Faculty of Medicine - University of Coimbra, Portugal.
Faculty of Medicine - University of Coimbra, Portugal; General Practice and Family Medicine Clinic of the Faculty of Medicine of the University of Coimbra, Portugal.
Prim Care Diabetes. 2019 Oct;13(5):446-451. doi: 10.1016/j.pcd.2019.02.004. Epub 2019 Feb 21.
To understand the psychological and behavioural impact of type 2 diabetes in the Portuguese Primary Care setting.
Observational, cross-sectional study of a convenience sample of portuguese people diagnosed with type 2 diabetes mellitus. The Diabetes Health Profile (DHP-18) and the Four Item Morisky Medication Adherence Scale (MMAS-4) were applied, as well as socio-demographic and disease-related questions.
In a n=110 patient sample, lower education level showed a negative impact on the Psychological Distress dimension (p=0,013). In the Barriers to activity dimension, significant differences were found between different age groups (p=0,033) - a better health profile was observed in the 40-59 years group and also between gender (p=0,039) - greater impact in female subjects. Disinhibited Eating dimension wasn't associated with any of the studied variables. However, all the groups showed worse results in this domain. No associations were found between DHP and medication adherence. Worse medication adherence is more common when there is a prevailing notion of lack of control of diabetes.
Using DHP, a larger negative impact related to type 2 diabetes mellitus is found in those with lower educational level, female and younger (20-39 years) or older (60-79 years) subjects. Broader information strategies aimed at improving the quality of life of diabetic patients is necessary, particularly those related to nutrition.
了解葡萄牙初级保健环境中 2 型糖尿病的心理和行为影响。
对确诊为 2 型糖尿病的葡萄牙人群进行了便利样本的观察性、横断面研究。应用了糖尿病健康状况量表（DHP-18）和四项莫斯基药物依从性量表（MMAS-4），以及社会人口统计学和疾病相关问题。
在 n=110 例患者样本中，较低的教育水平对心理困扰维度有负面影响（p=0.013）。在活动障碍维度中，不同年龄组之间存在显著差异（p=0.033）——40-59 岁组的健康状况更好，性别之间也存在差异（p=0.039）——女性受影响更大。抑制性饮食维度与任何研究变量均无关。然而，所有组在这一领域的表现都更差。DHP 与药物依从性之间没有关联。当普遍存在对糖尿病控制缺乏信心的观念时，药物依从性更差。
使用 DHP，发现教育水平较低、女性、年龄较小（20-39 岁）或较大（60-79 岁）的患者，2 型糖尿病的负面影响更大。有必要制定更广泛的信息策略，以改善糖尿病患者的生活质量，特别是与营养相关的信息策略。
