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缅甸仰光两家私人诊所的2型糖尿病患者的自我效能、自我护理行为与血糖控制

Self-efficacy, self-care behaviors and glycemic control among type-2 diabetes patients attending two private clinics in Yangon, Myanmar.

作者信息

Wynn Nyunt Sandhi, Howteerakul Nopporn, Suwannapong Nawarat, Rajatanun Thitipat

机构信息

Faculty of Public Health, Mahidol University, Bangkok, Thailand.

出版信息

Southeast Asian J Trop Med Public Health. 2010 Jul;41(4):943-51.

Abstract

This cross-sectional study aimed to estimate the prevalence of glycemic control and its associated factors among type-2 diabetes patients attending two private clinics in Yangon, Myanmar. Two hundred sixty-six diabetes patients attending two private diabetes clinics in Yangon during February and March, 2009 were included in the study. The participants completed a structured questionnaire. HbA(1c) was used as the index for glycemic control. The prevalence of successful glycemic control (HbA(1c) < or =7%) was 27.1%. The median HbA(1c) value was 7.8%. About 62.0% of patients had high self-efficacy levels, and 30.8% had good self-care behavior. Multiple logistic regression analysis revealed four variables associated with glycemic control: age > or =60 years (OR 2.46, 95% CI 1.17-5.21), taking one oral hypoglycemic agent (OHA) (OR 2.56, 95% CI 1.26-5.19), being overweight (OR 2.01, 95% CI 1.02-3.95) and having a high self-efficacy level (OR 5.29, 95% CI 2.20-12.75). Interventions to increase diabetic patient self-efficacy levels and self-care behavior, especially related to diet and exercise, are needed to reduce poor glycemic control.

摘要

这项横断面研究旨在估计在缅甸仰光两家私人诊所就诊的2型糖尿病患者中血糖控制的患病率及其相关因素。2009年2月和3月期间,在仰光两家私人糖尿病诊所就诊的266名糖尿病患者被纳入研究。参与者完成了一份结构化问卷。糖化血红蛋白(HbA1c)被用作血糖控制的指标。血糖控制成功(HbA1c≤7%)的患病率为27.1%。HbA1c的中位数为7.8%。约62.0%的患者自我效能水平较高,30.8%的患者有良好的自我护理行为。多因素logistic回归分析显示与血糖控制相关的四个变量:年龄≥60岁(比值比[OR]2.46,95%置信区间[CI]1.17 - 5.21)、服用一种口服降糖药(OHA)(OR 2.56,95%CI 1.26 - 5.19)、超重(OR 2.01,95%CI 1.02 - 3.95)以及自我效能水平较高(OR 5.29,95%CI 2.20 - 12.75)。需要采取干预措施来提高糖尿病患者的自我效能水平和自我护理行为,尤其是与饮食和运动相关的行为,以减少血糖控制不佳的情况。

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