Blankenfeld H, Mielck A, Schumm-Draeger P M, Siegmund T
Klinik für Endokrinologie, Diabetologie und Angiologie, Klinikum Bogenhausen, Städtisches Klinikum München GmbH.
Gesundheitswesen. 2006 Aug-Sep;68(8-9):557-65. doi: 10.1055/s-2006-926985.
The aim of the study was to find to find out which factors are able to predict the disease-specific knowledge of in-patient diabetic patients and to characterize this group of patients.
The disease-specific knowledge of diabetic patients of a Hospital in Munich, Germany (department of diabetology) was tested using a general questionnaire and a specific diabetes knowledge test. All data manipulation and statistical calculations were conducted with the statistical software package SAS (version 9.1).
On average type-1-diabetics achieved 73% of the possible points in the knowledge test, type-2-diabetics achieved 68% of total points. In bivariate analyses, using logistic regression, existence of diabetes related complications was a significant predictor of poor knowledge (OR = 4.36; 95%-KI: 1.38-13.77) in type-1-diabetics. Other factors, e. g. lack of diabetes education were associated with low test results but reached no statistical significance (OR = 6.13; 95%-KI: 0.67-56.42). In multivariate logistic regression (female) gender was a significant risk factor for low test results (OR = 7.66; 95%-KI: 1.18-49.8). In type-2-diabetics lack of diabetes education (OR = 3.86; 95%-KI: 1.51-9.84), low self-assessment of information about diabetes (OR = 3.90; 95%-KI: 1.36-11.21) and lack of knowledge about diabetes diet (OR = 4.06; 95%-KI: 1.60-10.28) were predictors of poor test results. The existence of diabetes related complications was associated with poor test results but showed no statistical significance in multivariate analysis (OR = 2.99; 95%-KI: 0.85-10.43).
There is a group of diabetic inward-patients that is less informed about diabetes and shows knowledge deficits in testing. These patients often lack diabetes education and show an unfavourable course of the disease, already having diabetes related complications. Type-2-diabetes patients who feel that they have poor information about their disease actually achieve lower results in knowledge testing. Efforts to assure diabetes education for these patients are essentially necessary.
本研究旨在找出哪些因素能够预测住院糖尿病患者的疾病相关知识，并对这组患者进行特征描述。
使用一份通用问卷和一项特定的糖尿病知识测试，对德国慕尼黑一家医院（糖尿病科）的糖尿病患者的疾病相关知识进行测试。所有数据处理和统计计算均使用统计软件包SAS（版本9.1）进行。
在知识测试中，1型糖尿病患者平均获得了可能分数的73%，2型糖尿病患者获得了总分的68%。在双变量分析中，使用逻辑回归，糖尿病相关并发症的存在是1型糖尿病患者知识水平差的显著预测因素（OR = 4.36；95%可信区间：1.38 - 13.77）。其他因素，如缺乏糖尿病教育，与测试结果低相关，但未达到统计学显著性（OR = 6.13；95%可信区间：0.67 - 56.42）。在多变量逻辑回归中，（女性）性别是测试结果低的显著危险因素（OR = 7.66；95%可信区间：1.18 - 49.8）。在2型糖尿病患者中，缺乏糖尿病教育（OR = 3.86；95%可信区间：1.51 - 9.84）、对糖尿病信息的自我评估低（OR = 3.90；95%可信区间：1.36 - 11.21）以及缺乏糖尿病饮食知识（OR = 4.06；95%可信区间：1.60 - 10.28）是测试结果差的预测因素。糖尿病相关并发症的存在与测试结果差相关，但在多变量分析中未显示统计学显著性（OR = 2.99；95%可信区间：0.85 - 10.43）。
有一组糖尿病住院患者对糖尿病的了解较少，在测试中表现出知识缺陷。这些患者通常缺乏糖尿病教育，且疾病进程不利，已经出现糖尿病相关并发症。认为自己对疾病了解不足的2型糖尿病患者在知识测试中实际得分较低。为这些患者确保糖尿病教育的努力至关重要。
