Nishita Christy M, Uehara Denise L, Tom Tammy
Center on Disability Studies, University of Hawaii, Honolulu, USA.
J Prim Prev. 2011 Dec;32(5-6):299-309. doi: 10.1007/s10935-011-0244-x.
Effective diabetes self-management requires persons to be active participants in their care to prevent poor function and maintain independence and employment. Persons' perceptions and understanding of the potential impact of the disease could influence their self-management practices and success. This study explores perceptions on the impact of diabetes on future independence and employment. Findings indicate that 34% of participants believed diabetes would affect their employment, and 57% believed it would impact their independence. Logistic regression analyses showed that participants who believed that diabetes would impact employment were more likely to be younger, Native Hawaiian, and in poor physical health and to have been diagnosed with diabetes for a longer period of time. Those concerned with future independence were more likely to be younger and in poor physical and mental health. Understanding the associations between individual characteristics and perceived future abilities may enable healthcare professionals to tailor health education, promotion, and maintenance interventions to the needs of specific sub-populations of diabetics.
有效的糖尿病自我管理要求患者积极参与自身护理，以预防功能衰退，维持独立生活能力和就业能力。患者对该疾病潜在影响的认知和理解会影响他们的自我管理行为及成效。本研究探讨了对糖尿病对未来独立生活能力和就业能力影响的看法。研究结果表明，34%的参与者认为糖尿病会影响他们的就业，57%的参与者认为会影响他们的独立生活能力。逻辑回归分析显示，认为糖尿病会影响就业的参与者更可能年龄较小、是夏威夷原住民、身体健康状况较差且糖尿病确诊时间较长。担心未来独立生活能力的人更可能年龄较小、身心健康状况较差。了解个体特征与感知到的未来能力之间的关联，可能会使医疗保健专业人员能够根据糖尿病特定亚群体的需求，量身定制健康教育、促进和维持干预措施。
