THỰC TRẠNG TUÂN THỦ SAU CAN THIỆP CỦA BÁC SĨ VỚI HƯỚNG DẪN CHẨN ĐOÁN VÀ ĐIỀU TRỊ ĐÁI THÁO ĐƯỜNG TÍP 2 TẠI TỈNH THÁI BÌNH

Abstract

Objective: To determine the percentage of physicians who adhere to the intervention guidelines for the diagnosis and treatment of type 2 diabetes in Thai Binh province. Subjects and methods: an intervention study on a group of doctors examining and treating patients with type 2 diabetes mellitus in Thai Binh province, comparing before and after. Results: Doctors have a young age group, the group of 25 - 34 years old accounts for the highest proportion of 44.1%; men 58.8%; only 38.2% graduate level with 29.4% trained in endocrinology. The proportion who have been trained in diabetes accounted for 85.3%. The rate of compliance with the indication for fasting glucose testing increased at different points in time; The highest efficiency index increased at the time of H2 accounted for 18.6%, the difference was statistically significant with p < 0.05. The rate of adherence to HbA1c test order increased at different times, before the intervention accounted for 12.3% after 1 year of intervention, the rate of adherence to the test order increased to 50%, the difference was statistically significant. with p < 0.05. The efficiency index increased the highest at the time of H1 accounting for 76.4%. The percentage of patients having cholesterol test increased gradually over the intervention time, the highest efficiency index at the time of H2 accounted for 39.1%, the difference was statistically significant p < 0.05. The proportion of patients having HDL-c test increased gradually over time, p < 0.05. The highest efficiency index at the time of H2 accounted for 74.7%. Conclusion: The rate of adherence to pre-intervention doctor's tests is low; All test indexes increased after the intervention; the difference was statistically significant p < 0.05.