Sonoda Nao, Watanabe Soichiro, Ohno Yuko, Godai Kayo, Hatamochi Chieko, Sugimoto Yoshie, Okawa Satoko, Shikama Maiko, Morimoto Akiko
Department of Fundamental Nursing, Graduate School of Nursing, Osaka Prefecture University, 3-7-30 Habikino, Habikino-city, Osaka 583-8555 Japan.
Department of Mathematical Health Science, Graduate School of Medicine, Osaka University, Osaka, 565-0871 Japan.
Diabetol Int. 2019 Dec 16;11(3):261-268. doi: 10.1007/s13340-019-00420-x. eCollection 2020 Jul.
In recent years, support for coexisting diabetes treatment and work () has become increasingly important for employees with diabetes. It is important to identify factors associated with dropout from outpatient visits for diabetes treatment among employees with diabetes to determine appropriate support to prevent dropout. Therefore, we explored work-related, personal, and diabetes-related factors relevant for dropout from outpatient diabetes treatment visits among Japanese employees with diabetes.
This cross-sectional study was conducted in 2018. Participants were 140 full-time employees with type 2 diabetes aged over 40 years. Participants were classified into two groups: a dropout group and a continuation group. Work-related, personal, and diabetes-related factors were evaluated using a self-administered questionnaire and specific health checkup data.
Of the 140 employees with diabetes, 12 (8.6%) were classified in the dropout group. Multivariable logistic regression analysis revealed three factors associated with a lower risk for dropout from diabetes treatment outpatient visits. These were: high supervisor support, as measured by the Job Content Questionnaire (multivariable-adjusted odds ratio [OR] 0.71, 95% confidence interval [CI] 0.52-0.97, per 1 score); older age (multivariable-adjusted OR 0.79, 95% CI: 0.66-0.95, per 1 year); and presence of metabolic syndrome (multivariable-adjusted OR 0.04, 95% CI 0.01-0.28, presence vs. absence).
Our findings suggest that supervisor support, age, and metabolic syndrome are important factors related to dropout from outpatient diabetes treatment visits among Japanese male employees with diabetes.
近年来,对于患有糖尿病的员工而言,支持其糖尿病治疗与工作()并存变得愈发重要。识别与糖尿病患者门诊治疗中断相关的因素,对于确定适当的支持措施以防止治疗中断至关重要。因此,我们探讨了与日本糖尿病员工门诊糖尿病治疗中断相关的工作、个人及糖尿病相关因素。
这项横断面研究于2018年开展。参与者为140名年龄超过40岁的2型糖尿病全职员工。参与者被分为两组:中断治疗组和持续治疗组。使用自填式问卷和特定健康检查数据对工作、个人及糖尿病相关因素进行评估。
在140名糖尿病员工中,12名(8.6%)被归类为中断治疗组。多变量逻辑回归分析显示了三个与糖尿病治疗门诊就诊中断风险较低相关的因素。这些因素分别是:通过工作内容问卷衡量的上级高度支持(多变量调整优势比[OR]为0.71,95%置信区间[CI]为0.52 - 0.97,每1分);年龄较大(多变量调整OR为0.79,95% CI:0.66 - 0.95,每1岁);以及存在代谢综合征(多变量调整OR为0.04,95% CI为0.01 - 0.28,存在与不存在相比)。
我们的研究结果表明,上级支持、年龄和代谢综合征是与日本男性糖尿病员工门诊糖尿病治疗中断相关的重要因素。