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沙特阿拉伯医疗保健提供者之间关于糖尿病与驾驶的建议。一个需要采取行动的重大差距。

Diabetes and driving recommendations among healthcare providers in Saudi Arabia. A significant gap that requires action.

作者信息

Batais Mohammed A, Alamri Ayedh K, Alghammass Mohammed A, Alzamil Omar A, Almutairi Badr A, Al-Maflehi Nassr, Almigbal Turky H

机构信息

Diabetes and Family Medicine, Family and Community Medicine Department, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.

出版信息

Saudi Med J. 2018 Apr;39(4):386-394. doi: 10.15537/smj.2018.4.22179.

Abstract

To assess healthcare providers' knowledge and awareness of the recommendations for drivers with insulin-treated diabetes in Saudi Arabia. Methods: A cross-sectional study was conducted among healthcare providers working at 4 tertiary hospitals in Riyadh, Saudi Arabia between April 2016 and December 2016 using a self-administered questionnaire. Results: A total of 285 healthcare providers completed the survey (response rate 88.5%). Most (70.2%) were aware of the safe driving recommendations for patients with insulin-treated diabetes. However, the need to check blood glucose levels before driving was underestimated by almost one-third (30.2%). Only one-quarter (24.6%) identified the correct level of blood glucose level that is safe for a patient when driving, and 28.4% identified the recommended time for checking blood glucose before driving. Participants who were aware of the recommendations for safe driving had a significantly higher average knowledge score (68.8%) than those who were not aware (58.8%; p less than 0.001). There was a significant difference in the average knowledge score among medical specialties (p=0.002) and job levels (p less than 0.001). Conclusions: Most healthcare providers identified the importance of evaluating their patients for ability to drive safely, but we found some important areas of knowledge deficit. Professional intervention to improve healthcare providers' awareness and knowledge regarding diabetes and driving is the first step in improving detection and reporting high-risk drivers with diabetes to prevent future driving mishaps.

摘要

评估沙特阿拉伯医疗服务提供者对胰岛素治疗糖尿病患者驾驶建议的知识和认知。方法:2016年4月至2016年12月期间,在沙特阿拉伯利雅得的4家三级医院工作的医疗服务提供者中进行了一项横断面研究,使用自填式问卷。结果:共有285名医疗服务提供者完成了调查(应答率88.5%)。大多数(70.2%)了解胰岛素治疗糖尿病患者的安全驾驶建议。然而,近三分之一(30.2%)的人低估了驾驶前检查血糖水平的必要性。只有四分之一(24.6%)的人确定了患者驾驶时安全的正确血糖水平,28.4%的人确定了驾驶前检查血糖的建议时间。了解安全驾驶建议的参与者的平均知识得分(68.8%)显著高于不了解的参与者(58.8%;p小于0.001)。医学专科(p = 0.002)和工作级别(p小于0.001)的平均知识得分存在显著差异。结论:大多数医疗服务提供者认识到评估患者安全驾驶能力的重要性,但我们发现了一些重要的知识缺陷领域。专业干预以提高医疗服务提供者对糖尿病与驾驶的认识和知识,是改善对糖尿病高危驾驶者的检测和报告以预防未来驾驶事故的第一步。

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Comparison of Unsafe Driving Across Medical Conditions.不同医疗状况下不安全驾驶情况的比较。
Mayo Clin Proc. 2017 Sep;92(9):1341-1350. doi: 10.1016/j.mayocp.2017.06.003.
7
Diabetes Mellitus in Saudi Arabia: A Review of the Recent Literature.沙特阿拉伯的糖尿病:近期文献综述
Curr Diabetes Rev. 2016;12(4):359-368. doi: 10.2174/1573399811666150724095130.
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Global estimates of diabetes prevalence for 2013 and projections for 2035.全球 2013 年糖尿病患病率估计值及 2035 年预测值。
Diabetes Res Clin Pract. 2014 Feb;103(2):137-49. doi: 10.1016/j.diabres.2013.11.002. Epub 2013 Dec 1.
10
Diabetes and driving.糖尿病与驾驶
Diabetes Care. 2014 Jan;37 Suppl 1:S97-103. doi: 10.2337/dc14-S097.

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