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留尼汪岛西部地区初级保健中随访时间不足5年的2型糖尿病患者的情况:一项横断面试点研究。

Knowledge of type 2 diabetic patients followed for less than 5 years in primary care in the western region of Reunion Island: a cross-sectional pilot study.

作者信息

Chane-Po David, Gatina Jean-Hugues, Leruste Sébastien, Legrand Florian

机构信息

Université de La Réunion - UFR Santé - Département Universitaire de Médecine Générale, Site de l'IES, CHU Réunion, Terre Sainte BP 350, 97448, Saint Pierre, France.

Service de Diabétologie-Endocrinologie, Centre Hospitalier Ouest Réunion, 97460, Saint Paul, Réunion.

出版信息

PEC Innov. 2023 Jan 15;2:100122. doi: 10.1016/j.pecinn.2023.100122. eCollection 2023 Dec.

Abstract

BACKGROUND

The learning needs of newly diagnosed diabetic patients followed up in medical offices in Reunion Island are unknown, although necessary for the improvement of education programmes and disease control.

AIM

To assess the knowledge of type 2 diabetic patients in primary care followed for less than 5 years.

METHOD

A cross-sectional study was carried out, using a self-questionnaire to assess patients' knowledge of diabetes, complications, follow-up, diet and physical activity. Patients were recruited from medical offices in the western region of Reunion Island.

RESULTS

From 23 April to 31 July 2021, 89 patients were included. The knowledge level of the total sample was moderate (mean correct answers 65 % ± 17). The best knowledge levels were in the areas "generalities on diabetes" and "complications", while the lowest levels were in the categories "follow-up" and "diet and physical activity". Glycated haemoglobin, libido disorders, frequency of urinalysis and dental consultation, and the recommended diet for patients with diabetes which is the same as for the general population, were the least known concepts.

CONCLUSION

This study revealed gaps in patients' knowledge that could be used to improve education programmes which in turn could reduce or prevent diabetes complications.

摘要

背景

留尼汪岛医疗机构中随访的新诊断糖尿病患者的学习需求尚不清楚,尽管这对于改进教育项目和疾病控制是必要的。

目的

评估在初级保健中随访不到5年的2型糖尿病患者的知识水平。

方法

开展了一项横断面研究,使用自填式问卷评估患者对糖尿病、并发症、随访、饮食和体育活动的知识。患者从留尼汪岛西部地区的医疗机构招募。

结果

2021年4月23日至7月31日,纳入了89例患者。总样本的知识水平中等(平均正确答案率65%±17)。知识水平最高的领域是“糖尿病概论”和“并发症”,而最低的是“随访”以及“饮食和体育活动”类别。糖化血红蛋白、性欲障碍、尿液分析和牙科咨询的频率,以及与普通人群相同的糖尿病患者推荐饮食,是最不为人知的概念。

结论

本研究揭示了患者知识方面的差距,可用于改进教育项目,进而减少或预防糖尿病并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a3/10194262/0a0cd6ef11b0/gr1.jpg

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