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[2014 - 2021年在社区药房使用Findrisc测试检测糖尿病高危人群]

[Detection of people at risk of having diabetes in the community pharmacy with the Findrisc test 2014-2021].

作者信息

Fornos-Pérez José Antonio, Mera-Gallego Inés, Jaraiz-Magariños Irene, Huarte-Royo Joaquina, Mera-Gallego Rocío, Andrés-Rodríguez N Floro

机构信息

Doctor en Farmacia. Farmacéutico comunitario en Cangas do Morrazo (Pontevedra). Profesor Asociado de la Facultad de Farmacia de la USC. Grupo de Trabajo de Diabetes de SEFAC Sociedad Española de Farmacia Clínica, Familiar y Comunitaria España.

Licenciada en Farmacia. Grado de Nutrición Humana y Dietética. Farmacéutica comunitaria en Maella (Zaragoza). Coordinadora del Grupo de Trabajo de Diabetes de SEFAC. Sociedad Española de Farmacia Clínica, Familiar y Comunitaria España.

出版信息

Farm Comunitarios. 2023 Oct 23;16(1):5-17. doi: 10.33620/FC.2173-9218.(2024).03. eCollection 2024 Jan 15.

Abstract

AIM

To analyze diabetes risk screening using the Findrisc questionnaire, performed in Spanish community pharmacies (CP) since 2014.

METHODS

Descriptive cumulative study of the results of campaigns from Global Diabetes Day, in 2014, 2016-2018, 2020 and 2021.

SUBJECTS

Users ≥18 years not diagnosed with diabetes with signed consent.

VARIABLES

Findrisc test score, mean (m) and standard deviation (SD) and subjects at risk intervals, n (%). Demographic (sex, age) and anthropometric variables, body mass index (BMI) (kg/m), waist circumference (cm), capillary glycaemia (SD) (mg/dL).

RESULTS

A total of 1146 pharmacists took part; 12,402 users. A total of 8799 (70.9%) had BMI ≥25 kg/m; 7366 (59.4%) were taking anti-hypertensives, 6047 (48.8%) with excessive abdominal circumference. In total, 5962 (48.0%) had a family history of diabetes.Average risk (Findrisc score) was 11.3 (4.6), without any sex differences (P>0.05). The number of subjects with high/very high risk (F≥15) was 3107 (25.0%) without any sex differences (P>0.05). The high/very high risk increased with age, from 282 (15.1%) people aged 45 to 54 up to 1695 (40.1%) people aged >64. A total of 1762 (14.2%) were referred to the doctor. There are no data on the result.Average interview time: 10.3 (5.3) minutes, no differences between sexes (P>0.05).

CONCLUSIONS

One quarter of those surveyed had a high/very high risk and one in seven were referred to the doctor.The most prevalent risk factors were BMI, hypertension, abdominal circumference and family history of diabetes.Interprofessional communication should be improved as no result was obtained from referrals to the doctor.

摘要

目的

分析自2014年以来在西班牙社区药房使用Findrisc问卷进行的糖尿病风险筛查情况。

方法

对2014年、2016 - 2018年、2020年和2021年世界糖尿病日活动结果进行描述性累积研究。

对象

年龄≥18岁且未被诊断为糖尿病且签署同意书的使用者。

变量

Findrisc测试得分、均值(m)和标准差(SD)以及处于风险区间的受试者数量,n(%)。人口统计学(性别、年龄)和人体测量学变量,体重指数(BMI)(kg/m)、腰围(cm)、毛细血管血糖(SD)(mg/dL)。

结果

共有1146名药剂师参与;12402名使用者。共有8799人(70.9%)BMI≥25 kg/m;7366人(59.4%)正在服用抗高血压药物,6047人(48.8%)腹围超标。总计5962人(48.0%)有糖尿病家族史。平均风险(Findrisc得分)为11.3(4.6),无性别差异(P>0.05)。高/极高风险受试者数量为3107人(25.0%),无性别差异(P>0.05)。高/极高风险随年龄增加,从45至54岁人群中的282人(15.1%)增至64岁以上人群中的1695人(40.1%)。共有1762人(14.2%)被转诊至医生处。无关于结果的数据。平均访谈时间:10.3(5.3)分钟,性别间无差异(P>0.05)。

结论

四分之一的受调查者有高/极高风险,七分之一的人被转诊至医生处。最常见的风险因素是BMI、高血压、腹围和糖尿病家族史。由于转诊至医生处未得到结果,应改善跨专业沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4df/11326685/40384368b49a/FC16-01-02_gf01.jpg

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