کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2675427 1141788 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Adherence to NICE guidelines on diabetes prevention in the UK: Effect on patient knowledge and perceived risk
ترجمه فارسی عنوان
پیروی از دستورالعمل NICE در مورد پیشگیری از دیابت در انگلستان: تأثیر بر روی دانش بیمار و خطر ادراک شده
کلمات کلیدی
دیابت نوع 2؛ جلوگیری؛ غربالگری؛ درک ریسک؛ پیش دیابت DUK، HEI، شاخص غذا خوردن سالم؛ NICE، موسسه ملی سلامت و تربیت بدنی؛ RPS-DD، بررسی ادراک خطر برای توسعه دیابت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی


• We examined patients’ experiences of diabetes risk assessment in primary care.
• Patients at high-risk of diabetes are often not informed of their risk status.
• Many patients are not informed of the role of lifestyle in diabetes risk reduction.
• There is scope for educating both health professionals and the public.

BackgroundNICE Guidelines for prevention of diabetes include identifying people at risk followed by cost-effective intervention if necessary. Based on assessment of risk via a questionnaire and/or blood test the intervention may comprise a brief discussion of risk factors and preventive advice or referral to intensive lifestyle intervention.Design and settingIn this cross-sectional study 59 subjects recruited from local GP practices were invited by letter to attend a screening for a diabetes prevention study.MethodFollowing a telephone screening during which subjects were asked whether they had been informed if they were at high-risk of type 2 diabetes, eligible subjects completed a Risk Perception Survey for Developing Diabetes (RPS-DD), a validated diabetes risk score and underwent an oral glucose tolerance test (OGTT) at a medical screening.ResultsAs measured by the Diabetes UK Risk Score, 44.1% were at high risk, 42.4% moderate risk and 13.6% at increased risk. 42% of patients had been informed they were at high-risk by a health professional. Those who had been informed of their risk had significantly higher perceived risk scores (p < 0.001), higher knowledge scores (p < 0.001) and decreased optimism scores (p = 0.004), but were not more aware that diet (p = 0.42) and weight management (p = 0.57) can play a role in preventing diabetes.ConclusionsPeople at high-risk of diabetes are not being informed of their risk status as recommended by NICE guidelines. There is scope for education for health professionals and the public.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Primary Care Diabetes - Volume 9, Issue 6, December 2015, Pages 407–411
نویسندگان
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