Keers J C, Links T P, Bouma J, Gans R O B, ter Maaten J C, Wolffenbuttel B H R, Sluiter W J, Sanderman R
Northern Centre for Healthcare Research, P.O. Box 196, Groningen 9700 AD, The Netherlands.
Diabetes Res Clin Pract. 2004 Nov;66(2):157-61. doi: 10.1016/j.diabres.2004.02.018.
The aim of this study was to determine whether diabetologists recognise patients' needs for additional intensive multidisciplinary care due to glycaemic and diabetes-related psychosocial difficulties.
We compared 114 participants in a diabetes intervention programme with 201 as yet non-referred outpatients, of whom 54 outpatients were considered eligible for the intervention by their diabetologists; thus, 147 outpatients were considered non-eligible.
Analysis revealed that the eligible patients had poorer glycaemic control but all other parameters were similar to non-eligible patients. Significantly, 22 (15%) of the 147 non-eligible patients clearly had diabetes distress and could potentially benefit from the intervention.
The results suggest that in regular care, patients' needs with respect to glycaemic control are recognised by their diabetologists, but patients with high psychosocial diabetes-related distress are often overlooked, though they also may be in need of additional care. Integrated monitoring of diabetes-related distress in outpatients could improve this area of diabetes care.
本研究旨在确定糖尿病专科医生是否认识到患者因血糖及糖尿病相关心理社会问题而需要额外的强化多学科护理。
我们将糖尿病干预项目中的114名参与者与201名尚未转诊的门诊患者进行了比较，其中54名门诊患者被其糖尿病专科医生认为符合干预条件；因此，147名门诊患者被认为不符合条件。
分析显示，符合条件的患者血糖控制较差，但所有其他参数与不符合条件的患者相似。值得注意的是，147名不符合条件的患者中有22名（15%）明显存在糖尿病困扰，可能会从干预中受益。
结果表明，在常规护理中，糖尿病专科医生认识到患者在血糖控制方面的需求，但糖尿病相关心理社会困扰程度高的患者往往被忽视，尽管他们也可能需要额外护理。对门诊患者进行糖尿病相关困扰的综合监测可以改善糖尿病护理的这一领域。
