Implementation and evaluation of a specialized diabetes clinic in Guinea-Bissau: lessons learnt from the field.
Implementation and evaluation of a specialized diabetes clinic in Guinea-Bissau: lessons learnt from the field.
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DOI：
10.11604/pamj.2020.37.126.26127
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Perolini MC
中科院分区：
文献类型：
--
作者：
Correia JC;Lopes A;Nhabali A;Madrigal V;Errasti CR;Brady E;Hadjiconstantinou M;Perolini MC
几内亚比绍（GB）的糖尿病护理的特点是缺乏经过适当培训的医疗保健专业人员（HCP）以及诊断、治疗和患者随访指南。为解决这些问题，启动了该项目，目的是培训医疗保健专业人员管理糖尿病患者，并在不列颠首都比绍的三级公立医院西芒门德斯国家医院建立一个专门的糖尿病诊所。该项目由日内瓦大学医院牵头，与瑞士援助几内亚比绍糖尿病患者协会合作，并得到日内瓦州国际团结办公室和AIDA（Ayuda，Intercambio y Desarrollo）的支持。来自HUG的专家与GB的当地专家合作，为该医院的HCP开发并提供了与糖尿病护理相关的文化和背景适应的培训课程。进行了培训前和培训后测试，以评估知识和做法方面的差异。在培训方案之后，建立了一个糖尿病诊所，并进行了一次审计，以评估其业绩。共有24名HCP参加了培训计划，并在他们关于糖尿病护理的知识方面表现出统计学上的显著改善（前后测试之间的平均差异= 14.53，SD 11.60，t=-4.8，p < 0.001）。设立了糖尿病诊所，每周提供2天咨询。共有63名患者在该诊所咨询，其中49人患有口服降糖药治疗的2型糖尿病，14人为胰岛素治疗的1型糖尿病。患者接受血糖测量并接受治疗、饮食和身体活动咨询。遇到了导致服务偶尔中断的几个障碍，包括该国的政治不稳定和保健工作人员要求更好的工资和工作条件的罢工。这项研究描绘了在英国建立糖尿病咨询诊所的可行性，尽管存在重要的障碍。为确保此类咨询诊所的成功运作，应确保利益攸关方的持续支持和支持。糖尿病培训应纳入所有HCP的研究生前和研究生培训课程，以帮助塑造更好的劳动力。
diabetes care in Guinea-Bissau (GB) is characterized by a lack of properly trained healthcare professionals (HCPs) and guidelines for diagnosis, treatment and follow up of patients. To address these issues, this project was launched with the objective to train HCPs in the management of diabetic patients and establish a specialized diabetes clinic in the Hospital Nacional Simão Mendes, a public tertiary care hospital in Bissau, capital of GB. This project is led by the Geneva University Hospitals (HUG) in collaboration with the Swiss Association for the Aid to Diabetic People in Guinea-Bissau, with the support of the International Solidairty Office (SSI) of the State of Geneva, and AIDA (Ayuda, Intercambio y Desarrollo). specialists from the HUG in collaboration with local experts in GB developed and delivered a culturally and contextually adapted training course pertaining to diabetes care to HCPs in this hospital. Pre and post training tests were conducted to assess differences in knowledge and practices. Following the training program, a diabetes clinic was set up and an audit was conducted to assess its performance. a total of 24 HCP attended the training program and exhibited statistically significant improvements in their knowledge pertaining to diabetes care (mean difference between pre and post-test = 14.53, SD 11.60, t=-4.8, p < 0.001). The diabetes clinic was established and provided consultations 2 days per week. A total of 63 patients consulted at this clinic, of which 49 had type two diabetes treated with oral antidiabetic drugs and 14 were type 1 diabetics treated with insulin. Patients had blood glucose measurements and received therapeutic, dietary and physical activity counselling. Several barriers leading to occasional interruptions of service were encountered, including a political instability in the country and strikes of healthcare staff demanding better wages and working conditions. this study delineates the feasibility of setting up a diabetes consultation clinic in GB despite important barriers. To ensure successful running of such consultation clinics, continued buy-in and support from stakeholders should be ensured. Diabetes training should be incorporated in pre-and post-graduate training curriculums of all HCP to help shape a better workforce.
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影响因子：
5.1
作者：
Ogurtsova, K.;Fernandes, J. D. da Rocha;Makaroff, L. E.
通讯作者：
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影响因子：
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