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文莱穆斯林糖尿病患者在斋月期间的禁食习俗,以及糖尿病控制相关知识和实践。

Fasting in Ramadan of Muslim patients with diabetes Mellitus, and knowledge and practice in relation to diabetes control in Brunei.

机构信息

PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.

Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Ministry of Health, Brunei Darussalam.

出版信息

Diabetes Res Clin Pract. 2018 Oct;144:171-176. doi: 10.1016/j.diabres.2018.09.004. Epub 2018 Sep 10.

DOI:10.1016/j.diabres.2018.09.004
PMID:30213773
Abstract

AIM

To investigate the fasting pattern of patients with Diabetes Mellitus in Brunei Darussalam, specifically, their fasting activities, and knowledge and practice in relation to diabetes control during fasting in Ramadan.

METHODS

Cross-sectional study that included 18 years and older, Muslim patients with diabetes Mellitus who attended the main Diabetes Centre in Brunei. A self-administered questionnaire was designed, tested and used to collect the demographic information, fasting duration, knowledge and practice on diabetes control during fasting, and reasons of fasting as a Muslim.

RESULTS

183 participants with a mean age of 53.7 (SD 11.52) years were recruited. Prevalence of fasting during Ramadan was 93.4% with an average number of days of fasting was 24.1 days. Those with age 55 and above had significant higher prevalence of fasting than the younger group (p = 0.010). Only 49.1% of participants had consulted their healthcare professionals of their intentions to fast prior to the Ramadan, and only 38.1% of participants monitored blood glucose levels throughout the month.

CONCLUSIONS

Diabetes education and early treatment adjustment especially before and during the month of Ramadan is essential to minimize hypoglycaemic risks and frequency of diabetes complications.

摘要

目的

调查文莱达鲁萨兰国糖尿病患者的禁食模式,具体来说,就是他们在斋月期间禁食的活动、与糖尿病控制相关的知识和实践情况。

方法

这是一项横断面研究,纳入了年龄在 18 岁及以上、在文莱主要糖尿病中心就诊的穆斯林糖尿病患者。设计、测试并使用了一份自我管理问卷,以收集人口统计学信息、禁食持续时间、禁食期间糖尿病控制的知识和实践、以及作为穆斯林斋戒的原因。

结果

共招募了 183 名平均年龄为 53.7(SD 11.52)岁的参与者。在斋月期间禁食的患病率为 93.4%,平均禁食天数为 24.1 天。55 岁及以上的参与者比年轻组有更高的禁食患病率(p=0.010)。只有 49.1%的参与者在斋月前咨询过他们的医疗保健专业人员有关禁食的意向,只有 38.1%的参与者在整个月监测血糖水平。

结论

在斋月之前和期间,进行糖尿病教育和早期治疗调整对于最大限度地降低低血糖风险和糖尿病并发症的发生频率至关重要。

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