Eknithiset Rapat, Samrongthong Ratana, Kumar Ramesh
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Taladnoi, Horathep, and Khokyai Primary Healthcare Unit, Banmhor, Saraburi, Thailand.
J Ayub Med Coll Abbottabad. 2018 Jan-Mar;30(1):107-110.
Globally, diabetes caused 4.6 million deaths during 2011 and burdened health care systems worldwide with $465 billion. The diabetes prevalence rate in Thailand has risen dramatically in recent years, from just 2.3% in 1991 to 6.9% in 2009. The objective of this study was to explore factors associated with knowledge, perception, and practice toward self-care among elderly type 2 diabetes mellitus patients aged 50-70 years.
A cross sectional study design was conducted by enrolling 140 aged people of both gender suffering from type 2 diabetes mellitus and registered at three clinics of Primary healthcare at Taladnoi, Horathep, and Khokyai, Saraburi, Thailand. Participants whose age was 50-70 were rechecked through laboratory testing like Hba1c, FBS, and BMI were included. Data was analysed by using descriptive statistics and chi-square.
The participants mean age was 62.11±0.59 years and 69.4% were female, 27.8% belonged to indigenous caste and 82.6% were married. About one-fourth of the participants were housewives, 15.2% government employee and 12.1% were farmer. Participants suffering from diabetes since1-5 years were 48.5%. Among the diabetic patients, 51.5% reported to have family history of diabetes. The mean knowledge score of the respondents was 3.61 (±1.80), perception was 4.34 (±1.41), practice was 12.14 (±4.47). A significant different existed between gender with Hba1c (<0.05), knowledge, and work status with Hba1c (<0.05)..
Study concluded that the knowledge, perception, and practice about type 2 diabetes mellitus among patient were significantly poor. However, the factors like; gender, work and practice were found significantly correlated with glycated haemoglobin.
在全球范围内，2011年糖尿病导致460万人死亡，给全球医疗保健系统带来了4650亿美元的负担。近年来，泰国的糖尿病患病率急剧上升，从1991年的仅2.3%升至2009年的6.9%。本研究的目的是探讨50 - 70岁老年2型糖尿病患者自我护理的知识、认知和行为相关因素。
采用横断面研究设计，纳入140名患有2型糖尿病的男女老年人，他们在泰国沙拉武里府塔拉德诺伊、霍拉泰普和霍凯艾的三个初级保健诊所登记。年龄在50 - 70岁的参与者通过糖化血红蛋白（Hba1c）、空腹血糖（FBS）和体重指数（BMI）等实验室检测进行复查后被纳入。数据采用描述性统计和卡方检验进行分析。
参与者的平均年龄为62.11±0.59岁，69.4%为女性，27.8%属于原住民种姓，82.6%已婚。约四分之一的参与者是家庭主妇，15.2%是政府雇员，12.1%是农民。患病1 - 5年的参与者占48.5%。在糖尿病患者中，51.5%报告有糖尿病家族史。受访者的平均知识得分为3.61（±1.80），认知得分为4.34（±1.41），行为得分为12.14（±4.47）。性别与糖化血红蛋白（<0.05）、知识以及工作状态与糖化血红蛋白（<0.05）之间存在显著差异。
研究得出结论，患者对2型糖尿病的知识、认知和行为明显较差。然而，发现性别、工作和行为等因素与糖化血红蛋白显著相关。
