糖尿病与驾驶:评估尼日利亚医生对患者安全建议的了解

M. Olamoyegun, O. Akinlade, G. Ajani
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摘要

糖尿病的许多并发症及其治疗方式可能会降低驾驶安全性,并导致事故数量增加。因此,我们评估了医生对糖尿病患者特别是胰岛素患者的安全和驾驶知识。2021年4月,共有102名不同级别的医生参与了尼日利亚一项为期4周的在线调查。102名被调查者中,分别有97人(95.1%)、93人(92.2%)、69人(67.6%)知道低血糖、视网膜病变和神经病变易导致道路交通事故。只有三分之一的医生曾与接受胰岛素治疗的患者讨论过道路交通事故的可能风险。32.6%的参与者知道在开车前不迟于30分钟检查血糖水平,53.7%的受访者知道在轻度至中度低血糖治疗后至少需要等待30-45分钟再开车。只有37.9%的人知道可以安全驾驶的血糖水平,12.6%的人知道在长途旅行中重新检查血糖水平的建议频率和时间。结果显示,医生对驾驶健康的几个方面的认识较差,因此,所有医生都有必要了解糖尿病患者驾驶要求的基本知识,以便提供适当的建议。
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Diabetes and driving: Assessing knowledge of patient safety recommendations among medical doctors in Nigeria
Many complications of diabetes and its treatment modalities may reduce driving safety and contribute to increase in the number of accidents. Hence, we assessed doctors’ knowledge on safety and driving with diabetes especially those on insulin. A total of 102 doctors of different cadres participated in the study conducted by an online survey in Nigeria over a 4 weeks period in April 2021. Of the 102 respondents, 97 (95.1%), 93 (92.2%), 69 (67.6%) knew that hypoglycaemia, retinopathy and neuropathy respectively predisposed to road traffic accidents. Only a third had ever discussed the possible risk of road traffic crashes with insulin-treated patients. While 32.6% participants knew glucose level be checked not later than 30 minutes before driving, 53.7% respondents knew the need to wait at least 30-45 minutes after treatment of mild to moderate hypoglycaemia before driving. Only 37.9% knows the acceptable blood glucose level considered safe to drive and 12.6% knew the recommended frequency and time to recheck glucose levels during a long trip. Results shows poor knowledge of doctors on several aspects of fitness to drive, hence, it is necessary for all doctors to have basic knowledge on requirements to drive among diabetics for appropriate advice.
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