Assistant Professor, Department of Epidemiology, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Indian J Public Health. 2014 Jan-Mar;58(1):40-4. doi: 10.4103/0019-557X.128165.
Non-adherence to preventive and therapeutic life-style recommendations among patients with diabetes is special challenge in the management of these patients. This study aimed to measure the proportion of non-adherence to life-style modification and factors associated with these among a group of Bangladeshi type 2 diabetic patients. Under an analytical cross-sectional design 374 type 2 diabetic patients (age >20 years), diagnosed for at least 1 year, were selected from different health care centers operated by the Diabetic Association of Bangladesh. Non-adherence rate were assessed for: Diet (88%), exercise (25%), routine blood glucose testing (32%), foot care (70%), smoking (6%) and betel quid chewing habit (25%). Binary logistic regression suggests that higher education group (P = 0.013), rural area (P = 0.013) and attendance to diabetes education classes (P = 0.043) showed good adherence to diet and non-attendance to diabetes education class (P = 0.014), older age (P = 0.037) are associated to non-adherence to exercise. Unemployed patients showed more non-adherence to blood glucose testing (P = 0.045) than others. Non-attendance to diabetes education class (P = 0.037) and business occupation group (P = 0.039) showed significant association to smoking and betel quid intake habit respectively.
在糖尿病患者的管理中，不遵守预防和治疗生活方式建议是一个特殊的挑战。本研究旨在测量一组孟加拉国 2 型糖尿病患者生活方式改变的不遵医率及其相关因素。在一项分析性横断面设计中，从孟加拉国糖尿病协会运营的不同医疗中心选择了 374 名年龄>20 岁、至少确诊 1 年的 2 型糖尿病患者。评估了以下方面的不遵医率：饮食（88%）、运动（25%）、常规血糖检测（32%）、足部护理（70%）、吸烟（6%）和嚼槟榔习惯（25%）。二元逻辑回归表明，较高的教育程度组（P=0.013）、农村地区（P=0.013）和参加糖尿病教育课程（P=0.043）与良好的饮食遵医行为相关，而不参加糖尿病教育课程（P=0.014）、年龄较大（P=0.037）与运动遵医行为不相关。失业患者的血糖检测不遵医率（P=0.045）高于其他患者。不参加糖尿病教育课程（P=0.037）和商业职业组（P=0.039）与吸烟和嚼槟榔习惯分别存在显著关联。
