基于临床实践指南的2型糖尿病患者护理质量评估

J. Tabrizi, Y. Partovi, A. Bahrami, M. Asghari
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引用次数: 0

摘要

引言:糖尿病是常见的医学问题之一,对患者的健康产生了重要的负面影响。研究表明,糖尿病患者推荐的医疗措施和接受的护理之间存在很大差距。这项研究的目的是评估为2型糖尿病患者提供的护理质量。材料和方法:2011年,在伊朗大不里士的糖尿病诊所,采用方便抽样法对180名2型糖尿病患者进行了横断面研究。根据《伊朗糖尿病指南》,我们使用问卷评估了23项流程指标对最低建议年度护理的遵守情况。结果:接受三项顶级临床和六项顶级生活方式指标推荐年度护理的参与者比例分别为82.26%和43.96%。在生活方式和管理指标方面,报告的指南遵守率较低(药物审查为38.9%,自我管理评估为67.7%,体育活动审查为55%,营养咨询为58.3%)。从参与者的角度来看,大多数参与者(87%)的糖尿病控制良好。结论:相当大比例的2型糖尿病患者表示接受了次优护理,他们的期望与他们在所提供护理的大多数方面实际接受的护理之间存在显著差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality assessment of care provided to patients with type 2 diabetes based on Clinical Practice Guidelines
Introduction: Diabetes is one of the usual medical problems that had an important negative effect on patient’s health. Researches demonstrate that there is a wide gap between recommended medical actions and received care by patients with diabetes. The aim of study was to assess the quality of care provided to patients with type 2 diabetes. Materials and methods: A cross-sectional study was carried out among 180 people with type 2 diabetes in diabetic’s clinics using convenience sampling method in Tabriz, Iran in 2011. Using a questionnaire we assessed the reported adherence to minimum recommended annual care for 23 processes indicators based on Iranian Diabetes Guidelines. Results: The proportions of the participants who received recommended annual care for all three top clinical and all six top lifestyle indicators were 82.26% and 43.96%, respectively. For lifestyle and management indicators, reported adherence rates to guidelines were low (38.9% for medication review, 67.7% for self-management evaluation, 55% for physical activity review, and 58.3% for nutrition consultation). From the participants' perspective, most of the participants (87%) had well-controlled diabetes. Conclusion: A substantial proportion of people with type 2 diabetes indicated receiving suboptimal care and there is a notable gap between their expectations and what they have actually received in most aspects of the provided care.
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