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印度卡纳塔克邦南部迈索尔农村地区的糖尿病自我护理实践——糖尿病自我管理教育(DSME)项目的必要性。

Diabetic self care practices in rural Mysuru, Southern Karnataka, India - A need for Diabetes Self Management Educational (DSME) program.

作者信息

Srinath K M, Basavegowda Madhu, Tharuni Nandarula Sai

机构信息

Department of Medicine, JSS Medical College & Hospital, JSS University, Mysore, India.

Department of Community Medicine, JSS Medical College, JSS University, Mysore, India.

出版信息

Diabetes Metab Syndr. 2017 Nov;11 Suppl 1:S181-S186. doi: 10.1016/j.dsx.2016.12.029. Epub 2016 Dec 15.

DOI:10.1016/j.dsx.2016.12.029
PMID:28089167
Abstract

CONTEXT

Diabetes and its complications are the leading cause of morbidity and mortality in the world. Self care has emerged as a crucial element in the management of diabetes and a key factor associated with the quality of diabetic care.

AIMS

The purpose of the study was to assess the self care activities of patients with Type II diabetes mellitus in a rural area of Mysuru district.

SETTINGS AND DESIGN

A community based cross sectional descriptive study was carried out among 400 diabetic patients in rural Mysore.

METHODS AND MATERIAL

Self care Activities (Diet, exercise, self blood glucose monitoring, medication, foot care, smoking) were assessed using a pre designed and tested questionnaire.

STATISTICAL ANALYSIS USED

Relevant descriptive analysis like percentages is carried out using SPSS version 22.0.

RESULTS

Most of the diabetic patients had good compliance for medication (92.5%), followed by 72% for diabetic diet. Only 27.75% of the diabetic patients participated in walking, 24.25% practised foot care, blood glucose monitoring by 24.75% and only 25.5% of them were current smokers.

CONCLUSIONS

The rural diabetic patients are more adherent and compliant to medication and diabetic diet and less compliant to physical activity, foot care and self glucose monitoring.

摘要

背景

糖尿病及其并发症是全球发病和死亡的主要原因。自我护理已成为糖尿病管理的关键要素以及与糖尿病护理质量相关的关键因素。

目的

本研究的目的是评估迈索尔区农村地区II型糖尿病患者的自我护理活动。

设置与设计

在迈索尔农村地区的400名糖尿病患者中开展了一项基于社区的横断面描述性研究。

方法与材料

使用预先设计并经过测试的问卷评估自我护理活动(饮食、运动、自我血糖监测、用药、足部护理、吸烟)。

所用统计分析方法

使用SPSS 22.0版本进行如百分比等相关描述性分析。

结果

大多数糖尿病患者用药依从性良好(92.5%),其次糖尿病饮食依从性为72%。只有27.75%的糖尿病患者参与步行,24.25%进行足部护理,24.75%进行血糖监测, 且只有25.5%的患者目前吸烟。

结论

农村糖尿病患者对用药和糖尿病饮食的依从性更高,而对体育活动、足部护理和自我血糖监测的依从性较低。

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