Governors State University, Health Administration, University Park, Illinois.
Gateway Health, Research & Development, Quality Improvement Department, Pittsburgh, Pennsylvania.
Diabetes Educ. 2020 Feb;46(1):94-107. doi: 10.1177/0145721719896262. Epub 2019 Dec 24.
The purpose of this study is to examine diabetes standard of care among individuals who have diabetes with and without cognitive limitation disabilities (CLDs). Individuals with CLDs are more likely to develop diabetes and less likely to participate in diabetes standard of care services compared to those without CLDs.
We used pooled cross-sectional data (2011-2016) from the Household Component of the Medical Expenditure Panel Survey (HC-MEPS). Dependent variables were utilization of dilated eye exams, foot checks, A1C blood tests, and engagement in moderate or vigorous physical exercise 5 times per week. Our independent variable was diabetes with CLDs vs diabetes without CLDs. We controlled for predisposing, enabling, and need factors.
Findings suggest that individuals with diabetes and CLDs were less likely to engage in moderate or vigorous physical exercise 5 times per week compared to individuals without CLDs. For other diabetes care services, individuals with CLDs are as likely to participate in health services utilization as those without CLDs.
Our study supports research that indicates individuals with diabetes and CLDs were less likely to participate in physical exercise compared to individuals without CLDs. Conversely, individuals with diabetes and CLDs were just as likely to receive a dilated eye exam, have their feet checked, and have their A1C checked as individuals without CLDs, which is a very encouraging finding.
本研究旨在检查有认知障碍残疾（CLD）和无认知障碍残疾的糖尿病患者的糖尿病标准护理情况。与无 CLD 的患者相比，CLD 患者更有可能患上糖尿病，并且更不可能参与糖尿病标准护理服务。
我们使用了来自医疗支出面板调查（HC-MEPS）家庭部分的汇总横断面数据（2011-2016 年）。因变量是接受散瞳眼部检查、足部检查、A1C 血液检查以及每周进行 5 次适度或剧烈体育锻炼的情况。我们的自变量是患有 CLD 的糖尿病与无 CLD 的糖尿病。我们控制了倾向、使能和需求因素。
研究结果表明，与无 CLD 的患者相比，患有 CLD 的糖尿病患者每周进行 5 次适度或剧烈体育锻炼的可能性较小。对于其他糖尿病护理服务，患有 CLD 的患者与无 CLD 的患者一样有可能参与健康服务的利用。
我们的研究支持了表明患有 CLD 的糖尿病患者比无 CLD 的患者更不可能参与体育锻炼的研究。相反，患有 CLD 的糖尿病患者与无 CLD 的患者一样有可能接受散瞳眼部检查、足部检查和 A1C 检查，这是一个非常令人鼓舞的发现。
