Department of Family Medicine, Ankara City Hospital, University of Health Sciences Turkey, Ankara, Turkey.
Department of Family Medicine, Ankara Provincial Health Directorate, Ankara, Turkey.
Int J Clin Pract. 2021 Jul;75(7):e14205. doi: 10.1111/ijcp.14205. Epub 2021 Apr 19.
This study aimed to determine the approaches of family physicians in Turkey towards the fasting of diabetic patients and whether they used international treatment guidelines when making recommendations. In addition, this study also aimed to increase the awareness of family physicians about this issue before Ramadan, which is a month of fasting.
The study herein comprised cross-sectional, observational research. Before Ramadan 2018, a structured questionnaire form, which was unique to this study, was prepared based on the guidelines of the International Diabetes Federation (IDF) and the American Diabetes Association (ADA), through platforms where family physicians gather via social media and mail groups, and sent to family physicians in Turkey via a link using an electronic questionnaire preparation and application programme. Moreover, the total knowledge level, attitude, and approach scores were calculated from the questions prepared from the relevant guidelines.
Participating in the survey were 262 family physicians. Only 22% of the family physicians stated that they were aware of the international guidelines for Ramadan and diabetes management, and only 10% said that they had read them. The mean knowledge level, attitude, and approach scores were determined to be lower than expected, and a significant difference was found between the scores and academic titles.
The lack of international guidelines on the subject, and of knowledge and experience about Diabetes Mellitus (DM) patient management during the month of fasting, stood out as the biggest problems. This study revealed that the awareness and competence of family physicians in disease management should be increased, in addition to that of fasting before, during, and after Ramadan in patients with DM, which has increasing prevalence in Turkey.
本研究旨在确定土耳其家庭医生在对待糖尿病患者禁食方面的方法，以及他们在提出建议时是否使用国际治疗指南。此外，本研究还旨在提高家庭医生在斋月（一个禁食的月份）之前对这一问题的认识。
本研究采用横断面观察性研究。在 2018 年斋月之前，根据国际糖尿病联合会（IDF）和美国糖尿病协会（ADA）的指南，通过家庭医生在社交媒体和邮件群组中聚集的平台，基于一个独特的研究制定了结构化的问卷表，并使用电子问卷制作和应用程序向土耳其的家庭医生发送了链接。此外，还根据相关指南中制定的问题计算了总知识水平、态度和方法得分。
共有 262 名家庭医生参与了这项调查。只有 22%的家庭医生表示他们了解国际关于斋月和糖尿病管理的指南，只有 10%的家庭医生表示他们读过这些指南。知识水平、态度和方法的平均得分都低于预期，而且得分与学术头衔之间存在显著差异。
缺乏关于该主题的国际指南，以及在禁食月份管理糖尿病患者方面的知识和经验，是最大的问题。本研究表明，除了在土耳其日益流行的糖尿病患者在斋月之前、期间和之后禁食的认识和能力外，还应提高家庭医生对疾病管理的认识和能力。
