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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Access to Healthcare during Lockdown, and its Effect on Glycaemic and Blood Pressure Control in Patients with Type 2 Diabetes and Hypertension- A Cross-sectional Study
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Access to Healthcare during Lockdown, and its Effect on Glycaemic and Blood Pressure Control in Patients with Type 2 Diabetes and Hypertension- A Cross-sectional Study

机译：在锁定期间进入医疗保健，及其对2型糖尿病患者血糖和血压控制的影响 - 横截面研究

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The Coronavirus Disease-2019 (COVID-19) pandemic had an impact on the health of patients with pre-existing comorbidities due to increased risk of hospitalisation and mortality. This study looked at accessibility of healthcare and pharmacy services, preference for telemedicine and changes in the diet and lifestyle patterns of patients with type 2 diabetes and hypertension during lockdown.Aim: To assess how the lockdown impacted the accessibility to healthcare, diet and lifestyle, and its overall impact on the glycaemic and blood pressure control of this population.Materials and Methods: A descriptive, cross-sectional study was done at Father Muller Hospital, Thumbay (Dakshin Kannada district, Karnataka, India). It involved patients who had type 2 diabetes and/or hypertension and was done over a period of six months from May 31, 2020 (the day lockdown was lifted) to November 30, 2020. A questionnaire was administered. The questions related to proximity and accessibility of healthcare and pharmacy services, awareness, preference for telemedicine, availability of glucometer and blood pressure machines, and diet and lifestyle changes in lockdown were asked. The Body Mass Index(BMI), Glycated Haemoglobin (HbA1c) levels, and blood pressure measurements, before and after the lockdown were compared. Data was tabulated on an excel worksheet and analysed by calculating frequency (n), percentages (%), mean±standard deviation and paired t-test.Results: A total of 115 patients were interviewed (64 females, 51 males). A total of 74.8% of patients reported that their nearby health centres were open, but only 26.1% patients chose to visit. A 95.7% of patients had no difficulty in getting medications. Few (25.2%) were aware, and fewer (17.4%) had access to telemedicine during the lockdown. The percentage of 53% would prefer telemedicine, though how many used this facility was not assessed. Most (91.3% and 85.2%, respectively) were compliant with medication and the recommended diet. A 60.7% noted no change in levels of physical activity. Those who smoked or consumed alcohol did not report any increase in consumption. An insignificant increase was noted in the BMI, systolic blood pressure and the HbA1c levels after lockdown.Conclusion: Despite reduced access to healthcare facilities, BMI, glycaemic and blood pressure control were not significantly affected. This was probably due to the easy availability of medications, and the relatively few changes in the diet and lifestyle of most patients.
机译：冠状病毒病-2019（COVID-19）大流行对患者预先存在合并症的健康产生影响，由于住院和死亡的风险增加。 lockdown.Aim过程中，该研究观察的医疗和药学服务的可及性，偏爱远程医疗和患者2型糖尿病和高血压的饮食和生活方式格局的变化：为了评估锁定如何影响无障碍医疗保健，饮食和生活方式，及其对血糖和血压控制这个population.Materials和方法的总体影响：一个描述性的，横断面研究是在父亲穆勒医院，Thumbay（Dakshin埃纳德语区，卡纳塔克邦，印度）来完成。它谁了2型糖尿病和/或高血压和已完成历时六个月从2020年5月31日（当日锁定被解除）至11月30日参与的病人，2020年的调查报告给予。与接近和医疗保健和药房服务，无障碍意识，偏爱远程医疗，血糖仪，血压机的可用性，以及饮食和生活方式的改变，在锁定的问题被问。身体质量指数（BMI），糖化血红蛋白（HbA1c）水平，血压测量，锁定比较之前和之后。数据制成表格上的Excel工作表，并通过计算频率（N），百分数（％），平均值±标准偏差分析，配对t检验。结果：总共115名患者进行了采访（雌性64，51个男性）。共有患者74.8％报告说，他们附近的健身中心是开放的，但只有26.1％的患者选择访问。的患者95.7％的人在获得药物没有什么困难。少数（25.2％）都知道，少（17.4％）有锁定期间访问远程医疗。 53％的百分比宁愿远程医疗，但有多少使用该设施没有评估。大多数（分别为91.3％和85.2％，）均符合药物和饮食建议。 60.7％的受访体力活动水平没有变化。这些谁吸烟或饮酒没有报告消费的增加。一个微不足道的增加是在BMI，收缩压和lockdown.Conclusion后HbA1c水平指出：尽管保健设施的机会减少，BMI，血糖和血压的控制并没有显著影响。这可能是由于容易获得药物，并在饮食上相对较少的变化和生活方式多数患者。

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