Quản lý người bệnh đái tháo đường tuýp II ngoại trú tại Trung tâm Y tế huyện Bình Xuyên, Vĩnh Phúc năm 2022=Outpatient management of type II diabetic outpatients in Binh Xuyen district Health Center, Vinh Phuc province in 202

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Tác giả: Minh Đức Dương, Thế Văn Nguyễn, Tuấn Việt Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.283-288

Bộ sưu tập: Metadata

ID: 242130

Thêm vào giỏ

Nghiên cứu này được thực hiện quản lý về tuân thủ đái tháo đường của người bệnh tăng huyết áp đang được quản lý ngoại trú tại Trung tâm Y tế (TTYT) huyện Bình Xuyên năm 2022. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang thông qua điều tra định lượng trong 3 tháng (04-07/2022) tại TTYT huyện Bình Xuyên. Tổng số 215 người bệnh đang điều trị ngoại trú THA được chọn thuận tiện tham gia vào phỏng vấn trực tiếp khi đến tái khám hàng tháng. Số liệu được phân tích sử dụng phần mềm SPSS 25.0 Kết quả: Đánh giá ban đầu, khám sàng lọc và chẩn đoán được tổ chức hàng năm với số phát hiện trong 2 năm trở lại đây lần lượt là 210 người năm 2020 và 182 người năm 2021. Lập hồ sơ ngoại trú được tiến hành song song hai phương pháp là vừa lưu trữ thông tin bằng phần mềm tin học vừa bằng phương pháp thủ công qua sổ sách. Lập kế hoạch, theo dõi và giám sát điều trị được thực hiện tốt thông qua xây dựng kế hoạch khám thường qui cho các bệnh nhân ĐTĐ. Quản lý thay đổi lối sống còn chưa thực hiện tốt vì chưa có theo dõi việc tập luyện hoặc chế độ dinh dưỡng sát NB. Thực tế cho thấy việc tuân thủ thay đổi lối sống (1/4 NB tập dưới 3 lần/tuần (25,6%)) và chế độ dinh dưỡng của NB còn chưa tốt. Kết luận: TTYT huyện Bình Xuyên cần tăng cường các biện pháp về đào tạo và tuyển dụng nhân lực, cải thiện cung ứng đầy đủ trang thiết bị và vật tư tiêu hoá, cũng như tăng cường việc tư vấn cho người bệnh và xây dựng hệ thống quản lý thông tin điện tử để hỗ trợ việc quản lý điều trị người bệnh ĐTĐ týp 2 tại bệnh viện.This study aims to evaluate the outpatient management of type II diabetic outpatients in Binh Xuyen district Health Center in 2022.Research methods: This cross-sectional study (quantitative method) was conducted within 3 months (April-July 2022) at Binh Xuyen district Health Center. Quantitative data was collected by face-to-face interview for a convenient selected 215 type II diabetic outpatients. Data was analyzed using SPSS ver 25.0.Findings: Screening and diagnosis of type II diebetes: The activity was implemented yearly with the increased number of newly confirmed diabetic patients (210 in 2020 and 182 in 2021). Outpatient medical records was managed by both methods (writtent medical records and electronic records). Planning, monitoring and evaluating the treatment results were done well with regular follow-up visits for all outpatients. Information - Education - Communication activities were not well performed as there had not been any close monitoring of exercise or nutrition. The patients were not adhered well the lifestyle changes (25.6% of patients exercise less than 3 times a week) and the nutritional regimen. Conclusions: We recommended to strengthen measures for training and recruiting health providers, improve the supply of one-time equipment and medical devices, develop electronic health information management to support the management and treatment of type II diabetic oupatients.

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