University of Antwerp, Campus Drie Eiken DR334, Universiteitsplein 1, 2610 Wilrijk, Belgium.
University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.
Prim Care Diabetes. 2021 Apr;15(2):249-256. doi: 10.1016/j.pcd.2020.09.003. Epub 2020 Oct 12.
The aim of this research is to explore the current early-stage diabetes mellitus type 2 care in Belgian general practices. This, to find out if the care is provided according to the proposed evidence-based national diabetes care guideline. Additionally, this research aims to detect which person and practice characteristics can be associated with a more evidence-based care provision.
People were included in the study if they were recently diagnosed with type 2 diabetes by the participating practice. Practice and person characteristics, and clinical parameter monitoring and lifestyle monitoring data were collected by using a questionnaire and a topic list.
A total of 27 general practices participated and a total of 249 people were included through their patient records. People monitored in a practice according to a self-developed protocol were 5.5 times more likely to have a better clinical parameter follow-up. Larger practices (>2000 patients), follow-up by general practitioners and practice nurses together and according to self-developed protocols were associated with a significantly better lifestyle follow-up.
Practices providing multidisciplinary diabetes care, in collaboration with practice nurses, and with diabetes care based on self-developed protocols achieved a more comprehensive follow-up.
本研究旨在探讨比利时普通诊所中 2 型糖尿病的早期护理现状。具体而言，旨在了解护理是否符合既定的基于循证的国家糖尿病护理指南。此外，本研究旨在发现哪些人和实践特征与更循证的护理提供相关。
本研究纳入了由参与实践诊断为 2 型糖尿病的患者。通过问卷和主题列表收集了实践和人员特征以及临床参数监测和生活方式监测数据。
共有 27 家普通诊所参与，通过患者记录共纳入了 249 人。根据自行制定的方案进行监测的患者，其临床参数的监测结果显著更好，可能性是未进行监测患者的 5.5 倍。较大的实践（>2000 名患者）、由全科医生和执业护士共同进行并根据自行制定的方案进行的监测，与生活方式监测的显著改善相关。
与执业护士合作、提供多学科糖尿病护理、并根据自行制定的方案进行护理的实践，可以实现更全面的随访。
