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糖尿病管理与患者对该疾病的态度:来自希腊一项全国性研究的数据。

Management of diabetes mellitus and patients' attitude towards the disease: Data from a nationwide study in Greece.

作者信息

Tentolouris Anastasios, Eleftheriadou Ioanna, Tzeravini Evangelia, Athanasakis Kostas, Anastasiou Ioanna A, Kyriopoulos John, Tentolouris Nikolaos

机构信息

Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.

Department of Health Economics, National School of Public Health, Athens, Greece.

出版信息

Diabetes Metab Syndr. 2019 Mar-Apr;13(2):1159-1164. doi: 10.1016/j.dsx.2019.01.030. Epub 2019 Jan 26.

Abstract

AIM

To examine management of diabetes mellitus (DM) and patients' attitude towards DM in a random sample of the adult Greek population.

METHODS

s: We selected a random sample of adults with self-reported DM (n = 1002) from a population-based nationwide study using the effective random sampling technique. Collection of data was performed through phone interviews.

RESULTS

Prevalence of type 1 DM was 3.5% and of type 2 DM 96.5%. Prevalence of type 1 DM declined while of type 2 DM increased with age. No gender or residency differences were found between type 1 and type 2 DM. A total of 72.0% of subjects with type 2 DM were treated with oral antidiabetic drugs (OAD), 11.5% were treated with insulin and 7.1% were treated with both OAD and insulin. Internists specialized in DM were mainly doctors who started insulin treatment. Almost half of insulin naive subjects were skeptical towards insulin initiation and their main concern was the needle punch.

CONCLUSIONS

In a random nationwide sample of the adult population in Greece the majority of subjects with self-reported DM had type 2 DM. Most patients with type 2 were treated with OAD. Almost half of insulin naive subjects were skeptical towards insulin initiation.

摘要

目的

在希腊成年人群的随机样本中,研究糖尿病(DM)的管理情况以及患者对糖尿病的态度。

方法

我们采用有效的随机抽样技术,从一项基于全国人口的研究中随机抽取了自我报告患有糖尿病的成年人样本(n = 1002)。通过电话访谈收集数据。

结果

1型糖尿病的患病率为3.5%,2型糖尿病的患病率为96.5%。1型糖尿病的患病率随年龄下降,而2型糖尿病的患病率随年龄上升。1型和2型糖尿病在性别或居住方面未发现差异。共有72.0%的2型糖尿病患者接受口服降糖药(OAD)治疗,11.5%接受胰岛素治疗,7.1%接受OAD和胰岛素联合治疗。专门治疗糖尿病的内科医生主要是开始胰岛素治疗的医生。几乎一半未使用过胰岛素的患者对开始使用胰岛素持怀疑态度,他们主要担心的是打针。

结论

在希腊成年人群的全国随机样本中,自我报告患有糖尿病的大多数患者为2型糖尿病。大多数2型糖尿病患者接受OAD治疗。几乎一半未使用过胰岛素的患者对开始使用胰岛素持怀疑态度。

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