糖尿病和听力障碍:提供者和患者之间的知识,态度和做法
Hayley E Sewell1, Lourdes G Planas1, Michael R Brown2
1Department of Clinical and Administrative Sciences, College of Pharmacy, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
大多数医疗保健提供者和糖尿病患者都没有意识到听力障碍是一种并发症. 在将患者转诊至关重要的听力查时存在障碍.
科学领域:
- 内分泌学 在内分泌学.
- 听力学 听力学是指听力学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病是一种慢性疾病,影响全球数百万人.
- 听力障碍是糖尿病日益公认的并发症.
- 早期发现和管理与糖尿病相关的并发症对于患者的治疗结果至关重要.
研究的目的:
- 评估医疗保健提供者和糖尿病患者对听力障碍和听力学转诊的认识和做法.
- 在糖尿病护理的背景下,识别与听力健康相关的知识差距和障碍.
主要方法:
- 进行了一项横截面调查.
- 参与者包括医疗保健提供者和在学术医疗中心的糖尿病患者.
- 收集的数据涵盖了关于听力障碍和查转诊的知识,态度和做法.
主要成果:
- 只有25.6%的提供者将听力障碍视为糖尿病并发症,而视网膜病变,功能障碍和脚部感染则为96.7%.
- 转诊的主要障碍包括不熟悉查频率 (57.3%) 和感知更高的优先级 (35.4%).
- 只有21.0%的患者认定耳朵受糖尿病影响,而脚88.0%,眼睛/脏85.0%. 患者报告被告知听力障碍 (8.1%) 与视网膜病变 (85.9%) 作为并发症的可能性明显低. 24.2%的患者报告听力障碍查,而96.0%的患者进行了扩展眼睛检查.
结论:
- 医疗保健提供者和患者之间存在严重的认识差距,关于糖尿病和听力障碍之间的联系.
- 系统性障碍阻碍了糖尿病患者转诊听力学服务.
- 需要进行干预措施,以改善提供者和患者教育,并简化糖尿病护理中听力健康的转诊途径.
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