Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
J Diabetes. 2011 Dec;3(4):348-52. doi: 10.1111/j.1753-0407.2011.00156.x.
The aim of the present study was to evaluate possible clinical and psychosocial variables that influence diabetes self-care management in patients with type 2 diabetes mellitus (T2DM).
A total of 150 individuals with T2DM who had had diabetes for at least 6 months were recruited to this cross-sectional study. Levels of self-care and psychosocial status were determined using the Self-Care Inventory (SCI) and Problem Areas in Diabetes (PAID) scale. The PAID scores were calculated using a five-point Likert scale with options ranging from 0 (not a problem) to 4 (serious problem). Data were evaluated using non-parametric and parametric tests as appropriate.
The mean age of the study participants was 69.97 ± 8.68 years. Cronbach's α for SCI and PAID scores was 0.85 and 0.98, respectively. People with poor glycemic control had significantly higher mean (±SD) total PAID scores than individuals with good glycemic control (29.5 ± 30.9 vs 16.7 ± 26.9, respectively; P = 0.012). There was a significant relationship between PAID scores and glycemic control (r = 0.2; P = 0.012).
The present study demonstrates that psychosocial factors directly influence glycemic control and diabetes self-care habits. In addition, diabetes-specific distress in study population was unrelated to the duration of diabetes, the age of the patients and anthropometric indices.
本研究旨在评估影响 2 型糖尿病（T2DM）患者自我护理管理的可能临床和心理社会变量。
本横断面研究共招募了 150 名患有 T2DM 且患病时间至少 6 个月的患者。使用自我护理量表（SCI）和糖尿病问题区域量表（PAID）评估自我护理和心理社会状况。PAID 评分使用五点李克特量表进行计算，选项范围从 0（无问题）到 4（严重问题）。根据需要使用非参数和参数检验评估数据。
研究参与者的平均年龄为 69.97 ± 8.68 岁。SCI 和 PAID 评分的克朗巴赫α系数分别为 0.85 和 0.98。血糖控制不佳的患者的平均（±SD）总 PAID 评分明显高于血糖控制良好的患者（分别为 29.5 ± 30.9 与 16.7 ± 26.9；P = 0.012）。PAID 评分与血糖控制之间存在显著关系（r = 0.2；P = 0.012）。
本研究表明，心理社会因素直接影响血糖控制和糖尿病自我护理习惯。此外，研究人群中特定于糖尿病的困扰与糖尿病的持续时间、患者年龄和人体测量指数无关。
