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001-es BibID:BIBFORM017615
Első szerző:Rurik Imre (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Cím:Nutritional counseling for diabetic patients : a pilot study in hungarian primary care / Rurik Imre, Ruzsinkó Klára, Jancsó Zoltán, Antal Magda
Dátum:2010
ISSN:0250-6807
Megjegyzések:Although nutritional advice and counseling are an important part of diabetes care, current Hungarian health care regulations make it available only in the secondary (specialist) care. Authors planned and implemented a self-financed nutritional counselling in primary care setting. For 67 of 108 diagnosed diabetic patients of a primary care practice in Budapest, a free of charge educational service was offered. The 47 patients (45 type 2 and 2 type 1) who accepted the invitation were educated in two consecutive group sessions Only 24 of them were ready to take part in three further individual consultations. Fasting blood glucose and glycated haemoglobin were measured before and after the sessions and 1 year later. Comparison was made between genders (31 men, 16 women) and patients who took part in the group and the individual nutritional counselling, respectively. Patients with a higher educational level, males and persons with shorter duration of diabetes were more likely to participate in the consultation. All glycemic parameters improved after counseling in both groups, but this was significant only in men and for the group consultation. After 1 year, a further improvement was seen in women and in patients of the individually counselled group. In turn, fasting blood glucose an glycated haemoglobin concentrations of men and group-consulted patients increased again, reaching almost the baseline level before consultations. Nutritional counselling in the primary care offers more comfort and help for diabetics but requires changes in insurance regulation, and reimbursement system together with increase in resources.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
nutritional counseling
diabetes
primary care
hungarian
Megjelenés:Annals Of Nutrition And Metabolism. - 57 : 1 (2010), p. 18-22. -
További szerzők:Ruzsinkó Klára Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Antal Magda
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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