Unit of Patient Education, Division of Endocrinology, Diabetology, Nutrition and Patient Education, WHO Collaborating Center, Department of Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Association Suisse d´Aide aux Personnes Diabétiques en Guiné-Bissau, Geneva, Switzerland.
Pan Afr Med J. 2020 Oct 5;37:126. doi: 10.11604/pamj.2020.37.126.26127. eCollection 2020.
diabetes care in Guinea-Bissau (GB) is characterized by a lack of properly trained healthcare professionals (HCPs) and guidelines for diagnosis, treatment and follow up of patients. To address these issues, this project was launched with the objective to train HCPs in the management of diabetic patients and establish a specialized diabetes clinic in the Hospital Nacional Simão Mendes, a public tertiary care hospital in Bissau, capital of GB. This project is led by the Geneva University Hospitals (HUG) in collaboration with the Swiss Association for the Aid to Diabetic People in Guinea-Bissau, with the support of the International Solidairty Office (SSI) of the State of Geneva, and AIDA (Ayuda, Intercambio y Desarrollo).
specialists from the HUG in collaboration with local experts in GB developed and delivered a culturally and contextually adapted training course pertaining to diabetes care to HCPs in this hospital. Pre and post training tests were conducted to assess differences in knowledge and practices. Following the training program, a diabetes clinic was set up and an audit was conducted to assess its performance.
a total of 24 HCP attended the training program and exhibited statistically significant improvements in their knowledge pertaining to diabetes care (mean difference between pre and post-test = 14.53, SD 11.60, t=-4.8, p < 0.001). The diabetes clinic was established and provided consultations 2 days per week. A total of 63 patients consulted at this clinic, of which 49 had type two diabetes treated with oral antidiabetic drugs and 14 were type 1 diabetics treated with insulin. Patients had blood glucose measurements and received therapeutic, dietary and physical activity counselling. Several barriers leading to occasional interruptions of service were encountered, including a political instability in the country and strikes of healthcare staff demanding better wages and working conditions.
this study delineates the feasibility of setting up a diabetes consultation clinic in GB despite important barriers. To ensure successful running of such consultation clinics, continued buy-in and support from stakeholders should be ensured. Diabetes training should be incorporated in pre-and post-graduate training curriculums of all HCP to help shape a better workforce.
几内亚比绍（几比）的糖尿病护理以缺乏经过适当培训的医疗保健专业人员（HCP）和针对患者诊断、治疗和随访的指南为特征。为了解决这些问题，该项目启动的目的是培训 HCP 管理糖尿病患者，并在比绍首都几比的公立医院——西蒙·门德斯国家医院建立一个专门的糖尿病诊所。该项目由日内瓦大学附属医院（HUG）与瑞士援助几比糖尿病患者协会合作开展，得到日内瓦州国际团结办公室（SSI）和 AIDA（援助、交流与发展）的支持。
HUG 的专家与几比当地专家合作，为该医院的 HCP 开发并提供了与糖尿病护理相关的文化和背景相适应的培训课程。在培训前后进行测试，以评估知识和实践方面的差异。在培训计划之后，成立了一个糖尿病诊所，并进行了一次审计以评估其绩效。
共有 24 名 HCP 参加了培训计划，他们在糖尿病护理知识方面表现出统计学上显著的提高（预测试和后测试之间的平均差异=14.53，SD11.60，t=-4.8，p<0.001）。糖尿病诊所成立并每周提供两天的咨询服务。该诊所共接待了 63 名患者，其中 49 名 2 型糖尿病患者接受了口服抗糖尿病药物治疗，14 名 1 型糖尿病患者接受了胰岛素治疗。患者进行了血糖测量，并接受了治疗、饮食和运动咨询。尽管存在一些障碍，但遇到了一些偶尔中断服务的障碍，包括该国的政治不稳定和医疗保健人员的罢工，他们要求提高工资和改善工作条件。
尽管存在重要障碍，但本研究描述了在几比建立糖尿病咨询诊所的可行性。为了确保此类咨询诊所的成功运营，应确保利益相关者的持续参与和支持。应将糖尿病培训纳入所有 HCP 的预科和研究生培训课程中，以帮助培养一支更好的劳动力队伍。
