Albarrak Ahmed Ismail, Mohammed Rafiuddin, Assery Bushra, Allam Dalya, Morit Sarah Al, Saleh Reem Al, Zare'a Reem
Medical Informatics Unit, Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Research Chair for Health Informatics and Promotion, Riyadh, Saudi Arabia.
Int J Health Sci (Qassim). 2018 Jan-Feb;12(1):40-44.
There is a rapid increase in the incidence of diabetes mellitus in Saudi Arabia. Diabetes management is an essential constituent to prevent prognosis of diabetes complications. The main objective of this study was to assess diabetes care in primary clinics based on the guidelines of American Diabetes Association (ADA).
A retrospective study at King Khaled University Hospitals, Riyadh, Saudi Arabia. A total of 200 patients were randomly selected from the databases of primary care clinics. An evaluation checklist was created based on the ADA treatment guidelines such as medical history, physical examination, laboratory evaluation, and referrals.
The result showed that elements achieving the ADA targets for overall care were medical history (44.9%), physical examination (59.6%), laboratory evaluation (36.3%), and referrals (19.3%). The other subelement indicators such as referral to diabetes self-management education clinics (10%), dental examination (2%), HbA1c regular monitoring (33.5%), and blood pressure determination (100%) were documented with adherence to ADA standards.
Diabetes management standards are an essential element in the success of the management plan. Most of the elements examined are not in full compliance with the ADA standard. Continues monitoring and self-review are recommended.
沙特阿拉伯糖尿病的发病率迅速上升。糖尿病管理是预防糖尿病并发症预后的重要组成部分。本研究的主要目的是根据美国糖尿病协会（ADA）的指南评估基层诊所的糖尿病护理情况。
在沙特阿拉伯利雅得的哈立德国王大学医院进行一项回顾性研究。从基层医疗诊所的数据库中随机选取200名患者。根据ADA治疗指南创建了一份评估清单，包括病史、体格检查、实验室评估和转诊等方面。
结果显示，在整体护理方面达到ADA目标的项目有病史（44.9%）、体格检查（59.6%）、实验室评估（36.3%）和转诊（19.3%）。其他子项目指标，如转诊至糖尿病自我管理教育诊所（10%）、牙科检查（2%）、糖化血红蛋白定期监测（33.5%）和血压测定（100%），均按照ADA标准进行了记录。
糖尿病管理标准是管理计划成功的关键要素。所检查的大多数项目并未完全符合ADA标准。建议持续监测和自我审查。
