Pediatricians' perceptions and practices regarding prevention and treatment of type 2 diabetes mellitus in children and adolescents
Pediatricians' perceptions and practices regarding prevention and treatment of type 2 diabetes mellitus in children and adolescents
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DOI：
10.1001/archpedi.157.9.913
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发表时间：
2003-09-01
影响因子：
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通讯作者：
Rogalski, F
中科院分区：
文献类型：
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作者：
Ditmyer, MM;Price, JH;Rogalski, F
目的：评估儿科医生的看法和做法，关于预防和治疗2型糖尿病在儿童和青少年的横断面研究设计：一个3波邮寄问卷调查550名儿科医生。描述性统计、方差分析和逻辑回归用于数据分析。设置：一个国家随机抽样的儿科医生谁在私人执业，医院设置，和/或诊所工作。结果：每9名受访者中就有1人推荐他们的2型糖尿病患者进行运动，而大多数儿科医生推荐他们的病人进行饮食干预（62.3%）和教育服务（62.6%）。在咨询和随访过程中有信心的儿科医生比那些不太自信的儿科医生更有可能推荐他们的患者进行锻炼，饮食干预和教育服务。在受访者中，15.3%的人认为他们已经准备好为2型糖尿病患者提供咨询和随访。主要的障碍是咨询和后续的时间不足的咨询，病人的依从性差，缺乏家庭的支持，缺乏熟悉的临床实践的建议，以及缺乏医疗保险覆盖面。儿科医生有更高的自信水平，他们认为自己对咨询和随访做了更好的准备-2型糖尿病患者的UP对他们的糖尿病患者有更大的积极影响潜力。改善继续医学教育和以居住为基础的计划是必要的，以充分解决儿童和青少年2型糖尿病的新流行。
Objective: To assess pediatricians' perceptions and practices regarding the prevention and treatment of type 2 diabetes mellitus in children and adolescents in a cross-sectional study.Design: A 3-wave mailing of a questionnaire to 550 pediatricians. Descriptive statistics, analysis of variance, and logistic regression were used for data analyses.Setting: A national random sample of pediatricians who work in private practice, hospital settings, and/or clinics.Results: Every 1 in 9 respondents referred their patients with type 2 diabetes mellitus for exercise, while most pediatricians referred their patients for dietary interventions (62.3%) and educational services (62.6%). Pediatricians who were confident during counseling and follow-up were significantly (P=.02) more likely than pediatricians who were less confident to refer their patients for exercise, dietary interventions, and educational services. Of the respondents, 15.3% perceived they were well prepared to counsel and provide follow-up to patients with type 2 diabetes mellitus. The leading perceived barriers to counseling and follow-up were inadequate time for counseling, poor adherence of patients, lack of family support, lack of familiarity of clinical practice recommendations, and lack of health care insurance coverage.Conclusions: Pediatricians who had a higher perceived confidence level and who perceived they were better prepared for the counseling and follow-up of patients with type 2 diabetes mellitus had a greater potential to positively affect their diabetic patients. Improving continuing medical education and residency-based programs is imperative to adequately address the emerging epidemic of type 2 diabetes mellitus in children and adolescents.