VIETNAM MEDICAL JOURNAL N°1 - MAY • 2017 khoa la 30,8%; khoa ndi la 29%. Sff khac biet
nay giffa eae khoa la cd y nghTa thdng ke vdi P<0,05. Theo nghien cffu ciia David Koh va edng sff, 1998 [2] cho rang: cac y ta lam viec tai khoa hoi sffc cap cffu cd mffc do stress cao nhat, cae y ta khoa ngoai, phdng kiiam, khoa benh nhan ngoai trii cd diem danh gia va tff cam nhan stress d cac mffc do thap hdn.
IV. KET L U A N
1. Mdi trffdng lao dgng ciia NVYT tai hau het cac khoa deu nam trong gidi han eho phep trff tai 1 sd vj tri do cd tieng on, nong do CO;, axit acebc, focmon, vffdt qua tieu chuan cho phep (TTCP). Cudng do lam viee eao, thdi gian lam viec keo dai, phai trffc dem, trach nhiem cong viec Idn... la eae yeu td dac thu nghe nghiep cua NVYT.
2. Banh gia trang thai chffc nang he tim mach ciia bang chi so toan hgc nhip tim cho thay NVYT cd mffc eang thang cao, kha nang thich nghi kem vdi do lech ehuan thap (0,037±0,014), chi sd cang thing eao (243). Nghien effu chffc nang he than kinh trung ffdng cho thay thdi gian phan xa thinh-thi van dgng ciia NVYT keo dai d mffc tren trung binh (mffc 3/7); tan so nhap nhay tdi han ciia mat la 37±3,5 (mffc 3/7); diem trf nhd
hinh trung binh la 3,5±1. NVYT cd diem tu kiem djnh stress cao.
KHUYEN NGH! ^ - Cai thien tdt hdn mdi trffdng lao dgng 1
- Giam sff qua tai trong edng viec (tang effdng nhan Iffc, t d chffc lao ddng hdp ly hdn, 1 cho NVYT.
- Sff dung hdp ly cac bien phap phdng ho ca nhan trong qua trinh lam viee
TAI UEU T H A M KHAO
1. Tran Thanh Ha (1998), Nghien cu\j du" bao l^a nang lao dong ciia bo dpi tieu binii. Luin an thac si ykhoa, trUdng dai hoc Y ha ndi
2. David Koh et al (1998), Salivary IgA as abiomarker of stress a study in nursing staff.
Abstract- The 3^ Nadonal Scientific Conference m Occupational Health. Printed in Viet nam, p.l40 3. Knauth Peter (1998), Hours of work.
Encyclopaedia of Occupational health and Safety- 't edition (1998) Published by the Intemational Labour Office (ILO)
4. Salerno Sihrana et ai (1993), Application of the method of organizatonal congruences to assess to vwk stress among hospital nurss in two different ODuntnes, 2'f' congres of the intemational commission on occupational health. Abstracts. Nice, p. 379
KHAO SAT Sir HAI LONG CUA BENH NHAN VA NGUffI NHA BENH NHAN DIEU TRI NOI TRU TAI BENH VIEN MAT DA NANG
T O M TAT
Qua nghien cffu kiiao sat sff hai long cOa 468 benh niian va than nhan benh nhan d@n dieu tri noi tni tai Benh vien Mat Da Nang: Ty le benh nhan nam dieu tri noi tni c6 do tud'i > 45 chiem 58,55%, tuoi 36 - 45 chiem 23,50% va ffioi 18-35 chiem 17,95%. Ve viec pho bien thong tin ciia dieu dudng khi vao vien co 9,83% chua hai Idng nhffng each giai thich ciia bac sT dieu tri thi hai long 100%. Nhan vien y te giai thich che do an dat sff hai long 100%. Viec cong khai thudc dieu tri cung dat 100%. Hai long 100% ve ldi noi cff chi ctia nhan vien y te. Su" tan tinh cijng dat dUdc hai long 100%. (3n thffdng xuyen giao due nang cao y dffc, ky nang giao tiep, ky nang cham soc cho nhan vien y te, tang effdng nhan Iffc vao eac khoa trpng diem, day manh cong tac kiem tra giam sat, cai each thu
*Binh viin Mat Da Nang Chju trach nhiem chi'nh: Nguyen Quoe Dat Email: [email protected] Ngay nhan bai; 12.01.2017 Ngay phan bien khoa hpc: 22.3.2017 Ngay duyet bai: 3.4.2017
Nguyen Quoc Dat*
tuc hanh chinh, nang cap ccf sd ha tang de ^ng miit do hai long ciia benh nhan va than nhan^benh nhan ktii den dieu tri npi tni iai Benh vien Mat Da NSng.
T&kh6a:S\i hai long ciia benh nhan SUMMARY
THE SURVEY OF PATIENT SATISFACTION AND THEIR RELATIVES DURING THE IN-
HOSPITALIZING TIME AT THE DANANG HOSPITAL OF OPHTALMOLOGY Through survey on satisfaction of the 468 in- patients and their relatives who managed at ttie Danang Eye Hospital: The rate of in-patients aged >
45 were 58.55%, the group of age 36 to 45 were 23.50% and 18 to 35 were 17.95%. Regarding to announcing the hospital information by nurses at tiie hospitalizing day took 9.83% unsatisfied but the way to explain by treaffnent doctors took 100% satisfied.
The medical staff made the consultation took 100%
satisfied. Regarding to medicine prescription were 100% satisfied. There were 100% interview's satisfied on the attitude, speech of the staff. Tne enthusiasm of the staff still attained 100% satisfied, It
192
TAP CHl Y HOC VIET NAM TAP 454 - THANG 5 - S6 1 - 2017 IS necessary to regularly strengthen ethics education,
communication skills for health workers, strengthening human resources in main departments, promote monitonng, administrative reform and upgrade the infrastructure to increase the level of satisfaction of patients and relatives of patients to inpatient care and treatment at the Danang Eye hospital.
Keyword: Patient satisfaction
I. DJO^T V A N O E
Ngay nay nhu eau cham sdc sffe khde ciia rang ddng ngay cang cao hdn. Vi vay ndi dung tff van ve phdng benh va chij^ benh (cip thdi hu'dng tdi nhffng dieh vu kham chffa benh hien dai va an toan nhat [2],[3].
Theo To chffc y te the gidl, chat Ifftfng djch vu y te tae dpng den sff hai long cua benh nhan va ngffdc fal sff hai Idng ciia benh niian phan anh hieu qua ciia dich vu do benli vien cung cap [5]. Ngoai chat Iffdng djch vu ra cdn cd yeu to vo ciing quan trpng song hanh dd la phong each va thai dp phue vu eiia nhan vien y te nham hffdng tdi sff hai Idng cua benh nhan [4].
Hang nam, khi tien hanh kiem tra benh vien, Bp Y te cung xac dinh tieu chf khao sat sff hai long ciia benh nhan dieu trj npi trii lam cd sd giiip benh vien cai tien phffdng thffc phyc vu va nang cao chat Iffdng kham chffa benh [ I j .
Nham cd cd sd khoa hoc, can cff de tap the can bd cdng chffc vien chffc Benh vien cai tien phong each phuc vu va nang eao chat Iffdng kham chffa benli ehiing tdi tien hanh thffe hien de tai nghien cffu nay nham:
1- Ludng gia sd hai long cua ngu'di benh dieu trf ngi tnJ tai Benh vien i^at.
2- De xuat cac giai phap nham cai tiin s&hai long cua ng&di binh, ng&di nha ng&di binh.
II. DOI TUQWG VA PHU'OTSIG PHAP NGHIEN COU 2 . 1 . Ddl tu'dng n g h i e n cu'u: Benh_ nhan dieu tri ndi trii tai Benh vien Mat Da Ning tff 01/03/2013 den 30/08/2013."
2.1.1. Tieu chuan l&a chpn:
- Benh nhan dieu t n npi tru >18 tudi cd kha nang nghe hieu tra Idi dffde eac eau hdi ciia dieu tra vien.
- Ddi vdi benh nhan nang, gia hoac nhd tudi se khao sat ngffdi nha benh nhan >18 tuoi.
2.1.2. Tieu chui'n loai tr&:
- Benh nhan, ngffdi nha benh nhan khdng ddng y tham gia vao nghien cffu.
2.2. Phu'cfng p h a p n g h i e n cu'u:
+ Md ta cat ngang.
+ Cdng cu: Bo eau hdi dffde thiet ke s i n bao dam tfnh gia trj va do tin cay cao.
+ CS mau: Lfdc tfnh trong 6 thang nghien cffu cd khoang 4000 benh nhan ra vien. Khao sat it nhat 10% benh nhan npi tru va ngffdinha benh nhan tai 6 kiioa Jam sang BV Mat Da Ning [1].
+ L ^ mlu ngau nhien he thc&ig eho dii >400 ngudi.
+ Phffdng phap thu thap dff lieu: Phieu dieu va phdng van liie ra vien.
+ Phan tfeh ket qua sd lieu: xff ly bang phan mem Excel.
Sff hai Idng ciia benh nhan, ngffdi nha benh nhan ehia lam 3 mffe dp: Rat hai long, hai Idng, ciiffa hai Idng. Ket qua eiia sff hai Idng chung la tong trung binh ciia 9 ndi dung trong bd cau hdi.
III. KET QUA
Tff thang 3/2013 den thang 8/2013 chiing tdi da khao sat n g l u nhien sff hai Idng eiia 468 ngffdi benh va ngffdi nha va ket qua sau:
3 . l . D a c d i e m c h u n g :
3.1.1. Tuoi va gidi ng&di d&M: phong van - Tudi > 45 chiem 58,55%; tudi 36 - 45 chiem 23,50% va tudi 18-35 chiem 17,95%.
- Ty le benh nhan nff chiem ty le cao hdn nam, trong dd nff 64,96%; nam 35,04%.
3.1.2. Phan bdvi nghe nghiep - Can bd cdng chffc vien ehiit: 44 ngffdi (9,40%) - Kinh doanh budn ban: 330 ngffdi (70,51%) - Vjno ddng phd' thdng: 30 ngffdi (6,41%) - Khac: 64 ngffdi (13,68%)
3.1.3. Ngu'di tham gia khao sat:
Thanh phan tham gia khao sat; la ngffdi benh 124/468 (26,5%), la ngffdi nha ngffdi benh (73,5%). Vay ngffdi nha chiem gan 2/3 tdng sd.
3.1.4. Thdigian nam viin:
- So ngay nam vien: 3-5 ngay ed 346 benh nhan (73,94%)
- Sd ngay nam vien tren 5 ngay: cd 122 benh nhan (26,06%
3.1.5. Ph&dng phap diiu tri:
- Ndi khoa: 86/468 benh nhan (18,37%) - Ngoai khoa: 382/468 benh nhan (81,63%) 3.2. k h a o sat sff hat l o n g ciia benh nhan Chiing tdi thu thap 9 tieu chi danh gia gom 3 nhdm va ma hda nhff sau:
K l : i^han vien y te pho biin ve nil quy va nh&ng thong tin can thiit cho BN va ng&di nha khi vao viin va trong qua trinh died trj.
K2: Bde sygiai thfch ve tinh trang binh, chan doan, phu'dng phap dieu tri cho ng&di binh
K3: Nhan viin y tigiup dd ng&di benh tmng viic cham soc, an uong, ve sinh hang ngay
K4: Nhan vien y te giai thfch va dgng vien ngudi benh tr&dc, trong va sau khi lam cac ky thuat, thu thuat cho ng&di binh.
VIETNAM MbUIUAL JUUWHftL H'T - MAT - ZUl I
K5: Nhan vien y ticong khai thuoc &udc khi K8: Cac thu tuc hanh chfnh aia khoa va benh s&dung cho ngu'di binh viin thuan tiin, khong phien ha va khdng'lam
K6: Nhan vien y i i cd ldi noi, c&chi, thai do mat nhiiu thdi gian chd ddi cua ngddl benh than thien vdi ng&di binh K9: Cac nhan viin y tihdp tac tot tmng qua
K7: Nhan vien y i i tan tinh giup dd ngudi trinh dieu tn, cham soc ngu'di benh benh, khong cd bieu hiin ban dn, gdiy tien qua
3.2.1. Nhdm tiiu chil gdm 3 ndi dung Ndi
dung K l K2 K3 - V e s
Rat hai long SX 196 144 170
\i tan tinh Tiie o/o
41,88 30,67 36,32
Hai long SL 229 324 252
Tiid'/c 1S,93 69,24 53,85
Chu'a hai long SL 43 0 46
Tile % 9,18
0 9,83
Tone conq SL 468 468 468
TiiS%
m
100 100 cua nhan vien benh vien Ichi vao vien ia l<ha cao veil ty ie rat hai iong 41,88% va hai long la 48,93% ( K l )- Benh nhan hai long 100% ve su" giai thich cua Ijac sy ve tinh trang benh tat, chan doan va phi/dng phap dieu b t trong do mCrc do rat tot chiem 30,76%, va tot chiem ty le kha cao 69,24% (K2).
- Ve thai dp giup d3 ngiidi benh trong viec cham soc, an uong, ve sinh, chung toi thay hau ha benh nhan hai long (90,17%), va chi co 9,83% ngu'di benh khong hai long (K3).
3.2.2. Nhdrn tiiu chi 2 gom 3 noi durig
Tong c6ni diing
Rat hai long
Tiie Vo Hir long Tlie %
Chu'a hai long SL Tiie % SL
mg Tffl Tile%
188 40,0/ 59,93 100
42,30 270 57,70 468 100
K6 39,32 284 100
- Benh nhan den dieu trj tai Benh vien I^at, thpc he ngoai khoa, hau nhir deu du'dc lam cac tliD thuat, phlu thuat vi vay hai long 100% ('K4).
- Khi benh nhan vao vien, moi benh nhan deu co bang cong khai thuoc 6 dau^giu'dng nam, viec thi/c hien y lenh thuoc haiig ngay do dieu duSng phu trach phong dam nhiem bang viec cho benh nhan dung thuoc tai giUcfng (K5).
- Qua khao sat ket qua ldi noi cu" chi va thai dp chung toi dat du'pc rat kha quan, hau het benh nhan va ngu'di nha deu hai long 100% (K6).
Ngi dung
K7 K8 K9
Rat hai long SL 184 161 127
Tiie % 39,32 34,40 27,14
Hai long SL 284 307 329
Tiie Va 60,68 65,60 70,30
ChUa hai long SL 00 00 12
Tile % 00 00 2,56
Tong cong SL 468 Tileli
100 468 1 100 468 1 lOO - Qua khao sat ket quei chiing tdl dat dffdc rat
kha quan, hau het benh nhan va ngffdi nha deu hai Idng (100%) (K7)
- Khdng cd benh nhan nao phien ha ve sff tan tinh ciia nhan vien (K8).
- Khi benh nhan vao vien, tat ca thong tin dffdc cap nhat h i n g ngay, mffc dp khdng hai ldng cua benh nhan chi§m 2,56%.
IV. BAN LUAN ^
4 . 1 . f)ac diem ve benh nhdn va ngu'di nha trong mau
4,1.1. Tuoi: Trong mau nghien cffu ciia chung tdi, khdng ghi nhan ngffdi benh dffdi 18 tudi la vi chiing tdi khao sat sff hai Idng ciia benh nhan va ngffdi nha nam dieu trj ndi trii tai benh vien, nen chiing tdi muon danh gia thffe chat qua
sff hieu biet va nhan thffc ciia ngffdi b$nh, de co sff nhin nhan va danh gia mot each trung thiic, diing dan ciia ngffdi benh, nen doi tffdng chiing tdi lffa chpn khao sat la ddl tffdng tff 18 tu5l trd len. Trong dd, chiing tdi ghi nhan dp tuoi > 45 chiem ty le cao nhat 58,55%. Van de nay ta thay cung kha hdp ly bcfi vi thffdng nhffng ngffdi UT tuoi trung nien t r d len ty le bj benh cao htfn ngffdi tre tudi va mae cac benh ve mat nhieu hdn dac biet la bi benh due TTT tudi gia. ^
4.1.2. Gidh Chiing tdi nhan thay, trong mau ciia chiing tdi cd t / le nff cao lidn, vi sd cff nghien cffu ciia chiing tdi ngoai ngffdi benh/nam vien con ed nhffng ngffdi nha cham sdc benh nhan, nhff chung ta cung thay, thffdng ngffdi cham lo san sdc cho gia dinh la nhffng ngffdi phu nff, vi vay ngffdi eham sde benh nhan la ngffdi phu ni/
TAP CHI Y HOC VIET NAM T»P 454 - THANG 5 - SO 1 - 2017 nen ty le nff cao hdn nam la dieu phu hcfp nen
chiing tdi khdng ban luan gt them.
4.1.3. Ng&di tham gia khao sat: Ngffdi nha chiem ty le 73,50% cao hdn ty le benh nhan tham gia 26,50%. Oleu nay gliip eho qua trinh khao sat cua chiing tdi cd ket qua cang trung thffc hdn vi khi ngffdi tham gia la chinh nhffng ngffdi trffc tiep cham sdc benh nhan, benh nhan sau md thffdng dau, khd chju cung nhff nhffng ngffdi benh dieu t n ndi khoa hp cung khd ed the tham gia khao sat.
4.1.4. Nghe nghiip binh nhan: Chiing tdi ghi nhan benh nhan chii yeu d nhdm nghe nghiep lao dong den 70,51%. Dieu nay cd the ly giai, tang ldp lao dpng chan tay ed trinh dp dan trf thap nen hieu biet ve bao ve sffc khde chffa cao, cpng vdi mdi trffdng lam viec thieu thdn, vat va, va tang Idp nay xuat than tff ndng thdn, nen cd the ndi nghe chinh ciia ho la lam ndng, day cung la moi trffdng thuan ldi d l mac benh toan than ndi chung va benh ve mat ndi rieng.
4.2. Khao sat su" hai long:
4.2.1. Nhdm tieu chi 1 gdm 3 npl dungKl, K2 va K3: Dieu nay cd the ndi, do benh vien chiing toi la benh vien thuoc chuyen klioa sau, dpi ngu y te dffdc dao tao ve chuyen mdn va cung nhff xay dffng thai dp phuc vy ngay cang lat, nen tff do ehiing tdi nhan dffdc sff hai Idng ciia benh nhan rat cao. Tuy nhien, chiing tdi cung khdng the la toan dien ve mpi mat, va ddi khi sff khac nhau ve gipng ndi do dja phffdng sinh song khac nhau nen trong qua trinh giai thi'eh van chffa truyen dat het thdng tin va thdng tin den vdi benh nhan nhieu khi khdng ro rang, VI vay, ehiing toi cd ty le nhd benh nhan thay chffa hai Idng 9,19%. Ket qua ciia chiing tdi phii hdp vdi Nguyen Thj Ly, Ngo Thj Ngoan (2007) tai Hal dffdng: sff truyen dat thdng tin chl dat tren 90%, ly giai dieu nay la sff khac biet ve gipng ndi va ngffdi gia nghe cham.
4.2.2. Nhdm tieu ehi 3 gdm 3 ndi dunq K4, KS va K6: Ngffdi nha va benh nhan cd the kiem tra thudc cua minh dffa vao bang cdng khai thuoe, rieng thuoc nho mat benh nhan dffdc ITnh nguySn Ip tff quan ly, dieu dffdng thffc hien nhd Uiuoc theo gid. Tat ca thuoc deu dffdc cdng khai va dffdc xae nhan ciia benh nhan nen mffc dp hai long cua chiing tdi dat 100%. So vdi Nguyen Mgpc Ly va cong sff (2013) thi ti le hai Idng viec cdng khai thuoc dat 98,2% cung phu hdp vdi nghien cffu cua chiing toi.
4.2.3. Nhdm tieu ehi 3 gdm 3 npi dung:
Chiing tdi cd ty le nhd benh nhan khdng hai long
cd the ly giai, vdi nguon benh nhap vien ngay cang cao, hang ngay nhan vien y te sau khi giai thfch cho benh nhan ve benh tat, che dp cham sdc, che dp an uong cung nhff ve sinh cho tffng benh, va hffdng dan ngffdi nha thffe hien... tuy niiien, do Iffu Iffdng benh nhan ddng, sd giffdng nam edn ban che nen benh nhan cung phan nan.
Ben eanh dd benh vien chffa cd khoa dinh dffdng nen viec phue vu b i n h nhan ve an udng chffa dffdc dap ffng tdt, trong khi benh nhan ciia chiing tdi la ngffdi d xa va dan tpc thieu so cung chiem so Iffdng ddng (85,9%).
Ve thdng tin cap nhat cd 2,5,6% chffa hai ldng, han che nay xay ra d khau thanh toan ra vien do: chl cd 1 phdng thanh toan ra vien trong khi benh v i i n cd den 6 khoa lam sang, dac blet cd nhffng ngay ra vien > 60 benh nhan nen khdng the cung mdt liic thanh toan het dffdc, vi vay nhffng benh nlian d xa hoac ngffdi nha b§n viec nen hp khdng hai Idng.
V. KET LUAN
Qua ket qua thu dffdc chung tdi thay mffc dp hai long cua benh nhan va ngffdi nha benh nhan ddi vdi benh vien ehiing tdi a o , dieu do khich le tap the chiing tdi rat nhieu. O day chiing toi tien hanh nghien effu eat ngang chff khdng phai toan bp doi tffdng, vi vay cd the cd mdt ti le nhd khdng mang tinh khach quan, nhffng nhin ehung van danh gia dffdc chiing toi da rat co gang de thffc hien "den ddn tiep niem nd, d eham sde tan tinh, ve dan dd chu dao". Mae dii vay ehiing toi se cd gang nhieu hdn nffa de phuc vu ngffdi benh tan tinh nhat, de ngffdi benii hai long nhat, mang lai hieu qua dieu tri eao nhat.
KIEN NGH!
- Cai each khau thanh toan vien phi de giam thieu thdi gian chd ddi ciia ngffdi benh.
- Bo sung nhan Iffc Dieu dffdng theo t i le qui djnh ciia Bd Y Te.
- Tang so giffdng benh de giam tf le benh nhan nam ghep.
- Thanh lap khoa Dinh dudng.
TAI LIEU T H A M KHAO
1. DSng Hon^ Anh (2013). "Nghien cffu anh hffdng cua cac nhan to den sff hai long ciia benh nhan doi vdi djch vu kham chffa benh tai benh vien Hoan l^y thanh pho Da N§ng". Luan vSn Thac sy Quan trj kinh doanh, Dalhoc Da Ning.
2. Vu'dng Kim L$c, Tran Thf Ha & Ngo Hu^nh Chuc (2008). "l^m thg nao d^ tang cUdng sU hai long cua ngUdi benii". Ky yeu de tai nghien aid khoa hoc dieu du&ng Benh vien Xanh Pdn lan III, Ha No! 3/2008, tr. 12-20.
3. Nguyen Thi Ly, Ngo Thj Ngoan (2007). "Khao sat sU hai ldng ciia ngffdi benh dieu tri noi tni tai cac benti vien tinh Hai Dirong nam 2007". Kyyeu cac de tai nghien cuU khoa hgc dieu dudng, Hpi nghi khoa hoc dieu duSng toan quoc ^ n thff III, tr. 163-168.
4. Nguyen Ngpc Ly va cong SM'(2013). "Danh gia sU hii long oia ngffcfi benh vdi cong tac cham soc dieu duQng tai khoa Npi tong hdp, Benh vien da khoa Tinh Tuyen Quang". Diiu dudng Vietnam, tr. 56-58.
5. Ha Thj Soan (2007). "Danh gia su" hai long ciia npudi benh va ngu'di nha ngu'di benh doi vdi cong tac KCB tai mot so benh vien tinh Phii tho n3m 2006-2007". Ky yeu cac de tai nghiin cdii khoa hoc Dieu dudng Hoi nghi khoa hoc Dieu dudng toan qua: lan thd III, tr. 17-23.
6. Pham Nhat Yen va cong s\f_ (2008). "Oanh gia si/ hai long ciia ngUdi benh ve chat Iffdng didi vu kham chffa benh tai khoa Kham, chffa' benti ttieo yeu cau ctia Benh vien Bach Mai - nSm 2008". Luan van Thac si Yte cong cgng.
YEU TO NGUY CO LOANG XU'aNG TREN CAC BENH NHAN DAI T H A O DU'O'NG TYP 2
T6M TAT
Mgc tigu: Xac dmh mpt so cac yeu td anh hudng tdi tinh trang mat d5 xuWrig (MDX) va nguy cd loang xUdng ciia cac benh nhan dai thao dffdng typ 2 (OTD typ 2). Doi tu'dng va phu'dng phap nghien cu'u:
Nghien CUXJ mo ta cat ngang. 100 benli nhan dUdc chan doan xac dmh DTD ttieo tieu chuan cua Vi/HO 2000, cdc benti nhan dUdc do MOX bang may phUdng phap h3p thu nang Iffdng tia X kep va dUdc chuan doan loang xffdng dffa vao MDX theo tieu chuan ciia WHO 1994. Ket qua: t / le nam/nff =1:4. Yeu to nguy cd loang xffdng hay gap n'hat d benh nhan OTD typ 2 Ici \o\ song tinh t?i (43%). MOX cua nhom benh nhan cd tien sU gay xu'dng thap hdn nhom khong cd tiln sff; I^OX t?i chom xffdng dui (CXD) ciia nhom benh nhan co thdi gian mac benh < 5 nam cao hdn nhom CO thdi gian mSc benh > 5 nam (p<0,05). MDX co moi tffdng quan thu|n nhffng khong ctiat vdi cac ehi so c3n nSng va chieu cao, ma tUdng quan nghi^ch khong chSt vdi bien tuoi, nong dp glucose mau liic do! va tti6i gian mac benh DTD. TlSn sff gay xu'dng trUdc day va can nSng thap la cac yeu to co anh hffdng nhat tdi loang xffdng tai vi trf cot song that Iffng va CXD 6 b^nh nhan OTD typ 2. Ket luan: Co nhieu yeu to nguy cd anh hffdng tdi MDX va tinh trang loang xUOng d cac benh nhan DTD typ 2.
T& khoa: dai diao dddng (DTD), mat do xu'dng (MDX), hap thu nSng iuWg da Xkep
SUMMARY
RISK OF OSTEOPOROSIS I N DIABETE MELLHUS TYPE 2 PATIENTS Aim: To detemiine the bone mass density of diabete mellitus type 2 (DMT2). Subjecte and Methods: Cross-sectional study 100 DMT2 pabents
*Bg mon Ngi tru&ng Dai hgc Y DWdc Thai Nguyen
**B$nh viin Tn/dng Dai hgc Ykhoa ThdiNguyen Chju trach nhieni chfnh: Luff Thj Binh Email: [email protected] Ngay nhan bai: 4.01.2017 Ngay phan bien khoa hgc: 15.3.2017 Ngay duyet bai: 3.4.2017
Lim Thi Binh*, Do^n Anh Thdng**
diagnosised by using WHO 2000 criteria, diagnosed osteoporosis by WHO 1994 criteria base on bone mass density (BMD) accessed by dua! energy Xray absorptiometry. Result: Male/Female ratio was 1:4, Inactive lifestyle was most common risk of osteoporosis seen on subjects (43%). Having correlation between BMD and heigtit, weight, age (p<0.05). Duration of DMT2 correlated to BMD at femoral neck (p< 0.05), Having strong correlation between the previous fracture, low weight and state of osteoporosis (at lumbar spine and femoral neck).
Conclusion: There were a lot of risks which effected the BMD and state of osteoporosis in DMT2 patients.
Key word: diabete mellitus type 2 (DMT2), bone mass density (BMD), dual energy Xray abssorptiometry (DEXA)
I. OAT VAN CE
Oal thao dffdng (DTD) ia benh thffdng gap nhat trong eae benh npl tiet. Mpt trong so nhii'ng van de hien nay dang dffdc quan tam tren cac benh nhan dai thao dffdng la tinh trang MDX va ty le loang xffdng tren cac ddi tffdng nay [6].
Loang xffdng la hau qua sff mat can bang giCte qua trinh tao xffdng va buy xffdng, trong do qua trinh hiiy xffdng chiem ffu the hdn, hau qua dan den gay xffdng. Loang xffdng khdng chi gay ra tinh trang dau ddn cho benh nhan ma cdn mang den ganh nang kinh te cffe ldn cho gia dinh va xa hpi, dac biet khi cd liien chffng gay xffdng (gay co xffdng diii) cdn lam tang t / \% tff vong d cac benh nhan loang xffdng. Cac cdng trinh nghien cffu khoa hpc tren the gidi da chi ra rang benh dai thao dffdng cd tac ddng tieu effc len ciiu chuyen xffdng, gay giam mat dp xffdng.
Nhffng yeu to nguy cd gay loang xffdng tren cac benh nhan DTD se lam tang mffc dp va t y ] e loang xffdng dong nghTa lam tang tan suat bien chffng gay xffdng, tan phe va tff vong d cac benh nhan DTD. Viec xae dinh cae yeu to nguy ed gay loang xffdng tren ddi tffdng benh nhan
