2 型糖尿病合并心力衰竭成人的血糖控制与糖尿病自我护理行为的关系。
Relationships of diabetes self-care behaviours to glycaemic control in adults with type 2 diabetes and comorbid heart failure.
机构信息
School of Nursing & Midwifery College of Health Sciences Addis Ababa University Addis Ababa Ethiopia.
Nell Hodgson Woodruff School of Nursing Emory University Atlanta GA USA.
出版信息
Nurs Open. 2020 Jun 15;7(5):1453-1467. doi: 10.1002/nop2.517. eCollection 2020 Sep.
AIM
To describe the relationship between diabetes self-care behaviours and glycaemic control in patients with type 2 diabetes and comorbid heart failure.
DESIGN
A cross-sectional, correlational study.
METHOD
A secondary analysis of 180 participants' baseline data from a clinical trial that tested a 6-month integrated self-care intervention was performed. Correlational and hierarchical linear regression analysis was used to assess the relationships between diabetes self-care behaviours and glycaemic control.
RESULT
The Summary of Diabetes Self-Care Activities general diet and Summary of Diabetes Self-Care Activities exercise were negatively associated with glycated haemoglobin (HbA1c), while Summary of Diabetes Self-Care Activities specific diet was positively associated. Diabetic end-organ failure, taking insulin only and taking both oral antiglycaemic and insulin, predicted higher HbA1c and fasting blood glucose. African American race and dyslipidaemia predicted higher HbA1c while taking higher total daily medication predicted higher fasting blood glucose. Longer years lived with heart failure, lower ventricular ejection fraction and exposure to chemotherapy predicted lower fasting blood glucose.
目的
描述 2 型糖尿病合并心力衰竭患者的糖尿病自我护理行为与血糖控制之间的关系。
设计
横断面相关性研究。
方法
对一项为期 6 个月的综合自我护理干预临床试验的 180 名参与者的基线数据进行二次分析。采用相关性和分层线性回归分析评估糖尿病自我护理行为与血糖控制之间的关系。
结果
糖尿病自我护理活动综合饮食和糖尿病自我护理活动运动与糖化血红蛋白（HbA1c）呈负相关，而糖尿病自我护理活动特定饮食与 HbA1c 呈正相关。糖尿病终末器官衰竭、仅使用胰岛素以及同时使用口服降糖药和胰岛素，预示着 HbA1c 和空腹血糖升高。非裔美国人种族和血脂异常预示着 HbA1c 升高，而服用更多的每日总药物预示着空腹血糖升高。心力衰竭的生存时间较长、左心室射血分数较低以及接受化疗预示着空腹血糖降低。
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