指南依从性和控制糖尿病有或没有合并症在马来西亚三级医院的各个病房

M. Iqbal, M. Iqbal, D. Nicholas, J. Awang, A. Khan, S. Sulaiman
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引用次数: 1

摘要

参考马来西亚卫生部在马来西亚槟榔总医院三级保健医院颁布的2009年临床实践指南,评估参与有或无合并症糖尿病管理的医生的依从性。横断面研究在马来西亚槟城三级保健医院进行。共有51名医生和1020名由同一医生开具的患者处方取自槟城总医院的记录(每位登记医生20张处方)。所有1020例患者均患有糖尿病,伴有或不伴有合并症。这些病人来自槟城总医院的不同病房。根据CPG 2009的建议,将患者的处方分为依从性处方和非依从性处方。在所有处方中,医生遵守CPG2009建议的总体水平良好。糖尿病控制与合并症呈显著负相关(Ф= 0.094, p值=0.003)。CPG依从与患者合并症呈统计学弱负相关(Ф= - 0.081, p值=0.010)。CPG依从性与任何其他合并症之间没有统计学上的显著关联。本研究探讨了医生在治疗伴有或不伴有合并症的糖尿病时处方模式的几个特点,并认识到他们治疗糖尿病的处方模式需要改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Guideline adherence and control of diabetes mellitus with or without co-morbidities in various wards of a tertiary hospital in Malaysia
To assess the adherence of physicians involved in the management of diabetes mellitus with or without co-morbidities with reference to Clinical Practice Guideline 2009given by Ministry of Health Malaysia in the tertiary care hospital, Pinang General Hospital Malaysia. Cross-sectional study was done at tertiary care hospital, Penang, Malaysia. The total 51physicians and 1020 patient’s prescriptions written by same physicians were taken from the record of the Penang General Hospital (20 prescriptions for each enrolled physician). All 1020 patients were suffering from diabetes mellitus with or without co-morbidities. These patients were recruited from the different wards of the Penang General Hospital. Depending on the recommendations of CPG 2009 the prescriptions of patients were divided into adherent and non-adherent prescriptions. The overall good level of physician adherence was seen with respect to the recommendations of CPG2009 in all prescriptions. A statistically significant negative association (Ф= 0.094, pvalue=0.003) was observed between diabetes mellitus control and co-morbidities. CPG adherent had statistically weak negative association (Ф= - 0.081, p-value=0.010) with patients having co-morbidities. No statistically significant association was observed between CPG adherence and any other co-morbidity. The study explored the several features of prescription pattern of physicians involved in the management of diabetes mellitus with or without co-morbidities and recognized the need for improvement in their prescription pattern for treating the diabetes mellitus.
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