Diabetes telemedicine clinic implementation during the COVID-19 virus outbreak in Saudi Arabia

Eman Sheshah, Khalid Kelis, N. Abdulwahid, Nahla Alswaied, R. Aman, M. Alghamdi, Rabab T. Hassanien, Amira Abbas, Lamiaa Fathy, Abdulaziz Aldokhail, Abdulaziz Alzahrany, Jawaher Alokail, Dalal Al-Qaisi, Amirah M. Basha, Ghassan Aldekhayel, Amal Azizi
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Abstract

Background: Saudi Arabia implemented a nationwide lockdown to slow the spread of the COVID-19 after a global pandemic has been declared by the World Health Organization. Diabetes patients are one of the most vulnerable chronic illness groups to the complications of COVID-19 virus, thus the necessary to implement a tele-medicine clinic during the lockdown. Methods: A cross-sectional observational study, the study was done during the period from October to December 2020. We used convenience sampling to select participants who attended the clinics of the Diabetes Care Center at King Salman Hospital, Riyadh, Saudi Arabia. A total of 375 patients participated in the study. Results: The study included 375 participants around 60% were female participants. The age of almost one-third of them (33.9%) ranged between 51 and 60 years. Most of the participants were type 2 diabetic patients (85.3%), and lived in Riyadh city (97.6%). Vast majority of participants (99.5%) were follow-up patients and reported telemedicine visit by physicians (98.9%). Patients’ satisfaction questions showed that majority of the participants either strongly agreed or agreed with the statements that they were satisfied with the quality of the audio during the virtual visit (92%), use of telemedicine was essential in maintaining health during the COVID-19 outbreak (90.1%), the quality of the medical care provided during the virtual visit (88.3%), the clarity of the management plan discussed with the heath care practitioner during the virtual visit (87.7%), the tele-medicine visit was as good as a regular in person visit (81.5%). Also, majority of the participants recommend making diabetes tele-medicine clinic as an available option for patients with diabetes after the COVID-19 outbreak is over (81.5%). Conclusion: The COVID-19 pandemic has urged the transition from in person clinical visits to tele-medicine clinics and showed that it is feasible and effective to have the option of tele-medicine for diabetes clinics in Saudi Arabia. The majority of diabetic patients reported high levels of satisfaction with the tele-medicine clinic.
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沙特阿拉伯2019冠状病毒病疫情期间糖尿病远程医疗诊所的实施
背景:在世界卫生组织宣布新冠肺炎全球大流行后,沙特阿拉伯实施了全国封锁,以减缓新冠肺炎的传播。糖尿病患者是最容易受到COVID-19病毒并发症影响的慢性疾病群体之一,因此有必要在封锁期间实施远程医疗诊所。方法:采用横断面观察研究,研究时间为2020年10月至12月。我们采用方便抽样的方法选择在沙特阿拉伯利雅得萨勒曼国王医院糖尿病护理中心就诊的参与者。共有375名患者参与了这项研究。结果:该研究包括375名参与者,其中60%是女性参与者。其中近三分之一(33.9%)的年龄在51岁至60岁之间。大多数参与者是2型糖尿病患者(85.3%),居住在利雅得市(97.6%)。绝大多数参与者(99.5%)是随访患者,并报告了医生的远程医疗访问(98.9%)。患者满意度问题显示,大多数参与者强烈同意或同意以下陈述:他们对虚拟就诊期间的音频质量感到满意(92%),在COVID-19爆发期间使用远程医疗对于维持健康至关重要(90.1%),在虚拟就诊期间提供的医疗服务质量(88.3%),在虚拟就诊期间与卫生保健从业者讨论的管理计划的清晰度(87.7%)。远程就诊与常规上门就诊的满意度相当(81.5%)。此外,大多数参与者(81.5%)建议,在新冠肺炎疫情结束后,糖尿病患者可以选择糖尿病远程医疗诊所。结论:2019冠状病毒病大流行促使人们从亲自就诊转向远程医疗诊所,并表明沙特阿拉伯糖尿病诊所提供远程医疗选择是可行和有效的。大多数糖尿病患者对远程医疗诊所的满意度很高。
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