Immediate impact of a diabetes training programme for primary care physicnans-An endeavour for national capacity building for diabetes management in India
Immediate impact of a diabetes training programme for primary care physicnans-An endeavour for national capacity building for diabetes management in India
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DOI：
10.1016/j.diabres.2008.11.005
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发表时间：
2009-01-01
影响因子：
5.1
通讯作者：
Ramachandran, A.
中科院分区：
文献类型：
--
作者：
Murugesan, N.;Shobana, R.;Ramachandran, A.
目标：印度面临着糖尿病的巨大负担。必须通过提高治疗糖尿病的医生的知识来加强国家管理糖尿病的能力，特别是在城乡结合部和农村地区。作为实现这一目标的一个步骤，在国家层面制定并实施了一项培训计划。 方法：来自印度 6 个邦的医生（n = 3023，M:F 2311:712），年龄 30-55 岁，服务时间 >= 3 年，（政府 n = 1720，私人 n = 1303，半城市和农村地区（n = 1581:1442））接受了以下培训： 2004 年 3 月至 2006 年 12 月期间，在为期 5 天的研讨会上开展了为期 5 天的糖尿病护理工作。通过培训前和培训后的知识评分、对培训模块有用性的反馈、在实践中引入的优先活动以及用于提高公众糖尿病意识的方法来评估培训的影响。结果：培训显着提高了有关糖尿病治疗、并发症、病理生理学和诊断的知识（p < 0.001）。参与者认为有关糖尿病预防和足部护理的信息具有很高的教育意义。患者教育和团队培训被认为在糖尿病管理中很重要。人们对提高公众对该疾病的认识表现出了兴趣。结论：精心策划的短期培训计划有助于提高知识并激发改善糖尿病护理和认识的热情。 (C) 2008 Elsevier Ireland Ltd. 保留所有权利。
Aims: India faces a huge burden from diabetes. National capacity for management of diabetes has to be strengthened by improving knowledge of physicians treating diabetes, especially in semi urban and rural areas. A training programme was formulated and conducted at national level, as a step towards this goal.Methods: Physicians from 6 states of India (n = 3023, M:F 2311:712), aged 30-55 years, with service of >= 3 years, (government n = 1720, private n = 1303, semi urban and rural areas (n = 1581:1442)) were trained in diabetes care in 5-day workshops between March 2004 to December 2006. Impact of training was assessed by pre- and post-training knowledge scores, feedback on usefulness of training modules, prioritizing activities to be introduced in their practice and methods to be used for raising public awareness on diabetes.Results: The training significantly improved knowledge on treatment, complications, pathophysiology and diagnosis of diabetes (p < 0.001). The participants considered information on preventive aspects of diabetes and foot care as highly educative. Patient education and team-training were considered important in diabetes management. Interest was evinced in raising public awareness about the disease.Conclusions: Well-planned short training programmes are useful in improving knowledge and in creating enthusiasm to improve diabetes care and awareness. (C) 2008 Elsevier Ireland Ltd. All rights reserved.