The Analysis Of Current Situation Of T2DM Preventive Treatment In Tertiary First-class Hospitals

Objective: This research based on the investigating of T2DM preventivetreatment’s current situation in endocrinology department of tertiary first-classhospitals in Shijiazhuang city, tries to understand the implementation ofpreventive treatment and to analyze the problems and influencing factors,further provides a scientific basis for administrative department of publichealth to make policies and strategies in T2DM prevention.Method: Selecting8tertiary first-class hospitals’s (The First AffiliatedHospital of Hebei Medical University, The Second Affiliated Hospital ofHebei Medical University, The Third Affiliated Hospital of Hebei MedicalUniversity, The Fourth Affiliated Hospital of Hebei Medical University, HebeiGeneral Hospital, Shijiazhuang General Hospital, Hebei provincial Hospital ofChinese Traditional Medicine, Shijiazhuang provincial Hospital of ChineseTraditional Medicine) endocrinology departments in Shijiazhuang city as theresearch fields. Quantitative and qualitative research methods are adopted. Thequestionnaires answered by whole medical staffs. The evaluation criteria wasdefined based on2010China Guideline for T2DM.Depending on the nature of the information research purpose to choose theappropriate statistical methods. SPSS version16.0was used to generatedatabase files and analysis, inspection level of α=0.05.Results:1The general situation of endocrinology departments in8tertiary first-classhospitalsQuestionnaire1has been answered by director and head nurse inendocrinology department, which issued questionnaires16, recycledquestionnaires16, the questionnaire recovery rate was100%, the effectiverate was100%. In the8tertiary first-class hospitals, one of them isnational key discipline, two of them are provincial key discipline, and theothers are the common. There are six hospitals don’t reach the average of theMedical proportion which published by ministry of Health in2010. Onehospital has health education2-3times per week,3hospitals have once perweek, and4hospitals have once per month. A total of7hospitals finish thehealth education by doctors and nurse’s cooperation, just one hospital finish itby nurse. Most of them usually launch lectures to patients.6hospitalsestablish the two-way referral relationship between endocrinology departmentand grass-roots community hospitals.2The situation of endocrinologist medical staff to implement preventivetreatmentQuestionnaire2are answered by doctors and nurses in endocrinologydepartment, which issued questionnaires240, recycled questionnaires240.There are238valid questionnaires, the effective rate is99.17%. There are111doctors in the investigation, the constituent ratio is46.6%,127nurses, theconstituent ratio is53.4%. The average age is (32.33±8.001) years old, thework duration is4.5years.The average score of knowledge is (5.56±1.63), the awareness rate is50.09%. Based on one-way analysis of variance in different gender,occupation, professional title, degree of education, work duration, and age.The different occupation, professional title and degree of education of medicalstaffs for score difference is statistically significant, P<0.05; Other factors ofmedical staffs for score difference are not statistically significant, P>0.05.In the last year, aggregately198medical staffs have been trained ofprofessional diabetes prevention knowledge and skills, the trained rate is83.2%, and40staffs (16.8%) had never trained.According to the medical staffs’s clinical experience, they are generallybelieve that diet and nutrition therapy is the best to prevent T2DM，followedby exercise therapy, and the third is psychological therapy and drug therapy. Inclinical work,48.3%medical staffs implement preventive treatment time short of30%in whole cure.98.3%of the medical staffs intervene in patient’s smoking behavior, and97.9%of the medical staffs intervene in patient’s drinking behavior. But theyhave different attitude,35.7%of the staffs advice patients to give up smoking,63.4%of the staffs advice patients to reduce the amounts of cigarettes.19.3%of the staffs advice patients to give up drinking, and79.0%of the staffs advicepatients to reduce drinking times. Theχ2test based on different gender,occupation, professional title, degree of education, working duration, and ageof the intervention on smoking and drinking behavior. While only in drinkingintervention attitude,the gender difference of statistical significance isobtained.(p<0.05).Conclusion:1The situation of health resources distribution defectiveness is ubiquitous intertiary first-class hospitals, which shows the human resources of health inhospitals is still insufficient. The diabetes health education in the hospitals,which are flexibility in ways, diversity in forms, abundantly incontents, novelty in platforms, which provide high quality service to patients.Owing to the the insufficient of Human resource, the frequency of healtheducation is still very low in some hospitals. Therefore, suggesting superiorcompetent department of health to establish a employment coordinationmechanism by consideration of personnel classification, distribution, andhierarchical cultivation, which may improve the staff settings.2The awareness rate of medical staff in diabetes preventive knowledge isunsatisfactory. The medical staffs’s access to knowledge is limited, and thequality of learning is low, so the hospitals should increase investment ineducation of medical staff and assessment management to ensure the qualityof learning.3The implementation of T2DM preventive treatment is well, but there is awide gap compared with2010China Guideline for T2DM.The medical staffsshould strengthen the individualization of patient management, in order toprovide a better service to all patients.