成人2型糖尿病患者出院随访清单的构建及初步试用OA

Objective To develop a post-discharge follow-up checklist for adult patients with type 2 diabetes mellitus(T2DM)and standardize follow-up content and process,aiming to provide a practical tool for clinical follow-up.Methods An evidence-based framework was developed for the checklist.From April to May 2025,18 experts from 6 provinces/municipalities were invited to participate in two rounds of Delphi consultation.The checklist was revised and refined based on expert opinions and then pilot-tested in 25 discharged adult T2DM patients.Finally,the final version of the follow-up checklist was developed.Results In this study,the time required to complete follow-up using this checklist was 8.16-15.52 min[mean(10.60±2.45)min].For the two rounds of Delphi consultation,the response rates were 100％and 90％,the authority coefficients were 0.915 and 0.919(both>0.700),and Kendall's coefficients of concordance were 0.335,0.380,and 0.353,and 0.356,0.234,and 0.291,respectively(P<0.001 for all).The final checklist comprised 4 first-level indicators(glucolipid metabolism management,healthy behavior and lifestyle management,acute event and complication management,and psychosocial status),15 second-level indicators,and 55 third-level indicators,with a simplified follow-up form attached for clinical use.Conclusion The post-discharge follow-up checklist for adult T2DM patients is comprehensive,scientific,reliable,and clinically applicable.It offers a practical tool and a useful reference for clinical follow-up and subsequent personalized interventions.