【摘要】：目的本研究旨在探討影響全科醫(yī)生對患者進行2型糖尿病篩查的因素,描述全科醫(yī)生對這些因素的詮釋以及他們與患者就篩查結(jié)果進行的溝通。方法本研究采用半結(jié)構(gòu)式的基于病歷誘導回顧的訪談方法。研究對象為來自密歇根大學醫(yī)學院及醫(yī)院系統(tǒng)的20位全科醫(yī)生。訪談內(nèi)容為,對通過立意抽樣抽取的134例符合美國糖尿病協(xié)會標準需要進行2型糖尿病篩查的非糖尿病患者,全科醫(yī)生是、否對其進行篩查的原因。訪談內(nèi)容被錄音,然后轉(zhuǎn)寫成文字,并進行定性分析。結(jié)果共有63例患者沒有進行2型糖尿病篩查。沒有給這些患者做篩查的原因是:49%的全科醫(yī)生認為根據(jù)患者以前所做篩查的結(jié)果判斷其不需要做;48%的全科醫(yī)生解釋為患者只是來做咨詢而不是做健康維護檢查。共有71例患者進行了2型糖尿病篩查。給這些患者做篩查的原因是:49%的全科醫(yī)生認為根據(jù)患者以前所做篩查的異常結(jié)果判斷其需要做;42%的全科醫(yī)生根據(jù)患者的體質(zhì)量判斷其需要做,38%的全科醫(yī)生根據(jù)患者的年齡判斷其需要做。全科醫(yī)生對患者的篩查結(jié)果詮釋的正確率是89%,實事求是地將篩查結(jié)果告訴給患者的比例為95%。對查出有糖尿病前期的24例患者,58%的全科醫(yī)生給出的預防糖尿病的建議是減肥、增加活動量。結(jié)論患者以前的2型糖尿病篩查結(jié)果,患者約全科醫(yī)生要做的事項類型,患者體質(zhì)量及年齡是影響全科醫(yī)生對其是、否進行2型糖尿病篩查的因素。一般來說,全科醫(yī)生能夠正確地理解患者的篩查結(jié)果并實事求是地將其轉(zhuǎn)達給患者;其對糖尿病前期患者給出的預防糖尿病的建議具有循證意義。
[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.
【分類號】：R587.1

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