Mumtaz Shadma, Ashfaq Tabinda, Siddiqui Hemna
Department of Family Medicine, Ziauddin University, Clifton, Karachi.
J Pak Med Assoc. 2009 Mar;59(3):163-6.
To assess knowledge among medical students of Ziauddin University regarding Diabetes Mellitus.
A cross sectional survey of medical students from first year to final year at the medical college was conducted on a pretested self-administered questionnaire. Students were divided into preclinical and clinical years for analysis.
A total of 366 students participated, with 145 (39.6%) from the preclinical group and 221 (60.4%) from the clinical group. Overall 89% students knew that diabetes is a metabolic disorder, 78% knew that pancreas is the site of insulin production and 77% students correctly identified main target organ of insulin. Regarding presentation, 67% said polyphagia, 50% said weight loss while only 18% claimed pruritus vulvae to be the presenting symptom. Majority from the clinical group (95%) while 86% of preclinical group knew about risk factors for diabetes (p = 0.003). Regarding prevention, 89% of clinical group knew that diabetes is preventable but 49% preclinical students did not have an idea of prevention (p < 0.001). A large number from clinical group (87%) said that there is some criteria of screening for diabetes while only 30% of preclinical group knew about screening (p < 0.001). Correct diagnostic criteria for diabetes according to WHO was identified by 55% clinical and only 6% of preclinical students (p < 0.001). Over two-third (78%) of clinical while only 50% of preclinical students said that diabetes should not always be treated with drugs (p < 0.001).
The knowledge of students about diabetes was more in the clinical group as compared to the preclinical group, whereas, overall knowledge of the students was adequate. Medical students are the future physicians, therefore the medical curriculum should lay emphasis on educating students, patient based clinically oriented approaches for dealing with this epidemiologically important disease.
评估齐亚乌丁大学医学生关于糖尿病的知识。
使用预先测试的自填式问卷，对医学院从一年级到最后一年的医学生进行横断面调查。学生被分为临床前组和临床组进行分析。
共有366名学生参与，其中临床前组145名（39.6%），临床组221名（60.4%）。总体而言，89%的学生知道糖尿病是一种代谢紊乱，78%的学生知道胰腺是胰岛素产生的部位，77%的学生正确识别了胰岛素的主要靶器官。关于临床表现，67%的学生提到多食，50%的学生提到体重减轻，而只有18%的学生认为外阴瘙痒是主要症状。临床组的大多数学生（95%）以及临床前组的86%的学生知道糖尿病的危险因素（p = 0.003）。关于预防，89%的临床组学生知道糖尿病是可预防的，但49%的临床前学生不知道预防方法（p < 0.001）。临床组的大量学生（87%）表示有糖尿病筛查的标准，而临床前组只有30%的学生知道筛查（p < 0.001）。根据世界卫生组织的标准，55%的临床组学生和仅6%的临床前学生正确识别了糖尿病的诊断标准（p < 0.001）。超过三分之二（78%）的临床组学生以及仅50%的临床前学生表示糖尿病并非总是需要药物治疗（p < 0.001）。
与临床前组相比，临床组学生关于糖尿病的知识更多，然而，学生的总体知识水平是足够的。医学生是未来的医生，因此医学课程应强调以患者为基础的临床导向方法来教育学生应对这种具有重要流行病学意义的疾病。
