Hansen Ulla Møller, Jones Allan, Zander Mette, Willaing Ingrid
Health Promotion Research, Steno Diabetes Centre, Gentofte, Denmark
Institute of Psychology, University of Southern Denmark, Odense, Denmark.
Scand J Public Health. 2015 Mar;43(2):111-6. doi: 10.1177/1403494814563372. Epub 2014 Dec 15.
The aim of this study was to benchmark the Danish sample of the second Diabetes, Attitudes, Wishes and Needs (DAWN2) study with the global average in order to determine Denmark's comparative position for health status, healthcare provision, self-management and social support from the perspective of people with diabetes, family members of people with diabetes and healthcare professionals.
A total of 502 Danish people with diabetes (PWD), 122 adult family members of people with diabetes (FM) and 283 healthcare professionals (HCPs) participated in the study. Data on healthcare provision and physical and psychosocial wellbeing were collected from the 17 participating countries.
Psychological wellbeing was higher among Danish PWD; conversely, self-management behaviour of PWD ranked below the global average. A substantial gap was found in the perceptions of PWD and HCPs regarding the extent to which healthcare provision was deemed person-centred. The gap was found to be larger, however, when looking at the global data. Danish FM reported higher education participation and satisfaction rates as well as lower distress than the global average, but there appears to be an untapped potential when it comes to converting education participation of FM into social support for PWD.
Our findings suggest that PWD in Denmark rank above the global average on measures of psychological wellbeing, despite psychological wellbeing being under-prioritised by HCP. However, there is room for improvement when it comes to self-management behaviours. Special attention is needed to address this issue without compromising the psychological wellbeing of the PWD.
本研究旨在将第二次糖尿病、态度、愿望与需求（DAWN2）研究中的丹麦样本与全球平均水平进行对比，以便从糖尿病患者、糖尿病患者家属以及医疗保健专业人员的角度确定丹麦在健康状况、医疗保健服务、自我管理和社会支持方面的相对地位。
共有502名丹麦糖尿病患者（PWD）、122名糖尿病患者的成年家属（FM）和283名医疗保健专业人员（HCP）参与了该研究。从17个参与国收集了有关医疗保健服务以及身体和心理社会福祉的数据。
丹麦糖尿病患者的心理健康状况较好；相反，糖尿病患者的自我管理行为低于全球平均水平。在糖尿病患者和医疗保健专业人员对医疗保健服务以患者为中心程度的认知方面存在很大差距。然而，从全球数据来看，这种差距更大。丹麦糖尿病患者家属报告的教育参与率和满意度较高，苦恼程度低于全球平均水平，但在将糖尿病患者家属的教育参与转化为对糖尿病患者的社会支持方面似乎存在尚未开发的潜力。
我们的研究结果表明，丹麦糖尿病患者在心理健康指标方面高于全球平均水平，尽管医疗保健专业人员对心理健康的重视程度不够。然而，在自我管理行为方面仍有改进空间。在解决这个问题时需要特别注意，同时不影响糖尿病患者的心理健康。
