Department of Family Medicine, Ministry of the National Guard-Health Affairs, King Abdulaziz Medical City, P.O. Box 9515, Jeddah, 21423, Saudi Arabia.
Department of Medicine, Ministry of the National Guard-Health Affairs, King Abdulaziz Medical City, P.O. Box 9515, Jeddah, 21423, Saudi Arabia; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 9515, Jeddah, 21423, Saudi Arabia; King Abdullah International Medical Research Center, P.O. Box 9515, Jeddah, 21423, Saudi Arabia.
Diabetes Metab Syndr. 2021 Jan-Feb;15(1):63-68. doi: 10.1016/j.dsx.2020.12.013. Epub 2020 Dec 6.
The coronavirus disease 2019 (COVID-19) pandemic has affected people's lives including patients with type 1 diabetes mellitus (T1DM). We aimed to investigate the impact of the COVID-19 lockdown on psychological status, self-management behaviors, and diabetes care maintenance among Saudi adults with T1DM using insulin pump therapy.
This cross-sectional study used a web survey to collect data on Saudi adults with T1DM who were treated in the specialized insulin pump clinic at King Abdulaziz Medical City-Jeddah, Saudi Arabia. We used the Patient Health Questionnaire-9 and General Anxiety Disorder-7 scales to measure depression and anxiety.
Of the 70 patients who received the survey, 65 completed it. Overall, 23.1% and 29.2% of the patients reported moderate to severe and mild depression, respectively; 18.5% and 24.6% reported moderate to severe and mild anxiety, respectively. Compared with pre-lockdown, adherence to a healthy diet and regular physical activity decreased in 67.7% and 41.5% of the patients, respectively. Most patients maintained their adherence to insulin pump behaviors; frequent self-monitoring of blood glucose increased in 47% of glucometer users. Most patients benefited from phone visits or virtual education sessions, but 66.2% of the patients reported difficulty obtaining at least one type of insulin pump supply.
Promoting self-management behaviors and psychological wellbeing of patients with T1DM using insulin pump therapy is crucial during a lockdown. Telemedicine is a useful alternative to in-person appointments, but strategies to ensure that patients have access to adequate resources during lockdown must be developed.
2019 年冠状病毒病（COVID-19）大流行影响了人们的生活，包括 1 型糖尿病（T1DM）患者。我们旨在研究 COVID-19 封锁对使用胰岛素泵治疗的沙特成年 T1DM 患者的心理状态、自我管理行为和糖尿病护理维持的影响。
这项横断面研究使用网络调查收集了在沙特阿拉伯吉达的阿卜杜勒阿齐兹国王医疗城专门的胰岛素泵诊所接受治疗的沙特成年 T1DM 患者的数据。我们使用患者健康问卷-9 和广泛性焦虑障碍-7 量表来衡量抑郁和焦虑。
在收到调查的 70 名患者中，有 65 名完成了调查。总体而言，23.1%和 29.2%的患者分别报告有中度至重度和轻度抑郁；18.5%和 24.6%的患者分别报告有中度至重度和轻度焦虑。与封锁前相比，67.7%和 41.5%的患者分别减少了对健康饮食和有规律的体育活动的遵守。大多数患者保持了对胰岛素泵行为的依从性；在血糖仪使用者中，有 47%的人增加了频繁自我监测血糖。大多数患者从电话就诊或虚拟教育课程中受益，但 66.2%的患者报告说难以获得至少一种胰岛素泵供应。
在封锁期间，促进使用胰岛素泵治疗的 T1DM 患者的自我管理行为和心理健康至关重要。远程医疗是面询的有用替代方法，但必须制定策略以确保患者在封锁期间能够获得足够的资源。
