{"title":"南非茨瓦内市卡拉丰医院的医疗保健提供者和患者的目视血糖估计的准确性评估","authors":"Simbarashe B Mhishi, D. V. van Zyl","doi":"10.1080/16089677.2019.1692478","DOIUrl":null,"url":null,"abstract":"Background: A patient-centred approach with self-monitoring of blood glucose (SMBG) has emerged as the preferred approach in monitoring and managing blood glucose. The success of SMBG in diabetes treatment and management relies heavily on the accurate and reproducible measurement of blood glucose values. Aim: To evaluate whether patients and healthcare professionals can accurately estimate blood glucose using photometric strips, by visually matching them to colorimetric charts. Methods: A cross-sectional study design was used with participants enrolled from patients and healthcare providers attending and working at the Diabetes Clinic of Kalafong Provincial Tertiary Hospital (KPTH). A convenience sample of 144 patients and 10 healthcare professionals was enrolled. Results: Limits of agreement of patient and healthcare professional visual estimates were 11.1 to 10.4 mmol/l and 6.7 to 5.7 mmol/l, respectively. The mean difference for estimates by healthcare professionals was 0.8 mmol/l (95% CI 1.30–0.31 mmol/l) while patient estimates had a mean difference of 0.4 mmol/l (95% CI 1.2−0.5 mmol/l). Conclusions: The study noted that visual colour matching was inexact and generally would overestimate blood glucose. Healthcare professionals gave visual estimates that were more accurate in comparison with patients.","PeriodicalId":43919,"journal":{"name":"Journal of Endocrinology Metabolism and Diabetes of South Africa","volume":"73 1","pages":"18 - 23"},"PeriodicalIF":0.6000,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the accuracy of visual glucose estimates by healthcare providers and patients at Kalafong Hospital, City of Tshwane, South Africa\",\"authors\":\"Simbarashe B Mhishi, D. V. van Zyl\",\"doi\":\"10.1080/16089677.2019.1692478\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: A patient-centred approach with self-monitoring of blood glucose (SMBG) has emerged as the preferred approach in monitoring and managing blood glucose. The success of SMBG in diabetes treatment and management relies heavily on the accurate and reproducible measurement of blood glucose values. Aim: To evaluate whether patients and healthcare professionals can accurately estimate blood glucose using photometric strips, by visually matching them to colorimetric charts. Methods: A cross-sectional study design was used with participants enrolled from patients and healthcare providers attending and working at the Diabetes Clinic of Kalafong Provincial Tertiary Hospital (KPTH). A convenience sample of 144 patients and 10 healthcare professionals was enrolled. Results: Limits of agreement of patient and healthcare professional visual estimates were 11.1 to 10.4 mmol/l and 6.7 to 5.7 mmol/l, respectively. The mean difference for estimates by healthcare professionals was 0.8 mmol/l (95% CI 1.30–0.31 mmol/l) while patient estimates had a mean difference of 0.4 mmol/l (95% CI 1.2−0.5 mmol/l). Conclusions: The study noted that visual colour matching was inexact and generally would overestimate blood glucose. Healthcare professionals gave visual estimates that were more accurate in comparison with patients.\",\"PeriodicalId\":43919,\"journal\":{\"name\":\"Journal of Endocrinology Metabolism and Diabetes of South Africa\",\"volume\":\"73 1\",\"pages\":\"18 - 23\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2020-01-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Endocrinology Metabolism and Diabetes of South Africa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/16089677.2019.1692478\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Endocrinology Metabolism and Diabetes of South Africa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/16089677.2019.1692478","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
摘要
背景:以患者为中心的自我血糖监测(SMBG)已成为监测和管理血糖的首选方法。SMBG在糖尿病治疗和管理中的成功在很大程度上依赖于准确和可重复的血糖值测量。目的:评估患者和医疗保健专业人员是否可以准确地估计血糖使用光度条,通过视觉匹配他们比色图。方法:采用横断面研究设计,参与者来自卡拉丰省三级医院(KPTH)糖尿病诊所的患者和医疗保健提供者。纳入了144名患者和10名医疗保健专业人员的方便样本。结果:患者和卫生保健专业人员的视觉估计值的一致限分别为11.1 ~ 10.4 mmol/l和6.7 ~ 5.7 mmol/l。卫生保健专业人员估计的平均差异为0.8 mmol/l (95% CI 1.30-0.31 mmol/l),而患者估计的平均差异为0.4 mmol/l (95% CI 1.2 - 0.5 mmol/l)。结论:该研究指出,视觉颜色匹配是不准确的,通常会高估血糖。与患者相比,医疗保健专业人员给出的视觉估计更准确。
Evaluation of the accuracy of visual glucose estimates by healthcare providers and patients at Kalafong Hospital, City of Tshwane, South Africa
Background: A patient-centred approach with self-monitoring of blood glucose (SMBG) has emerged as the preferred approach in monitoring and managing blood glucose. The success of SMBG in diabetes treatment and management relies heavily on the accurate and reproducible measurement of blood glucose values. Aim: To evaluate whether patients and healthcare professionals can accurately estimate blood glucose using photometric strips, by visually matching them to colorimetric charts. Methods: A cross-sectional study design was used with participants enrolled from patients and healthcare providers attending and working at the Diabetes Clinic of Kalafong Provincial Tertiary Hospital (KPTH). A convenience sample of 144 patients and 10 healthcare professionals was enrolled. Results: Limits of agreement of patient and healthcare professional visual estimates were 11.1 to 10.4 mmol/l and 6.7 to 5.7 mmol/l, respectively. The mean difference for estimates by healthcare professionals was 0.8 mmol/l (95% CI 1.30–0.31 mmol/l) while patient estimates had a mean difference of 0.4 mmol/l (95% CI 1.2−0.5 mmol/l). Conclusions: The study noted that visual colour matching was inexact and generally would overestimate blood glucose. Healthcare professionals gave visual estimates that were more accurate in comparison with patients.