اداره ديابت در بيماران مبتلا به ديابت شهر اصفهان: 78-1377

پژوهش در علوم پزشكي، مجله دانشگاه علوم پزشكي اصفهان

دوره 6 - شماره 2

نوع مقاله: ---- Unspecified ----
چكيده:

مقدمه: براي تقليل هزينه هاي سالانه ديابت بايد در درجه اول به بررسي مشخصات مراقبتهاي درماني ارائه شده و چگونگي خودمراقبتي در جمعيت مبتلا به ديابت پرداخت. پژوهش حاضر سعي در شناخت چگونگي بهره گيري از خدمات پزشكي آموزشي و خودمراقبتي در مبتلايان به ديابت شهر اصفهان دارد. روشها: ابزار گردآوري اطلاعات پرسشنامه و روش جمع آوري داده ها مصاحبه بود. حجم نمونه 344 نفر و روش نمونه گيري تصادفي چندمرحله اي بود. حداقل سن 18 سال و سپري شدن حداقل يكسال از تشخيص ديابت از شرايط ورود به مطالعه بود. نتايج: در طي يكسال گذشته 25.3% بيماران هيچ مراجعه اي به پزشك نداشتند. اكثر موارد، مراجعه به پزشكان غيرمتخصص بوده است. بيش از 80% موارد ابتلا به ديابت توسط پزشك مورد معاينه پا قرار نگرفته بودند. 46.2% بيماران تاكنون به معاينه پاي خود اقدام نكرده بودند. تنها 10% از واحدهاي مورد پژوهش اقدام به اندازه گيري شخصي قندخون خود نموده بودند. 45.3% در مورد ديابت هيچ آموزشي نديده بودند. بحث: خدمات پزشكي ارائه شده به مبتلايان و اقدامات خودمراقبتي جمعيت مبتلا به ديابت شهر اصفهان كفايت لازم براي پيشگيري عوارض ديابت را ندارد.

Management of diabetes mellitus in diabetic patients: Isfahan, 1999
Article Type: ---- Unspecified ----
Abstract:

Introduction: Diabetic control and its acute and chronic complications needed to investigate the characteristics medical and self care in diabetics. This evaluation can detect conflicts in this field and provide the possibility of better planning to arrive the ideal control of diabetes. Methods: This study was a cross-sectional survey. Samples were 344 diabetic patients who were living in Isfahan. Data was collected by a questionnaire described diabetics contextual characteristics, position of medical services use, position of diabetic education, self blood glucose monitoring (SMBG), attendance to diet regimen and so on. Questionnaires were completed through interview. Results: Mean age of patients was 56.5±13.6 years, more than 50% (57.7%) were female. More than one 3rd (37.6%) were illiterate. Patients had 1 to 40 years history of diabetes. More than one 4th (27.4%) did not seek medical advice and 61.2% had referred to physician only when they were encountering with a problem for example lack of insulin or oral hypoglycemic agents. Over 80% never had foot examination by their physicians. Only 7.4% had heard about glycosylated hemoglobin. This test had not been accomplished for 95.9% of patients. 46.2% had not performed self-foot examination study time. More than 80% of interviewers had reported their lost blood glucose value above 130 mg/dl. Only 10% of the study population had performed SMBG. About 50% (45.3%), did not educated about diabetes, only 26.8% reported that they always follow their dietary regimen. Discussion: Results of this survey showed irregular calls to physicians, poor blood glucose control, high rate of hospitalization due to acute and chronic diabetes complications, irregular blood glucose monitoring. Diabetes management needs more attention in our city.