Holt Richard I G, Kalra Sanjay
Human Development and Health Academic Unit, Faculty of Medicine, University of Southampton, UK.
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S95-9. doi: 10.4103/2230-8210.119515.
The second Diabetes Attitudes, Wishes and Needs (DAWN-2) study assessed psychosocial issues and health-care provision of people with diabetes, their family members and health-care professionals.
Participants completed an online, telephone or in-person survey designed to assess health-related quality-of-life, self-management, attitudes/beliefs, social support and priorities for improving diabetes care as well as health-care provision and the impact of diabetes on family life.
A total of 8596 adults with diabetes, 2057 family members of people with diabetes and 4785 health-care professionals across 17 countries completed the survey. There were significant between country differences, but no one country's outcomes were consistently better or worse than others. A high proportion of people with diabetes reported likely depression (13.8%) and poor quality-of-life (12.2%). Diabetes had a negative impact on many aspects of life, including relationships with family/friends and physical health. A third of family members did not know how to help the person with diabetes, but wanted to be more involved in their care. Many health-care professionals indicated that major improvements were needed across a range of areas including health-care organization, resources for diabetes prevention, earlier diagnosis and treatment and psychological support.
DAWN-2 is a multinational, multidisciplinary systematic study that compared unmet needs of people with diabetes and those who care for them in 17 countries across four continents. Its findings should facilitate innovative efforts to improve self-management and psychosocial support in diabetes, with the aim of reducing the burden of disease. The implications for India are discussed.
第二项糖尿病态度、愿望与需求（DAWN - 2）研究评估了糖尿病患者、其家庭成员及医护人员的心理社会问题和医疗保健服务情况。
参与者完成了一项在线、电话或面对面调查，该调查旨在评估与健康相关的生活质量、自我管理、态度/信念、社会支持以及改善糖尿病护理的优先事项，还有医疗保健服务以及糖尿病对家庭生活的影响。
来自17个国家的总共8596名成年糖尿病患者、2057名糖尿病患者的家庭成员以及4785名医护人员完成了该调查。国家之间存在显著差异，但没有一个国家的结果始终优于或劣于其他国家。很大一部分糖尿病患者报告可能患有抑郁症（13.8%）且生活质量较差（12.2%）。糖尿病对生活的许多方面都有负面影响，包括与家人/朋友的关系以及身体健康。三分之一的家庭成员不知道如何帮助糖尿病患者，但希望更多地参与到他们的护理中。许多医护人员表示，在一系列领域都需要重大改进，包括医疗保健组织、糖尿病预防资源、早期诊断和治疗以及心理支持。
DAWN - 2是一项跨国、多学科的系统性研究，比较了四大洲17个国家中糖尿病患者及其护理人员未满足的需求。其研究结果应有助于推动改善糖尿病自我管理和心理社会支持的创新努力，以减轻疾病负担。文中还讨论了对印度的影响。
