, peripheral artery disease, foot deformities, diabetes complications, and obesity. Focusing on the relationship between the risk factors and DFU progression may facilitate prevention and timely management; in the last part, we emphasize the importance of preventive education, characterize several of the most frequently used management approaches, including glycemic control, exercise, offloading, and infection control, and call for taking into account and weighing the quality of life during the formulation of treatment plans. Multidisciplinary intervention and management of diabetic foot ulcers (DFUs) based on the effective and systematic combination of these three components will contribute to the prevention and treatment of DFUs, and improve their prognosis.

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Section: Dfu Prevention and Managementmentioning

confidence: 99%

Diabetic foot ulcers: Classification, risk factors and management

Wang¹,

Yuan²,

Xu³

et al. 2022

World J Diabetes

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show abstract

“…Telehealth applications enable reduction of the information gap between medical experts and patients. Since it can be applied to diverse fields and specialties, its usefulness has been reported for both diagnosing and monitoring various medical conditions [5–12] . Telehealth is also widely used for monitoring various cardiac diseases [13–16] and, regarding patients with CIED, has been used for remote monitoring [17] .…”

Section: Discussionmentioning

confidence: 99%

“…Since it can be applied to diverse fields and specialties, its usefulness has been reported for both Hwang and Kim Medicine (2022) 101:23 Medicine diagnosing and monitoring various medical conditions. [5][6][7][8][9][10][11][12] Telehealth is also widely used for monitoring various cardiac diseases [13][14][15][16] and, regarding patients with CIED, has been used for remote monitoring. [17] The extent of RM of CIEDs goes beyond monitoring the device parameters and providing information on patients' condition.…”

Section: Discussionmentioning

confidence: 99%

The first survey on patient needs for remote monitoring of cardiac implantable electronic device in South Korea

Hwang

Kim

2022

Medicine

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Background/Aims: Studies showed that remote device monitoring reduced unnecessary outpatient visits and increased patient satisfaction. As there was no local research on remote monitoring (RM) in Korea, there was a lack of evidence for policy or insurance standards due to the lack of domestic data despite high demand by domestic arrhythmia experts. To establish the basis for patient satisfaction, economic efficiency, and safety of wireless monitoring, a survey-based study was planned. Methods: This was a single-university hospital survey. The satisfaction index was evaluated using a questionnaire to investigate patient satisfaction in outpatient clinics, economic efficiency (measured as home-to-clinic time, waiting time, and actual clinic time), and demand for RM in patients with implantable cardiac devices. The questionnaire was adopted and modified from the Survey on Telehealth Patient Experience by Bas-Villalobos, 2006 (modified Korean version 2.0 by You Mi Hwang, 2020). Results: Surveys were answered by 171 patients. The mean age of these patients was 71.2 ± 12.4 years. Based on the survey, home to clinic time was usually less than one h, mean waiting time in the hospital until clinic time ranged 42.6 ± 24.5 minutes, and mean clinic time ranged 3.1 ± 1.7 minutes. Based on the survey, patients favored RM over hospital visits with cardiac implantable electronic device follow-up mainly because of long travel times from home to clinic. Conclusion: Based on the survey results, there is a clear need for RM in patients who have cardiac implantable electronic devices.

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“…Transitional care is generally recognized as an important aspect to ensure the quality of health care services and is widely used in chronic disease management. Transitional care incorporates a broad range of services designed to provide seamless care for patients as they move from one setting to another, and it has been proven to be effective in reducing unplanned admissions and mortality and improving care satisfaction [12][13][14][15].…”

Section: Open Accessmentioning

confidence: 99%

The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial

et al. 2022

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Background Diabetes is a progressive condition requiring long-term medical care and self-management. The ineffective transition from hospital to community or home health care may result in poor glycemic control and increase the risk of serious diabetes-related complications. In China, the most common transitional care model is home visits or telephone interventions led by a single healthcare setting, with a lack of cooperation between specialists and primary care, which leads to inadequate service and discontinuous care. Thus, an integrated hospital-community-home (i-HCH) transitional care program was developed to promote hospital and community cooperation and provide comprehensive and continuous medical care for type 2 diabetes mellitus (T2DM) via mobile health (mHealth) technology. Methods This protocol is for a multicenter randomized controlled trial in T2DM patients. Hospitalized patients diagnosed with T2DM who meet the eligibility criteria will be recruited. The patients will be randomly allocated to either the intervention or the control group and receive the i-HCH transitional care or usual transitional care intervention. The change in glycated hemoglobin is the primary outcome. Secondary outcome measures are blood pressure, lipids (total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein), body mass index, self-management skills, quality of life, diabetes knowledge, transitional care satisfaction and the rate of readmission. The follow-up period of this study is six months. Discussion The study will enhance the cooperation between local hospitals and communities for diabetes transitional care. Research on the effectiveness of diabetes outcomes will have potentially significant implications for chronic disease patients, family members, health caregivers and policymakers. Trial registration Chinese Clinical Trial Registry ChiCTR1900023861: June 15, 2019.

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Factors related to hospital‐to‐home transitional self‐monitoring blood glucose behaviour among patients with diabetes‐related foot ulcer

Cited by 5 publications

References 30 publications

Diabetic foot ulcers: Classification, risk factors and management

Diabetic foot ulcers: Classification, risk factors and management

The first survey on patient needs for remote monitoring of cardiac implantable electronic device in South Korea

The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial

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