PDF(Pubmed)
Abstract：
UNASSIGNED: Comprehensive high quality of care is critical in preventing diabetic complications and improving quality of life. This needs compliance with guidelines and focused therapy. There is no data in Ethiopia evaluating the quality of diabetes care using standard guidelines (American diabetic association and international diabetic federation) as a reference.
UNASSIGNED: A cross-sectional study was conducted at Yekatit 12 Hospital Medical College (YHMC) to assess the process and outcome quality indicators of diabetic patients. Data were collected from outpatient clinics between May and July 2022 over a period of 3 months. Diabetic patients with at least one year since diagnosis were selected using systematic random sampling. Both the process and outcome of diabetic quality care indicators were measured and compared with standard guidelines (ADA and IDF). Both descriptive statistics and logistic regression were used for data analysis. The P-value <0.05 was used as statistical significance.
UNASSIGNED: About 250 diabetic patients with a mean age of 53±15 were included. The majority were type 2 diabetes mellitus (83.2%). HbA1c was determined for 128 (51.2%) patients with the recent mean value of 8±1.6. Only 52 (40.6%) of patients achieved target HbA1c. Annual comprehensive feet examination, urine albuminuria test, and retinal examination were done for 54 (21.6%), 52 (20.8%), and 122 (48.8%), respectively. Single marital status (AOR = 5.76; 95% CI; 1.02-32.36) P = 0.047, determining HbA1c level at least twice a year (AOR = 6.27; 95% CI; 2.18-17.73) P = 0.001, and medication adherence (AOR = 7.1; 95% CI; 2.61-19.01)P = 0.001, were significantly associated with good glycemic control.
UNASSIGNED: The overall quality of diabetic care was found suboptimal both in process and outcome quality indicators. Thus, awareness creation about quality indicators for caregivers, compliance with guidelines, wise resource utilization, and cooperation with different stakeholders like hospital management teams, and government officials is needed.
UNASSIGNED: A cross-sectional study was conducted at Yekatit 12 Hospital Medical College (YHMC) to assess the process and outcome quality indicators of diabetic patients. Data were collected from outpatient clinics between May and July 2022 over a period of 3 months. Diabetic patients with at least one year since diagnosis were selected using systematic random sampling. Both the process and outcome of diabetic quality care indicators were measured and compared with standard guidelines (ADA and IDF). Both descriptive statistics and logistic regression were used for data analysis. The P-value <0.05 was used as statistical significance.
UNASSIGNED: About 250 diabetic patients with a mean age of 53±15 were included. The majority were type 2 diabetes mellitus (83.2%). HbA1c was determined for 128 (51.2%) patients with the recent mean value of 8±1.6. Only 52 (40.6%) of patients achieved target HbA1c. Annual comprehensive feet examination, urine albuminuria test, and retinal examination were done for 54 (21.6%), 52 (20.8%), and 122 (48.8%), respectively. Single marital status (AOR = 5.76; 95% CI; 1.02-32.36) P = 0.047, determining HbA1c level at least twice a year (AOR = 6.27; 95% CI; 2.18-17.73) P = 0.001, and medication adherence (AOR = 7.1; 95% CI; 2.61-19.01)P = 0.001, were significantly associated with good glycemic control.
UNASSIGNED: The overall quality of diabetic care was found suboptimal both in process and outcome quality indicators. Thus, awareness creation about quality indicators for caregivers, compliance with guidelines, wise resource utilization, and cooperation with different stakeholders like hospital management teams, and government officials is needed.
摘要：
■全面的高质量护理对于预防糖尿病并发症和提高生活质量至关重要。这需要遵守指南和集中治疗。埃塞俄比亚没有使用标准指南（美国糖尿病协会和国际糖尿病联合会）作为参考来评估糖尿病护理质量的数据。
■在Yekatit12医院医学院（YHMC）进行了一项横断面研究，以评估糖尿病患者的过程和结果质量指标。数据是在2022年5月至7月期间从门诊诊所收集的，为期3个月。使用系统随机抽样选择自诊断以来至少一年的糖尿病患者。测量了糖尿病优质护理指标的过程和结果，并与标准指南（ADA和IDF）进行了比较。采用描述性统计和逻辑回归进行数据分析。P值<0.05为统计学意义。
■纳入了约250名平均年龄为53±15岁的糖尿病患者。大多数为2型糖尿病（83.2%）。128例（51.2％）患者的HbA1c测定，近期平均值为8±1.6。只有52例（40.6%）患者达到了目标HbA1c。年度全面足部检查,尿蛋白试验,视网膜检查54例（21.6%），52（20.8%），和122（48.8％），分别。单身婚姻状况（AOR=5.76；95％CI；1.02-32.36）P=0.047，每年至少确定两次HbA1c水平（AOR=6.27；95％CI；2.18-17.73）P=0.001，服药依从性（AOR=7.1；95％CI；2.61-19.01）P=0.001，与良好的血糖控制显着相关。
■发现糖尿病护理的总体质量在过程和结果质量指标上均不理想。因此，对护理人员质量指标的认识创造，遵守准则，明智的资源利用，以及与医院管理团队等不同利益相关者的合作，需要政府官员。
■在Yekatit12医院医学院（YHMC）进行了一项横断面研究，以评估糖尿病患者的过程和结果质量指标。数据是在2022年5月至7月期间从门诊诊所收集的，为期3个月。使用系统随机抽样选择自诊断以来至少一年的糖尿病患者。测量了糖尿病优质护理指标的过程和结果，并与标准指南（ADA和IDF）进行了比较。采用描述性统计和逻辑回归进行数据分析。P值<0.05为统计学意义。
■纳入了约250名平均年龄为53±15岁的糖尿病患者。大多数为2型糖尿病（83.2%）。128例（51.2％）患者的HbA1c测定，近期平均值为8±1.6。只有52例（40.6%）患者达到了目标HbA1c。年度全面足部检查,尿蛋白试验,视网膜检查54例（21.6%），52（20.8%），和122（48.8％），分别。单身婚姻状况（AOR=5.76；95％CI；1.02-32.36）P=0.047，每年至少确定两次HbA1c水平（AOR=6.27；95％CI；2.18-17.73）P=0.001，服药依从性（AOR=7.1；95％CI；2.61-19.01）P=0.001，与良好的血糖控制显着相关。
■发现糖尿病护理的总体质量在过程和结果质量指标上均不理想。因此，对护理人员质量指标的认识创造，遵守准则，明智的资源利用，以及与医院管理团队等不同利益相关者的合作，需要政府官员。
