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印度的糖尿病护理:一项描述性研究。

Diabetes Care in India: A Descriptive Study.

作者信息

Dixit Jagannath V, Kulkarni Rashmi S, Badgujar Shraddha Y

机构信息

Department of Community Medicine, Government Medical College, Maharashtra, India.

出版信息

Indian J Endocrinol Metab. 2021 Jul-Aug;25(4):342-347. doi: 10.4103/ijem.ijem_260_21. Epub 2021 Dec 15.

Abstract

CONTEXT

Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent and reduce the risk of long-term complications. It requires an array of investigations to provide an accurate picture of the condition and its management accordingly by a qualified doctor.

AIMS

This study was conducted to understand the treatment received by type 2 diabetes (T2DM) patients from various categories of health care professionals and awareness about diabetes reversal by lifestyle modification and prevention of complications.

SETTINGS AND DESIGN

This was a community-based cross-sectional study.

SUBJECTS AND METHODS

The link of the semi-structured questionnaire in Google form with e-consent was sent to all members in the selected groups of "World free of obesity and diabetes" campaign on their personal WhatsApp account.

STATISTICAL ANALYSIS USED

A total of 3082 participants were included, and the data obtained were analyzed using SPSS v26.

RESULTS

The mean age of the participants was 50.26 ± 9.78 years ranging from 18 to 81 years. A total of 35.8% of the study population was diabetic for 1-5 years. A total of 54.9% were started with antidiabetic medication on the same day of diagnosis. Only 1.5% of the patients had complete investigation profile for T2DM, 50.2% of the patients were briefed about hypoglycemia, and only 15.8% of the patients were checked for retinopathy.

CONCLUSIONS

Most doctors, qualified as well as nonqualified, did not follow the standard guidelines for diagnosis, treatment, and patient education regarding T2DM; therefore, it is necessary to train all medical practitioners regarding these guidelines. Diabetes reversal by lifestyle modification must be prescribed as the first line of treatment in patients with T2DM.

摘要

背景

糖尿病是一种慢性病,需要持续的医疗护理和患者自我管理教育,以预防和降低长期并发症的风险。它需要一系列检查,以便合格的医生据此准确了解病情并进行相应的治疗。

目的

本研究旨在了解2型糖尿病(T2DM)患者从各类医护人员那里接受的治疗,以及对通过生活方式改变实现糖尿病逆转和预防并发症的认识。

设置与设计

这是一项基于社区的横断面研究。

研究对象与方法

将谷歌表单中半结构化问卷的链接及电子同意书,通过个人WhatsApp账户发送给“世界无肥胖和糖尿病”运动选定群组中的所有成员。

所用统计分析方法

共纳入3082名参与者,使用SPSS v26对获得的数据进行分析。

结果

参与者的平均年龄为50.26±9.78岁,年龄范围为18至81岁。研究人群中共有35.8%的人患糖尿病1至5年。共有54.9%的人在诊断当天就开始使用抗糖尿病药物。只有1.5%的患者有完整的T2DM检查项目,50.2%的患者了解过低血糖相关知识,只有15.8%的患者接受过视网膜病变检查。

结论

大多数医生,无论是否具备资质,在T2DM的诊断、治疗和患者教育方面均未遵循标准指南;因此,有必要对所有执业医生进行这些指南方面的培训。对于T2DM患者,必须将通过生活方式改变实现糖尿病逆转作为一线治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f881/8793955/ee97fc593a32/IJEM-25-342-g001.jpg

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