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Sivas il merkezindeki sağlık ocaklarına müracaat eden tip 2 diyabet hastalarının diyabetik bakım kalitesini etkileyen önemli muayene ve tetkikler konusundaki bilgi ve uygulamaları

Knowledge and practices about important examination and studies affecting quality of diabetic care of patients with type II diabetes applying to health centers in Sivas

  1. Tez No: 203839
  2. Yazar: YILMAZ SEÇKİN
  3. Danışmanlar: PROF.DR. R. EROL SEZER
  4. Tez Türü: Tıpta Uzmanlık
  5. Konular: Aile Hekimliği, Endokrinoloji ve Metabolizma Hastalıkları, Family Medicine, Endocrinology and Metabolic Diseases
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2007
  8. Dil: Türkçe
  9. Üniversite: Cumhuriyet Üniversitesi
  10. Enstitü: Tıp Fakültesi
  11. Ana Bilim Dalı: Aile Hekimliği Ana Bilim Dalı
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: 88

Özet

Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term macrovascular, microvascular, and neuropathic complications. To reduce both the incidence and progression of diabetes-related complications in a community, diabetes care quality should be monitored and improved continuously. In spite of that there have been few studies published on diabetes care quality in Turkey. The purpose of this study to obtain baseline information, including patients' knowledge and skills, on the diabetes care in Sivas Province of Turkey through the patients who had type 2 diabetes for at least a year and presented to the primary care centers with any reason. In a period of three months (April-June 2007) the researcher visited all of the primary care centers in Sivas Provincial Center spending three consecutive days in each. After receiving their informed consent he interviewed, face to face and by means of a questionnaire, all of the patients with type 2 diabetes who presented to the primary care center with any reason between 9.00 and 12.00 am. He also measured blood pressures and collected blood samples for HbA1C measurements. The study subjects, 389 patients with type 2 diabetes from 19 primary care centers, had a mean age of 58,14 years (Minimum 34, maximum 85, standard deviation(SD): ±9.879). The mean age at diagnosis of diabetes was : 49.8 years [Minimum 26, maximum 82, SD: ±5.55, Confidence interval 95%: 49.8 ± 0.99 years]; The mean duration of diabetes since diagnosis 8.36 years (Minimum 1, Maximum 35, SD: ±6.5), and body mass index(BMI) 32.62 kg/m2(Minimum 19.44, maximum 56.27, SD: ± 5.55). Of the participants 55.5% were illiterate, % 78.9 females. Target HbA1c of 10%. A history of hypertension was detected in 75.3% of the subjects. Of the diabetics 26.5% had blood pressure values at the target level of

Özet (Çeviri)

Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term macrovascular, microvascular, and neuropathic complications. To reduce both the incidence and progression of diabetes-related complications in a community, diabetes care quality should be monitored and improved continuously. In spite of that there have been few studies published on diabetes care quality in Turkey. The purpose of this study to obtain baseline information, including patients? knowledge and skills, on the diabetes care in Sivas Province of Turkey through the patients who had type 2 diabetes for at least a year and presented to the primary care centers with any reason. In a period of three months (April-June 2007) the researcher visited all of the primary care centers in Sivas Provincial Center spending three consecutive days in each. After receiving their informed consent he interviewed, face to face and by means of a questionnaire, all of the patients with type 2 diabetes who presented to the primary care center with any reason between 9.00 and 12.00 am. He also measured blood pressures and collected blood samples for HbA1C measurements. The study subjects, 389 patients with type 2 diabetes from 19 primary care centers, had a mean age of 58,14 years (Minimum 34, maximum 85, standard deviation(SD): ±9.879). The mean age at diagnosis of diabetes was : 49.8 years [Minimum 26, maximum 82, SD: ±5.55, Confidence interval 95%: 49.8 ± 0.99 years]; The mean duration of diabetes since diagnosis 8.36 years (Minimum 1, Maximum 35, SD: ±6.5), and body mass index(BMI) 32.62 kg/m2(Minimum 19.44, maximum 56.27, SD: ± 5.55). Of the participants 55.5% were illiterate, % 78.9 females. Target HbA1c of 10%. A history of hypertension was detected in 75.3% of the subjects. Of the diabetics 26.5% had blood pressure values at the target level of

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