提高全科医疗中糖尿病护理的质量。
Improving the quality of diabetes care in general practice.
作者信息
Reddy Prasuna, Ford Dale, Dunbar James A
机构信息
Greater Green Triangle University Department of Rural Health, Flinders and Deakin Universities, Warrnambool, Victoria, Australia.
出版信息
Aust J Rural Health. 2010 Oct;18(5):187-93. doi: 10.1111/j.1440-1584.2010.01152.x.
OBJECTIVE
The evidence treatment gap for patients with type 2 diabetes.
DESIGN
A summary of convenience sample of seven general practices.
SETTING
Metropolitan and rural Victoria, Australia.
PARTICIPANTS
561 patients of general practices (75% from rural general practices).
MAIN OUTCOME MEASURES
Demographic data, duration of diabetes, diabetes complications, HbA1c and lipid levels, blood pressure and score on PHQ-9.
RESULTS
Patients with depression show more severe, progressive and intensively treated diabetes. The prevalence of depression in diabetes is about twice that of the general population.
CONCLUSION
Australian guidelines for diabetes should recommend screening for depression.
目的
2型糖尿病患者的证据治疗差距。
设计
对七个全科医疗的便利样本进行总结。
地点
澳大利亚维多利亚州的大城市和农村地区。
参与者
561名全科医疗患者（75%来自农村全科医疗）。
主要观察指标
人口统计学数据、糖尿病病程、糖尿病并发症、糖化血红蛋白和血脂水平、血压以及PHQ-9评分。
结果
抑郁症患者的糖尿病病情更严重、呈进行性且治疗更强化。糖尿病患者中抑郁症的患病率约为普通人群的两倍。
结论
澳大利亚糖尿病指南应建议对抑郁症进行筛查。
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