巴基斯坦卡拉奇外周糖尿病诊所医护人员对 2004 年美国糖尿病协会 2 型糖尿病患者护理指南的依从性。

Adherence of Healthcare Professionals to American Diabetes Association 2004 guidelines for the care of patients with type 2 diabetes at Peripheral Diabetes Clinics in Karachi, Pakistan.

机构信息

Farzana Muzaffar, M. Phil, Research Officer, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.

Nimra Fatima, B.E (Bio Engineering), Research Officer, Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.

出版信息

Pak J Med Sci. 2013 Apr;29(2):474-8. doi: 10.12669/pjms.292.3149.

DOI:10.12669/pjms.292.3149

PMID:24353559

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3809251/

Abstract

OBJECTIVE

To observe the adherence of Healthcare Professionals to American Diabetes Association (ADA) 2004 guidelines for the care of patients with type 2 diabetes at Peripheral Diabetes Clinics (PDCs) in Karachi, Pakistan.

METHODOLOGY

The study was conducted using a retrospective medical chart review of patients with type 2 diabetes at four PDCs in four townships of Karachi district from January 2005 to December 2006. Entire medical records of patients were evaluated for the evidence of documentation of testing and treatment.

RESULTS

Medical records of 691 patients (332 males and 359 females) with type 2 diabetes were reviewed. Mean age of the patients was 50.79 ± 10.75 years. Deficiencies were observed in most areas of diabetes care. Blood pressure was documented in 85.81% patients, whereas, serum creatinine, HbA1c and lipid profile were noted in 56%, 44.57% and 40.08% of the patients respectively. Similarly, lower leg examination was registered in 44% patients, while in 30.53% of the patients fundoscopic examination was recorded. Co-morbid conditions like hypertension and hyperlipidemia were documented in 92.7% and 84.6% patients respectively. HbA1c < 7% was achieved by 59.04% patients, while 27.50% of the patients attained the recommended level of serum cholesterol. Likewise, ADA recommended goal for blood pressure and LDL was achieved by13.02% and 12.16% patients respectively.

CONCLUSIONS

The study showed that adherence of healthcare professionals to ADA guidelines was suboptimal. Moreover, insufficient documentation of medical records reflected inadequate care of patients with type 2 diabetes.

摘要

目的

观察巴基斯坦卡拉奇周边糖尿病诊所（PDC）的医疗保健专业人员对美国糖尿病协会（ADA）2004 年 2 型糖尿病患者护理指南的遵守情况。

方法

本研究采用回顾性病历审查方法，对 2005 年 1 月至 2006 年 12 月卡拉奇区四个城镇的四个 PDC 中 2 型糖尿病患者的病历进行了评估。对患者的全部病历进行了评估，以确定检测和治疗记录的证据。

结果

共审查了 691 例（332 例男性和 359 例女性）2 型糖尿病患者的病历。患者的平均年龄为 50.79 ± 10.75 岁。在大多数糖尿病护理领域都存在不足。85.81%的患者记录了血压，56%的患者记录了血清肌酐，44.57%的患者记录了 HbA1c，40.08%的患者记录了血脂谱。同样，44%的患者记录了小腿检查，30.53%的患者记录了眼底检查。高血压和高脂血症等合并症分别在 92.7%和 84.6%的患者中被记录。59.04%的患者 HbA1c<7%，27.50%的患者达到了推荐的血清胆固醇水平。同样，13.02%的患者达到了 ADA 推荐的血压目标，12.16%的患者达到了 LDL 目标。