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在斯洛伐克社区药房进行糖尿病外围神经病变的查

Zuzana Pagáčová¹, Milan Grofik, Tomáš Fazekaš

¹Zuzana Pagáčová, Department of Organisation and Management of Pharmacy, Faculty of Pharmacy, Comenius University Bratislava, Odbojárov 10, 832 32 Bratislava, Slovak Republic, pagacova34@uniba.sk.

Croatian medical journal

|May 6, 2024

概括

斯洛伐克药房中大约八分之一的糖尿病患者表现出糖尿病外围神经病变 (DPN) 的潜在风险. 一个经过修改的密歇根神经病查仪问卷 (MNSIq-12) 证明了在社区环境中早期检测DPN风险的有效性.

科学领域:

内分泌学和新陈代谢学
神经学神经学
公共卫生公共卫生

背景情况:

糖尿病外围神经病变 (DPN) 是糖尿病的一个常见并发症.
早期识别DPN风险对于及时干预和管理至关重要.
社区药房提供可访问点,用于患者查和健康教育.

研究的目的:

在斯洛伐克社区药房中识别患有糖尿病的患有DPN风险的患者.
评估修改后的密歇根神经病查仪问卷 (MNSIq-12) 对DPN风险查的有用性.
在社区药房环境中评估糖尿病患者中DPN风险因素的患病率.

主要方法:

一项横截面研究涉及703名1型和2型糖尿病患者,没有被诊断为DPN.
斯洛伐克各地社区药房的药学学生对MNSIq-12进行管理.
分析风险因素,包括年龄,BMI,糖尿病持续时间,教育,体力活动和吸烟状况.

主要成果:

在6.6%的1型糖尿病患者和13.4%的2型糖尿病患者中检测到DPN风险.
疲劳和腿部沉重是最常报告的暗示DPN的症状.
患有较高DPN风险的患者 (密歇根分数<1.5) 年龄较大,BMI较高,教育程度较低,体力活动较少.

结论:

在社区药房中约有13%的糖尿病患者可能面临DPN的风险.
MNSIq-12是一种简单,高效和非侵入性的工具,用于药房的指示性DPN风险查.
社区药房可以在识别患有DPN风险的患者方面发挥至关重要的作用.

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