巴基斯坦卡拉奇市居民和护士的糖尿病相关知识：一项多中心研究。

Diabetes related knowledge among residents and nurses: a multicenter study in Karachi, Pakistan.

机构信息

Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

出版信息

BMC Endocr Disord. 2012 Sep 11;12:18. doi: 10.1186/1472-6823-12-18.

DOI:10.1186/1472-6823-12-18

PMID:22967029

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3515418/

Abstract

BACKGROUND

Assessment of knowledge among resident trainees and nurses is very important since majority of patients admitted in hospital have underlying diabetes which could lead to adverse clinical outcomes if not managed efficiently. Therefore, the purpose of this study was to evaluate and compare the knowledge related to the management of diabetes among registered nurses (RN) and trainee residents of internal medicine (IMR), family medicine (FMR) and surgery (SR) at tertiary care hospitals of Karachi, Pakistan.

METHODS

A validated questionnaire consisting of 21 open ended questions related to diabetes awareness was acquired through a study done at Thomas Jefferson University Hospital, Philadelphia with the permission of primary author.

RESULTS

169 IMR, 27 FMR, 86 SR and 99 RN completed a questionnaire that assessed the knowledge related to different aspects of management of diabetes. The results were further stratified by participant's specialty and level of training. The percentage of knowledge based questions answered correctly was found to be low. The overall mean correct percentage among all the participants was 50% +/- 21. There was no statistical difference in terms of knowledge between IMR & FMR residents (64% +/- 14 vs. 60% +/- 16, p = 0.47) respectively. The total scores of SR and RN were quite low (40% +/- 16 & 31% +/- 15 respectively).SR and RN were found to have profound deficit in both inpatient and outpatient knowledge of diabetes. We did not observe any improvement in level of knowledge of FMR & SR with increase in duration of their training (p = 0.47 & 0.80 respectively). In contrast, improvement in the level of knowledge of IMR was observed from first to second year of their training (p = 0.03) with no further improvement thereafter. RN's didn't respond correctly on most of the items related to in-patient management of diabetes (Mean score 40% +/- 20).

CONCLUSION

As there are no prior studies in our setting evaluating knowledge related to diabetes management among residents and nurses, this study is of paramount importance. Based on these results, considerable knowledge gaps were found among trainee residents and nurses pointing towards need of providing additional education to improve the delivery of diabetes care.

摘要

背景

评估住院医师培训生和护士的知识水平非常重要，因为大多数住院患者都患有潜在的糖尿病，如果不能有效地进行管理，可能会导致不良的临床结果。因此，本研究旨在评估和比较巴基斯坦卡拉奇三级保健医院的注册护士（RN）和内科住院医师培训生（IMR）、家庭医学住院医师培训生（FMR）和外科住院医师培训生（SR）在糖尿病管理方面的知识。

方法

通过在费城托马斯杰斐逊大学医院进行的一项研究获得了一份包含 21 个与糖尿病意识相关的开放式问题的经过验证的问卷，并获得了主要作者的许可。

结果

169 名 IMR、27 名 FMR、86 名 SR 和 99 名 RN 完成了一份评估糖尿病管理不同方面知识的问卷。结果根据参与者的专业和培训水平进一步分层。基于知识的问题回答正确的百分比发现较低。所有参与者的总体平均正确百分比为 50%±21。IMR 和 FMR 住院医师的知识水平没有统计学差异（分别为 64%±14%和 60%±16%，p=0.47）。SR 和 RN 的总分都相当低（分别为 40%±16%和 31%±15%）。SR 和 RN 在内科和门诊糖尿病知识方面都存在严重不足。我们没有观察到 FMR 和 SR 的培训时间增加（分别为 p=0.47 和 0.80）对他们的知识水平有任何提高。相比之下，IMR 的知识水平从培训的第一年到第二年有所提高（p=0.03），此后没有进一步提高。RN 在大多数与住院患者糖尿病管理相关的项目上没有正确回答（平均得分 40%±20）。