ISSN:1357-8170    

DOI:10.1002/pdi.1960080202

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

摘要:

AbstractThis study aimed to document patients' reasons for attendance at a “drop‐in” centre serving a general diabetic clinic (n = 756). Over six months the following data were documented: reasons for attendance (self‐initiated or referred and source or referrals); length of consultation; age and sex of clients; whether NIDDM or IDDM; and treatment modes. All 133 minor consultations (17 mmol/l (17 required insulin adjustment); eight had unfavourable social circumstances affecting diabetes management and required counselling; 10 requested ongoing diabetes education; six presented with foot lesions (two with neuropathic ulcers); and 10 diabetics came with non‐diabetes‐related health problems. Unexpectedly, there were no requests for dietary advice, and few for hypoglycaemia. There were six contacts by relatives, five parents of people with IDDM expressing concern about their child's lifestyle which compromised metabolic control and one husband of a person with NIDDM. We conclude that our clients demonstrate a definite need for diabetes‐related education or advice between clinic visits. In our study the major reasons for seeking advice were for hyperglycaemia needing treatment modification, counselling and to increase

ISSN:1357-8170    

DOI:10.1002/pdi.1960080203

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

摘要:

AbstractA prospective six‐year study of all diabetic patients in a single practice was conducted to investigate the benefits to patients which resulted from the introduction of a nurse‐run diabetic review service. The opportunity of the audit was also used to determine the capital and running costs of such a service. After initial expenditure of around £200–;300, GPs can expect to devote a total of 10‐15 minutes of their own time and 20‐30 minutes of their nurse's time to providing an annual check to each of their diabetic patients. Using our assumptions, this amounts to a cost to the practice of £4 per nurse review. Further costs beyond this minimum level are calculable for individual practices based on the data presented. Benefits to patients were evident for individual patients whose retinopathy or foot lesions were detected early and in the increasing numbers of examinations performed. It is possible for general practice teams to coordinate a comprehensive review service for their diabet

ISSN:1357-8170    

DOI:10.1002/pdi.1960080204

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080205

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080206

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080207

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080208

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080209

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080211

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080212

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY