Almigbal Turky H, Almutairi Khalid M, Vinluan Jason M, Batais Mohammed A, Alodhayani Abdulaziz, Alonazi Wadi B, Sheshah Eman, Alhoqail Razan I
College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2019 Nov;40(11):1158-1166. doi: 10.15537/smj.2019.11.24585.
To determine the association between sociodemographic, clinical, and health literacy and the presence of depressed mood and their relationships to diabetes self-management among type 2 diabetes mellitus (T2DM) patients in Saudi Arabia.
A total of 352 T2DM patients from 2 public tertiary hospitals in Saudi Arabia participated in this descriptive cross-sectional study between December 2016 and February 2017. All respondents answered a 4-part questionnaire, which includes demographic data, Diabetes Self-Management Questionnaire (DSMQ), 36-item test based Short Test of Functional Health Literacy in Adults, and a 2-item Patient Health Questionnaire (PHQ-2). The Chi-square test and logistic regression analysis were conducted to determine the relationship and significant predictors for self-management among T2DM patients. Results: The analysis showed that majority of the participants had low to marginal functional health literacy. The overall DSM-16 score was good, indicating more effective self-care, while 20% of the participants had a score of 2 or more in the PHQ-2 indicating presence of depressed mood. No significant association was found between DSM and health literacy among the study participants while age, gender, educational level, employment status, and level of the depressive symptom were significantly associated with differences in the level of functional literacy of the participants. Conclusion: The study shows that nearly half of the T2DM patients that exhibited low level of functional health literacy had low diabetes self-management. Our findings also show that gender significantly affects diabetes self-management in which odds are a lot higher among females than males with diabetes self-management. This study underscores the importance of proper counselling and education about diabetes control on both patients and family members.
确定沙特阿拉伯2型糖尿病（T2DM）患者的社会人口统计学、临床和健康素养与抑郁情绪的存在之间的关联，以及它们与糖尿病自我管理的关系。
2016年12月至2017年2月期间，来自沙特阿拉伯2家公立三级医院的352名T2DM患者参与了这项描述性横断面研究。所有受访者都回答了一份由四部分组成的问卷，其中包括人口统计学数据、糖尿病自我管理问卷（DSMQ）、基于成人功能性健康素养简短测试的36项测试，以及一份2项患者健康问卷（PHQ-2）。进行卡方检验和逻辑回归分析，以确定T2DM患者自我管理的关系和显著预测因素。
分析表明，大多数参与者的功能性健康素养较低至中等。DSMQ-16的总体得分良好，表明自我护理更有效，而20%的参与者在PHQ-2中的得分为2分或更高，表明存在抑郁情绪。在研究参与者中，未发现DSMQ与健康素养之间存在显著关联，而年龄、性别、教育水平、就业状况和抑郁症状水平与参与者功能性素养水平的差异显著相关。
该研究表明，近一半功能性健康素养水平较低的T2DM患者糖尿病自我管理水平较低。我们的研究结果还表明，性别显著影响糖尿病自我管理，女性在糖尿病自我管理方面的几率比男性高得多。这项研究强调了对患者及其家庭成员进行糖尿病控制的适当咨询和教育的重要性。
