WONCA研究论文摘要汇编——全科医生对患者进行2型糖尿病筛查的影响因素:基于病历诱导回顾的定性调查研究

发布时间：2019-08-15 20:47

【摘要】：目的本研究旨在探讨影响全科医生对患者进行2型糖尿病筛查的因素,描述全科医生对这些因素的诠释以及他们与患者就筛查结果进行的沟通。方法本研究采用半结构式的基于病历诱导回顾的访谈方法。研究对象为来自密歇根大学医学院及医院系统的20位全科医生。访谈内容为,对通过立意抽样抽取的134例符合美国糖尿病协会标准需要进行2型糖尿病筛查的非糖尿病患者,全科医生是、否对其进行筛查的原因。访谈内容被录音,然后转写成文字,并进行定性分析。结果共有63例患者没有进行2型糖尿病筛查。没有给这些患者做筛查的原因是:49%的全科医生认为根据患者以前所做筛查的结果判断其不需要做;48%的全科医生解释为患者只是来做咨询而不是做健康维护检查。共有71例患者进行了2型糖尿病筛查。给这些患者做筛查的原因是:49%的全科医生认为根据患者以前所做筛查的异常结果判断其需要做;42%的全科医生根据患者的体质量判断其需要做,38%的全科医生根据患者的年龄判断其需要做。全科医生对患者的筛查结果诠释的正确率是89%,实事求是地将筛查结果告诉给患者的比例为95%。对查出有糖尿病前期的24例患者,58%的全科医生给出的预防糖尿病的建议是减肥、增加活动量。结论患者以前的2型糖尿病筛查结果,患者约全科医生要做的事项类型,患者体质量及年龄是影响全科医生对其是、否进行2型糖尿病筛查的因素。一般来说,全科医生能够正确地理解患者的筛查结果并实事求是地将其转达给患者;其对糖尿病前期患者给出的预防糖尿病的建议具有循证意义。
[Abstract]:Objective to investigate the factors affecting the screening of type 2 diabetes mellitus by general practitioners, and to describe the interpretation of these factors by general practitioners and their communication with patients about the screening results. Methods semi-structured interview method based on medical record induction review was used in this study. The subjects were 20 general practitioners from the University of Michigan School of Medicine and the hospital system. The purpose of the interview was whether 134 non-diabetic patients who met the criteria of the American Diabetes Association were screened for type 2 diabetes by general practitioners. The interview was recorded, then translated into text and qualitatively analyzed. Results 63 patients were not screened for type 2 diabetes mellitus. The reason why these patients were not screened was that 49% of general practitioners thought they did not need to do it based on the results of previous screening, and 48% explained that patients were only here for counseling rather than health care tests. A total of 71 patients were screened for type 2 diabetes mellitus. The reasons for screening these patients are as follows: 49% of general practitioners think they need to do it according to the abnormal results of previous screening, 42% of general practitioners judge their needs according to the body mass of patients, and 38% of general practitioners judge their needs according to the patient's age. The correct rate of interpretation of the screening results by the general practitioner was 89%, and the proportion of the screening results told to the patients realistically was 95%. Of the 24 patients with prediabetes, 58% of the general practitioners gave advice to prevent diabetes by losing weight and increasing the amount of activity. Conclusion the previous screening results of type 2 diabetes mellitus, the types of items that general practitioners should do, the body mass and age of patients are the factors that affect the screening of type 2 diabetes mellitus by general practitioners. Generally speaking, general practitioners can correctly understand the screening results of patients and convey them to patients realistically, and its advice on the prevention of diabetes in patients with prediabetes is of evidence-based significance.
【分类号】：R587.1

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