2 型糖尿病患者对其疾病的知识、态度和实践：西岸巴勒斯坦人的横断面研究。
Knowledge, attitude, and practice of patients with type 2 diabetes mellitus with regard to their disease: a cross-sectional study among Palestinians of the West Bank.
机构信息
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine & Health Sciences, New Campus, Building: 19, Office: 1340, An-Najah National University, P.O. Box 7, Nablus, Palestine.
An-Najah BioSciences Unit, Centre for Poisons Control, Chemical and Biological Analyses, An-Najah National University, Nablus, Palestine.
出版信息
BMC Public Health. 2021 Mar 9;21(1):472. doi: 10.1186/s12889-021-10524-2.
BACKGROUND
In Palestine, type 2 diabetes mellitus (T2DM) is a rapidly growing health concern. This study evaluated knowledge, attitude, and practice of patients with T2DM with regard to their disease. The study also investigated association and correlation between knowledge, attitude, and practice with sociodemographic and clinical characteristics of the patients. Predictors of higher knowledge, positive attitude, and good practice were also identified.
METHODS
This cross-sectional study was conducted in primary healthcare facilities frequently visited by patients with T2DM across the West Bank of Palestine in the period of October 2018 to January 2019. An interviewer administered questionnaire was used to determine knowledge, attitude and practice of patients with T2DM with regard to their disease.
RESULTS
Out of 300 patients invited, 220 (73.3%) patients responded. In this study, the median age was 57.0 years (51.0, 65.0), the median time elapsed since diagnosis with T2DM was 7.0 years (4.0, 14.0), the median fasting blood glucose was 150.0 mg/dL (128.8, 180.0), the median postprandial glucose was 230.0 mg/dL (200.0, 270.0), the median HbA was 7.8% (7.0, 8.53), and the median BMI was 28.8 kg/m (25.5, 33.1). The median knowledge score was 6.0/13.0 (4.5/13.0, 7.5/13.0), the median attitude score was 3.0/4.0 (2.0/4.0, 4.0/4.0), and the median practice score was 3.0 (1.0/5.0, 4.0/5.0). Having university education was strongly associated with having higher knowledge scores (p-value = 0.001). Additionally, having attended an educational program on diabetes was moderately associated with higher practice scores (p-value = 0.026).
CONCLUSIONS
Findings of this study highlighted the need for appropriately designed interventions to increase knowledge about T2DM among patients with low educational level. Well-designed educational programs might promote healthy practice among patients with T2DM. Future studies are still needed to assess if such interventions could be effective in improving health outcomes and quality of life of patients with T2DM in Palestine.
背景
在巴勒斯坦，2 型糖尿病（T2DM）是一个快速增长的健康问题。本研究评估了 T2DM 患者对其疾病的知识、态度和实践情况。该研究还调查了知识、态度和实践与患者社会人口学和临床特征之间的关联和相关性。还确定了更高的知识、积极的态度和良好的实践的预测因素。
方法
本横断面研究于 2018 年 10 月至 2019 年 1 月期间在巴勒斯坦西岸经常有 T2DM 患者就诊的基层医疗设施中进行。通过访谈者管理的问卷来确定 T2DM 患者对其疾病的知识、态度和实践情况。
结果
在邀请的 300 名患者中，有 220 名（73.3%）患者做出了回应。在这项研究中，中位年龄为 57.0 岁（51.0，65.0），诊断为 T2DM 后的中位时间为 7.0 年（4.0，14.0），中位空腹血糖为 150.0mg/dL（128.8，180.0），中位餐后血糖为 230.0mg/dL（200.0，270.0），中位 HbA 为 7.8%（7.0，8.53），中位 BMI 为 28.8kg/m（25.5，33.1）。中位知识得分为 6.0/13.0（4.5/13.0，7.5/13.0），中位态度得分为 3.0/4.0（2.0/4.0，4.0/4.0），中位实践得分为 3.0（1.0/5.0，4.0/5.0）。接受过大学教育与较高的知识得分显著相关（p 值=0.001）。此外，参加过糖尿病教育计划与较高的实践得分中度相关（p 值=0.026）。
结论
本研究结果强调需要设计适当的干预措施来提高低教育水平患者对 T2DM 的认识。精心设计的教育计划可能会促进 T2DM 患者的健康实践。仍需要进一步研究以评估此类干预措施是否能有效改善巴勒斯坦 T2DM 患者的健康结果和生活质量。
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