Nayeem Jannatul, Chowdhury Hasina Akhter, Afroze Nowrin, Mili Umme Sadia, Ali Liaquat
Department of Applied Laboratory Sciences, Bangladesh University of Health Sciences (BUHS), 125/1 Darussalam, Mirpur-1, Dhaka, Bangladesh.
Department of Biostatistics, Bangladesh University of Health Sciences (BUHS), 125/1 Darussalam, Mirpur-1, Dhaka, Bangladesh.
Heliyon. 2021 Jul 16;7(7):e07619. doi: 10.1016/j.heliyon.2021.e07619. eCollection 2021 Jul.
The aim was to find out the proportion of Self-monitoring of Blood Glucose (SMBG) Users and factors affecting the nonuse in three large hospitals of Dhaka city.
Under an observational cross-sectional design 598 type 2 diabetic subjects were recruited (convenient sampling) from the OPDs of 3 large tertiary care hospitals [one public hospital (PUBH), one Not-for-profit Hospital (NFPPH), and one For-profit private hospital (FPPH)] in Dhaka City. Data were analyzed by both univariate and multivariate analysis as appropriate.
Overall 71% of subjects were SMBG Nonusers (PUBH 86%, NFPPH 67%, and FPPH 46%). Monthly income status and advice showed the highest impact (OR 4.66 and 3.74 respectively) on the use. Physicians (54%), relatives (34%), and friends (8.2%) were the major sources of advice. Irregular diabetes check-up and distrust of results were also among the major reasons for not using SMBG among the Nonusers.
Nearly three-fourth of type 2 diabetic patients in Dhaka city do not use SMBG and the proportion is especially high in public hospitals. Poor income status of patients, lack of coordinated advice/motivation by Caregivers, irregularity in diabetes checking, and distrust on results are major predictors for not using SMBG by the patients.
旨在了解达卡市三家大型医院中血糖自我监测（SMBG）使用者的比例以及影响未使用者的因素。
采用观察性横断面设计，从达卡市3家大型三级医疗机构[一家公立医院（PUBH）、一家非营利性医院（NFPPH）和一家营利性私立医院（FPPH）]的门诊中招募了598名2型糖尿病患者（方便抽样）。根据情况对数据进行单变量和多变量分析。
总体而言，71%的受试者未进行血糖自我监测（公立医院为86%，非营利性医院为67%，营利性私立医院为46%）。月收入状况和建议对使用情况的影响最大（分别为OR 4.66和3.74）。医生（54%）、亲属（34%）和朋友（8.2%）是建议的主要来源。未使用者中，糖尿病检查不规律和对结果不信任也是不使用血糖自我监测的主要原因。
达卡市近四分之三的2型糖尿病患者不使用血糖自我监测，这一比例在公立医院尤其高。患者收入状况不佳、护理人员缺乏协调一致的建议/激励、糖尿病检查不规律以及对结果不信任是患者不使用血糖自我监测的主要预测因素。
