دسته بندی:
مدیریت دانش - knowledge management
سال انتشار:
2021
عنوان انگلیسی مقاله:
Knowledge, attitudes and practices regarding prediabetes among general practitioners in Reunion Island
ترجمه فارسی عنوان مقاله:
دانش، نگرش و عملکرد در مورد پیش دیابت در میان پزشکان عمومی در جزیره Reunion
منبع:
ScienceDirect- Elsevier- Diabetes Epidemiology and Management 2022
نویسنده:
Nicolas MONTEE , Norah ANTHONY , Anthony COLLET , Jean-Marc FRANCO , Catherine MARIMOUTOU , Sebastien LERUSTE , Estelle NOBECOURT
چکیده انگلیسی:
Background: General practitioners (GPs) are among the first health care providers to be
involved in prediabetes care, and their actions can prevent patients’ transition from
prediabetes to diabetes. However, data on knowledge and management of prediabetes in
primary care remain scarce.
Aim: To describe the knowledge, attitudes and practices of GPs towards prediabetes.
Design and setting: This descriptive cross-sectional study included all private GPs working
in Reunion Island.
Method: GPs were sent an electronic questionnaire that specifically sought to establish
whether GPs knew the definition of prediabetes and whether their practices were in line with
French guidelines for prediabetes screening and management.
Results: A total of 121 GPs completed the questionnaire. Of these, 95.0% knew the definition
of impaired fasting glucose, but only 66.1% knew that of impaired glucose tolerance. Many
GPs reported practices that are not recommended in guidelines. Thus, 59% of respondents
declared that they monitored prediabetes with HbA1c and 10% said that they prescribed oral
anti-diabetic drugs as prediabetes treatment. The risks factors associated with prediabetes
were generally well known. Although 59.5% of respondents reported not having enough time
to provide therapeutic education and medical follow up, only 19% referred their patients to a
nutritionist or dietician. Lastly, 93.4% of respondents favoured the implementation of a local
therapeutic education program targeting prediabetic individuals.
Conclusion: Prediabetes management in primary care can be made more effective by
improving GPs’ knowledge of prediabetes and official guidelines, facilitating referral of
prediabetic patients to lifestyle specialists and implementing local therapeutic education
programs.
keywords: Prediabetes | Primary Health Care | Secondary Prevention | Health Knowledge | Attitudes | Practice | Diabetes Mellitus.
قیمت: رایگان
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