Department of Internal Medicine, Jimma University, Jimma, Ethiopia.
BMC Endocr Disord. 2011 Dec 20;11:19. doi: 10.1186/1472-6823-11-19.
Sub-Saharan Africa is currently enduring the heaviest global burden of diabetes and diabetes care in such resource poor countries is far below standards. This study aims to describe the gaps in the care of Ethiopian diabetic patients at Jimma University Specialized Hospital.
329 diabetic patients were selected as participants in the study, aged 15 years or greater, who have been active in follow-up for their diabetes for more than 1 year at the hospital. They were interviewed for their demographic characters and relevant clinical profiles. Their charts were simultaneously reviewed for characters related to diabetes and related morbidities. Descriptive statistics was used for most variables and Chi-square test, where necessary, was used to test the association among various variables. P-value of < 0.05 was used as statistical significance.
Blood glucose determination was done for 98.5% of patients at each of the last three visits, but none ever had glycosylated haemoglobin results. The mean fasting blood sugar (FBS) level was 171.7 ± 63.6 mg/dl and 73.1% of patients had mean FBS levels above 130 mg/dl. Over 44% of patients have already been diagnosed to be hypertensive and 64.1% had mean systolic BP of > 130 and/or diastolic > 80 mmHg over the last three visits. Diabetes eye and neurologic evaluations were ever done for 42.9% and 9.4% of patients respectively. About 66% had urine test for albumin, but only 28.2% had renal function testing over the last 5 years. The rates for lipid test, electrocardiography, echocardiography, or ultrasound of the kidneys during the same time were < 5% for each. Diabetic neuropathy (25.0%) and retinopathy (23.1%) were the most common chronic complications documented among those evaluated for complications.
The overall aspects of diabetes care at the hospital were far below any recommended standards. Hence, urgent action to improve care for patients with diabetes is mandatory. Future studies examining patterns and prevalence of chronic complications using appropriate parameters is strongly recommended to see the true burden of diabetes.
撒哈拉以南非洲目前承受着全球最重的糖尿病负担，而在这些资源匮乏的国家，糖尿病的护理水平远低于标准。本研究旨在描述吉姆马大学专科医院治疗的埃塞俄比亚糖尿病患者的护理差距。
选择 329 名年龄在 15 岁及以上、在医院接受糖尿病随访超过 1 年的糖尿病患者作为研究对象。对他们的人口统计学特征和相关临床特征进行了访谈。同时对他们的病历进行了审查，以了解与糖尿病和相关并发症相关的特征。大多数变量采用描述性统计，必要时采用卡方检验来检验各变量之间的关系。P 值<0.05 为统计学意义。
在过去的三次就诊中，98.5%的患者都进行了血糖检测，但没有一次检测过糖化血红蛋白。空腹血糖（FBS）的平均水平为 171.7±63.6mg/dl，73.1%的患者 FBS 水平高于 130mg/dl。超过 44%的患者已被诊断为高血压，64.1%的患者在过去三次就诊中收缩压>130mmHg 和/或舒张压>80mmHg。过去三次就诊中，分别有 42.9%和 9.4%的患者进行了糖尿病眼病和神经评估。约 66%的患者进行了尿白蛋白检查，但在过去 5 年中，只有 28.2%的患者进行了肾功能检查。同期血脂检查、心电图、超声心动图或肾脏超声检查的比例均<5%。在评估并发症的患者中，最常见的慢性并发症为糖尿病神经病变（25.0%）和视网膜病变（23.1%）。
医院的整体糖尿病护理水平远低于任何推荐标准。因此，迫切需要采取行动改善糖尿病患者的护理。强烈建议使用适当的参数检查慢性并发症的模式和流行率，以了解糖尿病的真实负担。
