沙特成年人中接受胰岛素治疗的糖尿病患者的糖尿病算数能力与糖尿病自我管理之间的关系。
The association between diabetes numeracy and diabetes self-management among Saudi adults with insulin-treated diabetes.
机构信息
From the Department of Family and Community Medicine (Alruhaim, Almigbal, Almutairi, Alrasheed, Batais), from the Endocrinology and Metabolism Unit (Mujammami), College of Medicine, King Saud University; from the Vision College of Medicine, Vision Colleges (Almigbal); from the King Saud University Medical City (Almigbal, Mujammami, Alrasheed, Batais), Riyadh; from the Department of Family Medicine (Al Zahrani), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Jeddah; and from the Buraydah Diabetes Centre (AlMogbel), King Fahd Specialist Hospital, Buraydah, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2021 May;42(5):517-525. doi: 10.15537/smj.2021.42.5.20200422.
OBJECTIVES
To describe the association between diabetes numeracy and diabetes self-management among Saudi adults with insulin-treated diabetes.
METHODS
From August 2018 to January 2019, a cross-sectional study was conducted in 3 diabetes centers in Riyadh, Buraydah, and Jeddah, Saudi Arabia. Systematic random sampling was used to include 290 Saudi adults with insulin-treated diabetes. The levels of diabetes numeracy and diabetes self-management were measured by using the Diabetes Numeracy Test tool (DNT-15) and Diabetes Self-Management Questionnaire tool (DSMQ).
RESULTS
The final analysis included 279 completed surveys. The mean total score of DSMQ was 6.47. The total DSMQ score was higher among patients who had a lower level of education (=0.02), and patients who had a higher level of diabetes knowledge (=0.01). The mean total score of DNT-15 was 41.3%. Patients who had lower diabetes numeracy scores tended to be younger, married, have fewer years of education, have a lower monthly income(<0.001), use insulin only, and have type 1 diabetes. Patients who achieved a total score of 82%, and higher in DNT-15 have also achieved the highest score in DSMQ (=0.17). A linear regression analysis adjusted for level of education, diabetes knowledge, and other variables found a modest association between low diabetes numeracy and low diabetes self-management (=0.08).
CONCLUSION
Lower level of diabetes numeracy was associated with lower level of diabetes self-management.
目的
描述沙特成年人中糖尿病算数能力与胰岛素治疗糖尿病自我管理之间的关系。
方法
2018 年 8 月至 2019 年 1 月，在沙特阿拉伯利雅得、布赖代和吉达的 3 个糖尿病中心进行了一项横断面研究。采用系统随机抽样法纳入 290 例接受胰岛素治疗的沙特成年人。使用糖尿病算数能力测试工具（DNT-15）和糖尿病自我管理问卷工具（DSMQ）来测量糖尿病算数能力和糖尿病自我管理水平。
结果
最终分析纳入 279 份完整的调查问卷。DSMQ 的平均总分是 6.47。受教育程度较低的患者（=0.02）和糖尿病知识水平较高的患者（=0.01）的总 DSMQ 评分更高。DNT-15 的平均总分为 41.3%。糖尿病算数能力得分较低的患者往往更年轻、已婚、受教育程度较低、月收入较低（<0.001）、仅使用胰岛素且患有 1 型糖尿病。在 DNT-15 中获得 82%及以上总得分的患者也在 DSMQ 中获得了最高得分（=0.17）。经教育程度、糖尿病知识和其他变量调整的线性回归分析发现，低糖尿病算数能力与低糖尿病自我管理之间存在适度关联（=0.08）。
结论
较低的糖尿病算数能力与较低的糖尿病自我管理水平相关。
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