Kashan University of Medical Sciences, Kashan, IRAN.
BMC Public Health. 2011 Oct 4;11:761. doi: 10.1186/1471-2458-11-761.
Self-treatment is a treatment of oneself without professional help, which may cause health-related consequences. This investigation examined the self-treatment behaviors in patients with diabetes mellitus in Iran/kashan.
The patients who referred to the clinic of diabetes and those who were admitted to the General hospital in the city of Kashan due to diabetes mellitus were asked to participate in this cross-sectional study. For data collection, The 25 item questionnaire of Likert scale type with four scales was used. Factor analysis was performed to define the patterns of self-treatment.
398 patients participated in the study. The mean age of the study population was 54.9 ± 12.9 years. The majority (97%) had type 2 diabetes. 50% of patients reported self- treatment. The self-treatment score was 45.8 ± 8.8 (25-100). Female gender, lower education and co-morbid illnesses of hypertension, hyperlipidemia and cardiac disease had significant relationship with self-treatment. The factor analysis procedure revealed seven factors that explained the 43% of variation in the self-treatment. These seven factors were categorized as knowledge, deficiencies of formal treatments, available self-treatment methods, physician related factors, the tendency to use herbal remedies, underlying factors such as gender and factors related to diabetes.
There is a medium tendency for self-treatment in diabetic patients. The assessment of self-treatment practices must be an essential part of patients' management in diabetes care.
自我治疗是指在没有专业帮助的情况下自行治疗，可能会导致与健康相关的后果。本研究调查了伊朗/卡尚的糖尿病患者的自我治疗行为。
邀请糖尿病诊所的患者以及因糖尿病而入住卡尚市综合医院的患者参与这项横断面研究。为了收集数据，使用了四种量表的 25 项李克特量表型问卷。采用因子分析来确定自我治疗的模式。
398 名患者参与了研究。研究人群的平均年龄为 54.9 ± 12.9 岁。大多数（97%）患者患有 2 型糖尿病。50%的患者报告了自我治疗。自我治疗评分 45.8 ± 8.8（25-100）。女性、较低的教育程度以及合并高血压、高血脂和心脏病等疾病与自我治疗显著相关。因子分析程序显示，有七个因素可以解释自我治疗的 43%变化。这七个因素分为知识、正规治疗的不足、可用的自我治疗方法、医生相关因素、使用草药的倾向、性别等潜在因素以及与糖尿病相关的因素。
糖尿病患者有中等程度的自我治疗倾向。评估自我治疗实践必须成为糖尿病护理中患者管理的重要组成部分。
