ISSN:1357-8170    

DOI:10.1002/pdi.1960140402

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140403

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractWe studied attitudes towards insulin injections, needle‐phobia and the experience of pain when using syringes, pens, insulin pumps and in‐dwelling subcutaneous catheters (Insuflon®, Maersk Medical, Lynge, Denmark).185 children and adolescents with IDDM aged 14.2±4.1 years with a HbA1cof 6.4±1.4% answered a questionnaire using 10 cm VAS scores (0 cm = hardly noticeable pain/not scared of needles at all, 10 cm=unbearable pain, very scared of needles).The VAS score of injections (median and quartiles) with syringes was 1.9 (1.1, 3.5) cm, with pens 0.4 (0.0, 1.3) cm, with in‐dwelling catheters 0.4 (0.2, 1.7) cm, when taking a bolus dose with insulin pump 0.0 (0.0, 0.0) cm and when taking a blood glucose test 0.7 (0.1, 2.4) cm. The injection pain declined with increasing age but still several teenagers regarded the injection pain as almost unbearable. Injection pain correlated to HbA1c(p=0.033), age (p=0.0003), their own (p<0.0001) and their mother's (p=0.032) needle‐phobia (but not father's) but not to diabetes duration or if parents had tried injections or blood glucose testing. Median needle‐phobia score was 0.4 (0.1, 1.4) cm. Overall, 8.3% of the patients, 16.8% of the mothers and 17.7% of the fathers defined themselves as having pronounced needle‐phobia (⩾5 cm). Those using in‐dwelling catheters reported a higher needle‐phobia but their injection pain was in the same low range as for other individuals.We conclude that, for most patients, the pain when injecting insulin is quite small irrespective of injection mode, but for some it is almost unbearable. Parents' attitudes are important for children's acceptance of injections. Injections through an in‐dwelling injection aid enables children and adolescents to reduce the pain to levels comparable to those who

ISSN:1357-8170    

DOI:10.1002/pdi.1960140404

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractOne hundred and ninety four diabetic men completed a questionnaire designed to identify their perception of erectile dysfunction (ED). Nine per cent (17/186) of patients defined ED incorrectly. Thirty per cent (54/183) of patients were unaware that ED was a complication of diabetes and 42% (70/165) thought the problem was an inevitable consequence of advancing age. Nearly one half of the patients (47%, 87/188) were unaware that treatment was available for ED. In those patients who were aware of ED as a complication of diabetes or potential treatment for this problem, this information was more likely to have been obtained from sources other than a healthcare professional. Fifty per cent (96/194) of patients suffered from ED; 56% (54/96) of these patients felt the relationship with their partner had suffered as a consequence. Despite the high prevalence of ED and the misconceptions that existed, the questionnaire indicated that there had been little discussion between the patient and the healthcare professional about this problem. As a result of our questionnaire which enhanced the patient's knowledge of ED, the majority (>90%) said they would seek medical advice for the problem if it arose. We have also identified several key areas concerning ED that should be addressed by healthcare professionals involved in both primary and secondarydiabetes care.

ISSN:1357-8170    

DOI:10.1002/pdi.1960140405

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractIn order to investigate prescribersatisfaction with the footwear services provided for diabetic patients a questionnaire survey of delegates attending a diabetic foot conference in the UK was carried out.The 92 replies from 104 departments showed that prescribes' satisfaction with their orthotic services was closely related to how often the prescriber and orthotist saw their patients in joint consultations (Chi2 for trend, 2p<0.002). Satisfaction with services provided by orthotists who were employed by the NHS was no different from that with services where the orthotists were employed by a manufacturer. Orthotists must be fully integrated members of the diabetic foot care team, and the service must be provided in such a way as to facilitate joint consultations beween prescriber and orthotist.

ISSN:1357-8170    

DOI:10.1002/pdi.1960140406

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractThis series of articles describes (with accompanying photographs) some of the more common abnormalities which a routine inspection might reveal. Some indication is given of their importance to the diabetic patient and what action the nurse or GP should take.

ISSN:1357-8170    

DOI:10.1002/pdi.1960140407

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140408

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140409

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140410

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140411

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY