DAR-GRACE：糖尿病与斋月：血糖控制、医生咨询及患者实践——来自巴基斯坦一家三级护理医院的经验

DAR-GRACE: Diabetes and Ramadan: glycaemic control, physician counselling and patient practices -experience from a tertiary care hospital in Pakistan.

作者信息

Syed Fibhaa, Arif Mohammad Ali, Ramzan Adil, Niazi Rauf, Murtaza Muhammad Irfan, Javed Ayesha

机构信息

Department of General Medicine, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.

Pakistan Institute of Medical Sciences (PIMS), Islamabad.

出版信息

J Pak Med Assoc. 2020 Nov;70(11):1990-1995. doi: 10.5455/JPMA.42922.

DOI:10.5455/JPMA.42922

PMID:33341846

Abstract

OBJECTIVE

To identify patient practices and knowledge pertaining to Ramadan fasting and to see whether physicians were providing adequate counselling and adjusting medications accordingly.

METHODS

The cross-sectional study was conducted at the Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from June to August 2018, and comprised diabetic patients who fasted during Ramadan. A questionnaire was designed to assess patients' knowledge, risk category, pre-Ramadan counselling, medication adjustment, lifestyle changes, pre- and post- Ramadan glycated haemoglobin levels, and complications during Ramadan. Data was analysed using SPSS 23.

RESULTS

Out of 272 diabetics, 176(64.7%) were females. Mean number of fasts kept were 22±10.61. Pre-Ramadan 120(44.1%) patients consulted their physicians and 105(87.5%) of them received relevant counselling. Medications were adjusted in only 30 (25%) such cases. Overall, 41(15.1%) patients were in the high risk category, while 109(40.1%) and 122(44.9%) were in the moderate and low-risk categories. During the month, 17(6.25%) were hospitalised due to diabetes-related complications. Glycated haemoglobin levels fell significantly (p<0.0001).

CONCLUSIONS

Anomalous patient behaviours and suboptimal physician practices were noticed.

摘要

目的

确定患者与斋月禁食相关的行为及知识，并了解医生是否提供了充分的咨询服务并相应地调整药物。

方法

这项横断面研究于2018年6月至8月在巴基斯坦伊斯兰堡的巴基斯坦医学科学研究所进行，研究对象为斋月期间禁食的糖尿病患者。设计了一份问卷，以评估患者的知识、风险类别、斋月前咨询、药物调整、生活方式改变、斋月前后糖化血红蛋白水平以及斋月期间的并发症。使用SPSS 23对数据进行分析。

结果

在272名糖尿病患者中，176名（64.7%）为女性。平均禁食天数为22±10.61天。斋月前，120名（44.1%）患者咨询了医生，其中105名（87.5%）接受了相关咨询。在这些病例中，仅30名（25%）患者的药物得到了调整。总体而言，41名（15.1%）患者属于高风险类别，而109名（40.1%）和122名（44.9%）患者分别属于中度和低风险类别。在斋月期间，17名（6.25%）患者因糖尿病相关并发症住院。糖化血红蛋白水平显著下降（p<0.0001）。