Moharram Maha M, Farahat Fayssal M
Department of Family Medicine, Al-Hada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia.
Saudi Med J. 2008 Jan;29(1):98-101.
To show that the use of a flow sheet would improve performance of family physicians in diabetes care.
This is a one-year intervention study conducted in 7 family practice clinics in Taif Armed Forces Hospitals, Taif, Saudi Arabia from March 2006 to June 2007. Diabetic flow sheet was developed based on the clinical practice guidelines of Canada for the management of type 2 diabetes. Patients' records were selected by systematic random sampling technique.
Four hundred and fourteen medical records of patients with type 2 diabetes were included in the study. Compliance with the quality indicators was audited using 9 quality improvement indicators. Significant improvement was detected in the indicators of body mass index, glycosylated hemoglobin, microalbuminuria, lipid profile, retinoscopy, foot examination, and peripheral neuropathy examination.
Flow sheet can be effective in improving quality of care not only for diabetes but also for other chronic conditions.
证明使用流程图可提高家庭医生在糖尿病护理方面的表现。
这是一项为期一年的干预性研究，于2006年3月至2007年6月在沙特阿拉伯塔伊夫武装部队医院的7家家庭诊所进行。糖尿病流程图是根据加拿大2型糖尿病管理临床实践指南制定的。通过系统随机抽样技术选取患者记录。
该研究纳入了414例2型糖尿病患者的病历。使用9项质量改进指标对质量指标的依从性进行审核。在体重指数、糖化血红蛋白、微量白蛋白尿、血脂谱、检眼镜检查、足部检查和周围神经病变检查等指标上发现了显著改善。
流程图不仅对糖尿病，而且对其他慢性病的护理质量改善都可能有效。
