背景:2型糖尿病(T2D)是一项公共卫生挑战,影响90%的糖尿病患者,全球。医疗保健专业人员(HCP)对治疗指南的依从性很低,因此导致患者护理质量不足和患者健康结局不佳。
目的:为了检查设备的可用性,指导方针,为T2D患者提供筛查和教育,并在诊所和社区卫生中心(CHC)之间进行比较。
方法:茨瓦恩大都会市,豪登省,南非。
方法:一项横断面描述性研究利用自编问卷收集负责治疗T2D患者的护士和医生的数据,2022年5月至6月。在22个诊所和6个CHC的例行上午会议期间,招募了约250名合格的HCP。
结果:超过80%的HCP报告有基本设备,除了检眼镜,Snellen图表(67%),音叉(64%),心电图(ECG)(46%)和单丝(12%)。16%的参与者报告了SEMDSA指南,糖尿病足护理指南占54%,糖尿病患者饮食指南占55%。此外,91%,71%和69%的HCP报告心电图,微量白蛋白-肌酐和足部检查并不总是进行,分别。大约66%和17%的人总是提供个人教育和小组会议,分别。
结论:设备的可用性和对治疗指南的遵守情况,患者教育和慢性并发症筛查不足.贡献:该研究强调了对治疗指南的依从性差和卫生设施设备不足。这些缺点可能导致错过早期诊断并发症的机会,并最终导致患者预后较差。
BACKGROUND: Type 2 diabetes mellitus (T2D) is a public health challenge, affecting 90% of all patients with diabetes, globally. Compliance to treatment guidelines among healthcare professionals (HCPs) is low, thus resulting in inadequate quality of patient care and poor health outcomes among patients.
OBJECTIVE: To examine the availability of equipment, guidelines, screening and education offered to patients with T2D and compare between clinics and community health centres (CHCs).
METHODS: Tshwane Metropolitan Municipality, Gauteng Province, South Africa.
METHODS: A cross-sectional descriptive study utilised a self-administered questionnaire to collect data from nurses and doctors responsible for treating patients with T2D, from May to June 2022. About 250 eligible HCPs were recruited during routine morning meetings in 22 clinics and six CHCs.
RESULTS: More than 80% of HCPs reported having basic equipment except for ophthalmoscopes, Snellen charts (67%), tuning forks (64%), electrocardiograms (ECG) (46%) and monofilaments (12%). SEMDSA guidelines were reported by 16% of the participants, Diabetic Foot Care Guidelines were reported by 54% and Dietary Guidelines for Diabetic Patients by 55%. Furthermore, 91%, 71% and 69% of HCPs reported that ECG, microalbumin-creatinine and foot examinations were not always performed, respectively. About 66% and 17% always offered individual educational and group sessions, respectively.
CONCLUSIONS: Equipment availability and compliance with treatment guidelines, patient education and screening of chronic complications are inadequate.Contribution: The study highlights the poor adherence to treatment guidelines and inadequate equipment in health facilities. These shortcomings could lead to missed opportunities for early diagnosis of complications and ultimately poorer patient outcomes.