韩国2型糖尿病患者血糖控制相关因素的评估
Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes.
作者信息
Choi Won-Hee, Seo Yeong-Mi, Ha Yeongmi
机构信息
Department of Nursing, Kyungsung University, Busan, South Korea.
Department of Nursing, Gyeongnam National University of Science and Technology, Jinju, South Korea.
出版信息
Int J Nurs Pract. 2018 Feb;24(1). doi: 10.1111/ijn.12616. Epub 2017 Dec 5.
AIMS
To examine specific self-care behaviours, depression, and diabetes-related stress among South Korean patients with type 2 diabetes and to evaluate whether these factors are related to glycaemic control.
METHODS
This cross-sectional study included 171 patients with type 2 diabetes who visited an endocrinology clinic. A structured questionnaire and electronic medical records were used to collect data regarding self-care behaviours, depression, diabetes-related distress, and glycaemic control between May 2015 and July 2015.
RESULTS
Compared with the group with good glycaemic control, the group with poor glycaemic control had significantly lower values for medication adherence and significantly greater values for regimen-related distress. Depression was not significantly associated with glycaemic control. In logistic regression analysis, only medication adherence was independently associated with glycaemic control.
CONCLUSIONS
Medication adherence should be continuously emphasized and monitored in clinical practice to effectively manage glycaemic control among patients with type 2 diabetes. Furthermore, consideration of diabetes-related distress may help improve glycaemic control among patients with type 2 diabetes.
目的
研究韩国2型糖尿病患者的特定自我护理行为、抑郁及糖尿病相关压力，并评估这些因素是否与血糖控制有关。
方法
这项横断面研究纳入了171名到内分泌科门诊就诊的2型糖尿病患者。在2015年5月至2015年7月期间，使用结构化问卷和电子病历收集有关自我护理行为、抑郁、糖尿病相关困扰及血糖控制的数据。
结果
与血糖控制良好的组相比，血糖控制不佳的组在药物依从性方面的值显著更低，在治疗方案相关困扰方面的值显著更高。抑郁与血糖控制无显著关联。在逻辑回归分析中，只有药物依从性与血糖控制独立相关。
结论
在临床实践中应持续强调并监测药物依从性，以有效管理2型糖尿病患者的血糖控制。此外，考虑糖尿病相关困扰可能有助于改善2型糖尿病患者的血糖控制。
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