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患有2型糖尿病的墨西哥裔美国人的症状患病率及治疗情况

Symptom prevalence and treatments among mexican americans with type 2 diabetes.

作者信息

García Alexandra A

机构信息

School of Nursing, University of Texas at Austin, 78701, USA.

出版信息

Diabetes Educ. 2005 Jul-Aug;31(4):543-54. doi: 10.1177/0145721705278801.

Abstract

PURPOSE

The purpose of this study was to examine the prevalence of diabetes-related symptoms among Mexican Americans with type 2 diabetes, their perceptions of symptom seriousness, treatments used to self-manage the symptoms, and ratings of treatment effectiveness.

METHODS

As part of a larger descriptive correlational study conducted with 87 Mexican American adults in a southwest metropolitan area, data were collected during one-on-one interviews during outpatient visits using the Diabetes Symptom Self-care Inventory and analyzed with descriptive methods, t tests, and chi(2)s.

RESULTS

Participants experienced 4.9 diabetes-related symptoms in a 30-day period and used a variety of treatments to self-manage the symptoms. Many of the self-management strategies were not appropriate for the most common causes of the symptoms. Few people tested their blood glucose levels in response to symptoms even though most owned glucometers.

CONCLUSIONS

Most people who experience diabetes symptoms used self-care to treat the symptoms, did not verify the cause of the symptom, and perceived their treatments as effective. The appropriateness of the treatments used cannot be evaluated without knowing the etiology of the symptom for a particular person and time. Clinicians must assess symptoms and their treatments to best develop effective individualized treatments.

摘要

目的

本研究旨在调查2型糖尿病墨西哥裔美国人中糖尿病相关症状的患病率、他们对症状严重性的认知、用于自我管理症状的治疗方法以及治疗效果评分。

方法

作为对西南大都市地区87名墨西哥裔美国成年人进行的一项更大规模描述性相关性研究的一部分,在门诊就诊期间通过一对一访谈,使用糖尿病症状自我护理量表收集数据,并采用描述性方法、t检验和卡方检验进行分析。

结果

参与者在30天内经历了4.9种糖尿病相关症状,并使用了多种治疗方法进行自我管理。许多自我管理策略并不适用于症状的最常见原因。尽管大多数人拥有血糖仪,但很少有人因症状而检测血糖水平。

结论

大多数经历糖尿病症状的人采用自我护理来治疗症状,未核实症状原因,且认为他们的治疗有效。如果不知道特定个体在特定时间症状的病因,就无法评估所使用治疗方法的适当性。临床医生必须评估症状及其治疗方法,以制定最佳的有效个体化治疗方案。

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