Engidaw Melaku Tadege, Feyisa Mahider Shimelis
Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Medical Laboratory Science, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Diabetes Metab Syndr Obes. 2020 Dec 18;13:5017-5023. doi: 10.2147/DMSO.S286365. eCollection 2020.
Diabetes mellitus is a cluster of metabolic disorders which is characterized by hyperglycemia. The occurrence of anaemia is a significant public health problem among diabetic patients because of complication and dietary modifications. So, this study aimed to assess the magnitude of anaemia among adult diabetes mellitus patients in Debre Tabor General Hospital, Ethiopia.
A cross-sectional study design was conducted. A simple random sampling technique was employed to collect data from 297 adult diabetic mellitus patients. After taking venous blood, the haemoglobin level was determined by using HemoCue 301 machine. Anaemia among diabetic patients was determined by using the haemoglobin level (<13.0g/dL for male and <12.0g/dL for female). Data were entered using EpiInfo version 7.2 and analyzed using SPSS version 21. The binary logistic regression model was used to explore the association of independent variables with anaemia. Finally, p-value <0.05 was used to declare the level of statistical significance.
The prevalence of anemia among diabetic patient was 29.81% (95% CI: 24.27, 35.35). Diabetic patients unable to read and write (AOR = 3.51, 95% CI: 1.40, 8.75), able to read and write (AOR = 9.76, 95% CI: 3.15, 30.24), ≥4 family size (AOR = 0.53, 95% CI: 0.29, 0.99), intake of flesh meat (AOR=0.19, 95% CI: 0.05, 0.74), and parasitic infections (AOR = 0.26, 95% CI: 0.07, 0.95) were more likely to develop anemia.
Anemia is a moderate public health problem among diabetic patients. Here, educational status, family size, intake of flesh meat, and intestinal parasite infections were the factors associated with the development of anaemia. So, working on these significant factors by health care providers during routine care is vital to prevent anaemia among diabetic patients.
糖尿病是一组以高血糖为特征的代谢紊乱疾病。由于并发症和饮食调整,贫血的发生在糖尿病患者中是一个重大的公共卫生问题。因此,本研究旨在评估埃塞俄比亚德布雷塔博尔综合医院成年糖尿病患者中贫血的严重程度。
采用横断面研究设计。采用简单随机抽样技术从297名成年糖尿病患者中收集数据。采集静脉血后,使用HemoCue 301机器测定血红蛋白水平。糖尿病患者中的贫血通过血红蛋白水平来确定(男性<13.0g/dL,女性<12.0g/dL)。数据使用EpiInfo 版本7.2录入,并使用SPSS 版本21进行分析。二元逻辑回归模型用于探讨自变量与贫血的关联。最后,p值<0.05用于判定统计学显著性水平。
糖尿病患者中贫血的患病率为29.81%(95%可信区间:24.27,35.35)。无法读写的糖尿病患者(比值比=3.51,95%可信区间:1.40,8.75)、能够读写的糖尿病患者(比值比=9.76,95%可信区间:3.15,30.24)、家庭规模≥4人(比值比=0.53,95%可信区间:0.29,0.99)、食用肉类(比值比=0.19,95%可信区间:0.05,0.74)以及寄生虫感染(比值比=0.26,95%可信区间:0.07,0.95)更易发生贫血。
贫血在糖尿病患者中是一个中度的公共卫生问题。在此,教育状况、家庭规模、肉类摄入和肠道寄生虫感染是与贫血发生相关的因素。因此,医护人员在日常护理中针对这些重要因素开展工作对于预防糖尿病患者贫血至关重要。