Survey on the knowledge of primary hospital doctors and diabetes patients on diabetes and exploration on the improvement of diabetes prevention and treatment_West China Medical Journal

Authors：

 LI Yao , QIU Ping , LAN Tian , TANG Mingwei , MEI Xi

Department of Endocrinology, the First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan 610500, P. R. China;

Corresponding author：

LI Yao, Email: liyaophs7473@163.com

Keywords：

Diabetes; Primary hospital doctors; Questionnaire survey; Training

DOI：

10.7507/1002-0179.201512118

Video：

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Objective To investigate the diabetic knowledge of primary hospital doctors and diabetes patients, and to explore the way to improve the capability of primary hospitals in preventing and treating diabetes. Methods Between January 2013 and June 2014, we set questionnaires to learn the profiles of diabetes knowledge of 328 internal and general medicine doctors including 43 chronic disease management workers from fifteen township hospitals and two community health centers, 152 doctors from village clinics, and 575 diabetes patients in Xindu District of Chengdu City. We made questionnaires for doctors and patients respectively to investigate their knowledge on diabetes and blood sugar control in the patients. Finally, we made plans to train doctors in primary hospitals according to the results of the investigation. Results For township hospitals, 328 questionnaires were given out with 319 retrieved, and the valid retrieval rate was 97.3%; 152 questionnaires were given out to village doctors and 149 were retrieved, with a valid retrieval rate of 98.0%; and we gave out 575 questionnaires to the diabetes patients and retrieved 539, with a valid retrieval rate of 93.7%. Primary hospitals were insufficient in their drug varieties. Among doctors in township hospitals, 7.8% had bachelor’s degree, 53.6% had received post-secondary education, and 38.6% had received secondary vocational education. Most of the village doctors had not received any professional medical education, among whom, 89.9% had a certificate of village doctors and 10.1% had a certificate of assistant doctors. The diabetes questionnaire score of primary hospital doctors was low, while the score of chronic disease management workers was relatively higher (P<0.05). For diabetes patients, medical investment was inadequate, treatment rate was low, common sense of diabetes was insufficient, and glycosylated hemoglobin control rate was only 13.5%. Conclusions Diabetes patients in primary hospitals have a poor disease control, which is probably associated with the insufficient publicity and education from doctors. It is necessary to train primary hospital doctors at all levels. In order to get the best therapeutic effect, we advocate that diabetes should be managed by doctors of chronic disease management, although they should receive systematic training for a long time.

Citation： LI Yao, QIU Ping, LAN Tian, TANG Mingwei, MEI Xi. Survey on the knowledge of primary hospital doctors and diabetes patients on diabetes and exploration on the improvement of diabetes prevention and treatment. West China Medical Journal, 2017, 32(3): 387-391. doi: 10.7507/1002-0179.201512118 Copy

1.	Yang WY, Lu JM, Weng JP,et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12): 1090-1101.
2.	International Diabetes Federation. IDF diabetes atlas. 6 ed. Brussels: International Diabetes Federation, 2013: 29-48.
3.	Xu Y, Wang LM, He J,et al. Prevalence and control of diabetes in Chinese adults. JAMA, 2013, 310(9): 948-958.
4.	罗光涛, 杨健全, 王中琼, 等. 四川巴中地区老年人糖尿病危险因素调查. 中华糖尿病杂志, 2011, 3(1): 42-45.
5.	谢小华, 谢燕, 卢华林, 等. 2007年凉山彝族自治州彝族城乡居民糖尿病患病率调查. 中华糖尿病杂志, 2010, 2(6): 428-431.
6.	赵茜, 廖晓阳, 李志超, 等. 成都市城乡社区中老年居民糖代谢异常的患病率和知晓率及控制达标率. 中国全科医学, 2013, 16(33): 3979-3981.
7.	潘孝仁, 李光伟, 胡英华, 等. 饮食和运动干预治疗对糖尿病发病率的影响——530例糖耐量减低人群六年前瞻性观察. 中华内科杂志, 1995, 3(2): 108-112.
8.	Lindström J, Louheranta A, Mannelin M,et al. The Finnish Diabetes Prevention Study (DPS): lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care, 2003, 26(12): 3230-3236.
9.	The Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care, 1994, 25(12): 51-52.
10.	Chiasson L, Josse G, Gomis R,et al. Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM randomised trial. Lancet, 2002, 359(9323): 2072-2077.
11.	诸葛福媛, 朱麒钱, 尤巧英, 等. 绍兴地区基层医生糖尿病防治知识水平及糖尿病患者管理现状调查. 中国初级卫生保健, 2013, 27(1): 81-83.
12.	孟朝琳, 李明子, 纪立农. 北京市三甲医院2型糖尿病控制现状调查分析. 中国糖尿病杂志, 2012, 20(4): 267-269.
13.	石莲桂, 吴艳平, 张丽芳. 2型糖尿病患者自我管理行为与积极度的相关性研究. 护理学杂志, 2010, 25(5): 10-12.
14.	范军星, 王文绢, 陈波, 等. 社区糖尿病患者医疗保健质量现状调查. 中国糖尿病杂志, 2009, 17(5): 361-363.
15.	何国富, 薛伟花, 王颖敏. 糖尿病的防治策略探讨. 中国医药指南, 2013, 128(28): 34-35.

1. Yang WY, Lu JM, Weng JP,et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12): 1090-1101.
2. International Diabetes Federation. IDF diabetes atlas. 6 ed. Brussels: International Diabetes Federation, 2013: 29-48.
3. Xu Y, Wang LM, He J,et al. Prevalence and control of diabetes in Chinese adults. JAMA, 2013, 310(9): 948-958.
4. 罗光涛, 杨健全, 王中琼, 等. 四川巴中地区老年人糖尿病危险因素调查. 中华糖尿病杂志, 2011, 3(1): 42-45.
5. 谢小华, 谢燕, 卢华林, 等. 2007年凉山彝族自治州彝族城乡居民糖尿病患病率调查. 中华糖尿病杂志, 2010, 2(6): 428-431.
6. 赵茜, 廖晓阳, 李志超, 等. 成都市城乡社区中老年居民糖代谢异常的患病率和知晓率及控制达标率. 中国全科医学, 2013, 16(33): 3979-3981.
7. 潘孝仁, 李光伟, 胡英华, 等. 饮食和运动干预治疗对糖尿病发病率的影响——530例糖耐量减低人群六年前瞻性观察. 中华内科杂志, 1995, 3(2): 108-112.
8. Lindström J, Louheranta A, Mannelin M,et al. The Finnish Diabetes Prevention Study (DPS): lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care, 2003, 26(12): 3230-3236.
9. The Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care, 1994, 25(12): 51-52.
10. Chiasson L, Josse G, Gomis R,et al. Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM randomised trial. Lancet, 2002, 359(9323): 2072-2077.
11. 诸葛福媛, 朱麒钱, 尤巧英, 等. 绍兴地区基层医生糖尿病防治知识水平及糖尿病患者管理现状调查. 中国初级卫生保健, 2013, 27(1): 81-83.
12. 孟朝琳, 李明子, 纪立农. 北京市三甲医院2型糖尿病控制现状调查分析. 中国糖尿病杂志, 2012, 20(4): 267-269.
13. 石莲桂, 吴艳平, 张丽芳. 2型糖尿病患者自我管理行为与积极度的相关性研究. 护理学杂志, 2010, 25(5): 10-12.
14. 范军星, 王文绢, 陈波, 等. 社区糖尿病患者医疗保健质量现状调查. 中国糖尿病杂志, 2009, 17(5): 361-363.
15. 何国富, 薛伟花, 王颖敏. 糖尿病的防治策略探讨. 中国医药指南, 2013, 128(28): 34-35.

West China Medical Journal

Survey on the knowledge of primary hospital doctors and diabetes patients on diabetes and exploration on the improvement of diabetes prevention and treatment

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