Sayeed Khalid A, Qayyum Azwa, Jamshed Fatima, Gill Usman, Usama Syed Muhammad, Asghar Kanza, Tahir Amber
Internal Medicine, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital, Karachi, PAK.
Pharmacology, Amna Inayat Medical College, Sheikhupura, PAK.
Cureus. 2020 Apr 27;12(4):e7845. doi: 10.7759/cureus.7845.
Self-care activities are behaviors adopted in order to enhance one's health. Self-care behaviors and activities are studied in their role to enhance glycemic control, reduce diabetes-related complications, and contribute to enhancing overall quality of life in people with diabetes. The aim of this observational study was to evaluate the impact of diabetes self-care activities and behaviors on glycemic control in people with diabetes.
This observational, cross-sectional study was conducted at the outpatient department of a secondary care hospital in Karachi, Pakistan from 1st September 2019 till 30th November 2019. Patients with known type II diabetes of age ≥45 years visiting the hospital for routine follow-up visit were included. Diabetes Self-Management Questionnaire (DSMQ) in Urdu version was used to assess their status of self-management. For data entry and statistical analysis SPSS for Windows version 21.0 was used.
There were 174 (54.9%) males and 152 (47.9%) were of age 45-60 years. Glycemic control was good (HbA1c <7%) in 125 (39.4%) and poor (HbA1c ≥7%) in 192 (60.6%) patients. Patients with good glycemic control scored significantly better on DSMQ overall (5.53 ± 0.35 vs. 4.32 ± 0.61; p<0.0001), and on three sub-scales - dietary control (4.24 ± 1.04 vs. 3.63 ± 0.98; p<0.0001), physical activity (4.16 ± 0.56 vs. 3.47 ± 1.17; p<0.0001), and healthcare use (4.22 ± 0.78 vs. 3.98 ± 0.65; p=0.003). Conclusions: The self-care activities that impact glycemic control in patients with diabetes include dietary control, physical activity, and healthcare use.
自我护理活动是为增进自身健康而采取的行为。自我护理行为和活动在改善血糖控制、减少糖尿病相关并发症以及提高糖尿病患者整体生活质量方面所起的作用受到了研究。这项观察性研究的目的是评估糖尿病自我护理活动和行为对糖尿病患者血糖控制的影响。
这项观察性横断面研究于2019年9月1日至2019年11月30日在巴基斯坦卡拉奇一家二级护理医院的门诊部进行。纳入年龄≥45岁前来医院进行常规随访的已知II型糖尿病患者。使用乌尔都语版的糖尿病自我管理问卷（DSMQ）评估他们的自我管理状况。数据录入和统计分析使用Windows版SPSS 21.0。
有174名男性（54.9%），152名年龄在45 - 60岁之间（47.9%）。125名患者（39.4%）血糖控制良好（糖化血红蛋白<7%），192名患者（60.6%）血糖控制不佳（糖化血红蛋白≥7%）。血糖控制良好的患者在DSMQ总分上得分显著更高（5.53±0.35对4.32±0.61；p<0.0001），在三个子量表上——饮食控制（4.24±1.04对3.63±0.98；p<0.0001）、体育活动（4.16±0.56对3.47±1.17；p<0.0001）和医疗保健利用（4.22±0.78对3.98±0.65；p = 0.003）也是如此。结论：影响糖尿病患者血糖控制的自我护理活动包括饮食控制、体育活动和医疗保健利用。
