Raithatha Shyamsundar Jagdish, Shankar Singh Uday, Dinesh Kumar
Department of Community Medicine, Pramukhswami Medical College, Karamsad, Gujarat 388325, India.
ISRN Family Med. 2014 Feb 11;2014:743791. doi: 10.1155/2014/743791. eCollection 2014.
Background. Diabetes care requires a multipronged approach, wherein the patient has an important role to play. This study was undertaken to explore self-care practices of diabetic patients residing in Anand district of Gujarat. Methods. A cross-sectional study, involving 100 diabetic patients, was conducted in 2009-2010. Self-care practices in seven domains of physical activity, dietary practices, medication taking, monitoring of glucose, problem solving, foot care, and psychosocial adjustment were assessed using scores assigned to participants' responses. Results. The mean age was 60.9 (SD = 12.2) years and 57% were males. Majority (92%) were Hindus and were consulting private medical practitioners (71%). "Medication taking" was the domain with the best performance score (88.1%) and "problem solving" the worst (11.0%). The "psychosocial adjustment" of the participants was satisfactory (82.5%). Overall mean performance percentage score was 54.41%. Males had better performance scores as compared to females in areas of "physical activity," "dietary practices," and "problem solving." Housewives had poorer performance scores. Total mean performance score was similar for patients on treatment from specialists and general practitioners. Conclusion. A self-care education program designed for this region should address the lacunae identified in various domains with a special emphasis on females.
背景。糖尿病护理需要多方面的方法，其中患者起着重要作用。本研究旨在探索古吉拉特邦阿南德地区糖尿病患者的自我护理行为。方法。2009 - 2010年进行了一项横断面研究，涉及100名糖尿病患者。使用参与者回答的得分来评估身体活动、饮食习惯、服药、血糖监测、问题解决、足部护理和心理社会适应七个领域的自我护理行为。结果。平均年龄为60.9岁（标准差 = 12.2），57%为男性。大多数（92%）是印度教徒，71%的人看私人医生。“服药”领域的表现得分最高（88.1%），“问题解决”领域最差（11.0%）。参与者的“心理社会适应”情况令人满意（82.5%）。总体平均表现百分比得分为54.41%。在“身体活动”、“饮食习惯”和“问题解决”方面，男性的表现得分高于女性。家庭主妇的表现得分较差。专科医生和全科医生治疗的患者总体平均表现得分相似。结论。为该地区设计的自我护理教育项目应解决各领域发现的不足，特别关注女性。
