Ahmed Farrukh, Riaz Musarrat, Ghafoor Erum, Rehman Rabia Abdul, Uddin Qutub
Farrukh Ahmed, Diabetes Educator, Diet and Education Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Asim-Bin-Zafar, MD, Assistant Professor, Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Pak J Med Sci. 2017 May-Jun;33(3):747-751. doi: 10.12669/pjms.333.12689.
To evaluate the impact and effectiveness of 24-hour helpline service in providing information and educating patients about self-management of diabetes.
The study was conducted at Baqai Institute of Diabetology & Endocrinology (BIDE), a tertiary diabetes care center, Karachi, Pakistan. People with diabetes attending the outpatient department from November 2012 to October 2014 were included in this study. After providing diabetes education, a helpline number was provided for emergency situations. Calls of registered patients were received by diabetes educators stationed at the BIDE around the clock. Data was collected through specially designed interface of HMS (health management system) in which the current complaint of caller and the advice of educator was recorded.
A total of 4842 calls were received. Out of those, 4268 (88%) were made by Type-2 diabetics and 526 calls (10%) were made by Type-1 diabetics. The average age of patients was 47.6 years. Three seventy-four calls (7.7%) were received with complaint of Hypoglycemia (72-80mg/dl). Six hundred and ninety-eight calls (14.4%) were received with complaint of hyperglycemia (>200mg/dl). Insulin dose was adjusted on 935 calls (19.3%). Calls regarding other special situations such as (insulin handling, technique, medicine information) 2014 (41.6%) were received.
Station based 24-hour telephonic helpline service is an effective tool for providing continuous support to people with diabetes and their families, for the self-management of diabetes. It can help in the management of various acute complication of diabetes, thereby preventing unnecessary hospital visits and admission.
评估24小时热线服务在为糖尿病患者提供自我管理信息及教育方面的影响和效果。
该研究在巴基斯坦卡拉奇的三级糖尿病护理中心巴凯糖尿病与内分泌研究所（BIDE）进行。纳入了2012年11月至2014年10月在门诊部就诊的糖尿病患者。在提供糖尿病教育后，提供了一个紧急情况热线号码。驻BIDE的糖尿病教育工作者全天候接听注册患者的电话。通过健康管理系统（HMS）专门设计的界面收集数据，记录来电者当前的投诉和教育工作者的建议。
共接到4842个电话。其中，4268个（88%）由2型糖尿病患者拨打，526个电话（10%）由1型糖尿病患者拨打。患者的平均年龄为47.6岁。接到374个（7.7%）关于低血糖（72 - 80mg/dl）投诉的电话。接到698个（14.4%）关于高血糖（>200mg/dl）投诉的电话。935个电话（19.3%）涉及胰岛素剂量调整。接到2014个（41.6%）关于其他特殊情况（如胰岛素处理、技术、药物信息）的电话。
基于站点的24小时电话热线服务是为糖尿病患者及其家庭提供持续支持以进行糖尿病自我管理的有效工具。它有助于管理糖尿病的各种急性并发症，从而避免不必要的医院就诊和住院。
