Kalra Sanjay, Sagili Vijaya Bhaskar Reddy, Sanyal Debmalya, Talwalkar Pradeep G, Polavarapu Nareen Krishna, Gaurav Kumar, Mane Amey, Pinto Colette Stephen
Bharti Hospital, Karnal 132001, India.
Vijay Diabetes, Thyroid and Endocrine Clinic, Puducherry 600045, India.
Clin Pract. 2021 Sep 23;11(4):715-727. doi: 10.3390/clinpract11040087.
A multicentric cross-sectional observational survey was conducted to understand the patient, physician, nurse, caregiver, and diabetes counselor/educator-related factors that define the "glycemic happiness" of persons with type 2 diabetes mellitus (T2DM). Five sets of questionnaires based on a five-point Likert scale were used. A total of 167 persons with T2DM, 167 caregivers, and 34 each of physicians, nurses, and diabetes counselors/educators participated. For persons with T2DM, an adequate understanding of diabetes (mean score ± standard deviation: 4.2 ± 0.9), happiness and satisfaction with life (4.1 ± 0.8), flexibility (4.2 ± 0.8) and convenience (4.2 ± 0.7) of treatment, and confidence to handle hypo/hyperglycemic episodes (4.0 ± 0.9) were the factors positively associated with glycemic happiness. Caregivers' factors included information from physicians on patient care (4.5 ± 0.6), constructive conversations with persons with T2DM (4.2 ± 0.8), helping them with regular glucose monitoring (4.2 ± 0.9), and caregivers' life satisfaction (4.2 ± 0.8). Factors for physicians, nurses, and diabetes counselors/educators were belief in their ability to make a difference in the life of persons with T2DM (4.8 ± 0.4, 4.4 ± 0.5, and 4.5 ± 0.5), satisfaction from being able to help them (4.9 ± 0.3, 4.6 ± 0.5, and 4.6 ± 0.5), and professional satisfaction (4.9 ± 0.4, 4.4 ± 0.6, and 4.7 ± 0.4). Our survey identified the key factors pertaining to different stakeholders in diabetes care, which cumulatively define the glycemic happiness of persons with T2DM.
开展了一项多中心横断面观察性调查，以了解与2型糖尿病（T2DM）患者“血糖幸福度”相关的患者、医生、护士、护理人员及糖尿病顾问/教育工作者因素。使用了基于五点李克特量表的五套问卷。共有167名T2DM患者、167名护理人员以及各34名医生、护士和糖尿病顾问/教育工作者参与。对于T2DM患者，对糖尿病的充分了解（平均得分±标准差：4.2±0.9）、对生活的幸福度和满意度（4.1±0.8）、治疗的灵活性（4.2±0.8）和便利性（4.2±0.7）以及处理低血糖/高血糖事件的信心（4.0±0.9）是与血糖幸福度呈正相关的因素。护理人员的因素包括医生提供的患者护理信息（4.5±0.6）、与T2DM患者进行的建设性对话（4.2±0.8）、帮助他们进行定期血糖监测（4.2±0.9）以及护理人员的生活满意度（4.2±0.8）。医生、护士和糖尿病顾问/教育工作者的因素包括相信自己有能力改变T2DM患者的生活（4.8±0.4、4.4±0.5和4.5±0.5）、因能够帮助他们而产生的满足感（4.9±0.3、4.6±0.5和4.6±0.5）以及职业满意度（4.9±0.4、4.4±0.6和4.7±0.4）。我们的调查确定了糖尿病护理中不同利益相关者的关键因素，这些因素共同定义了T2DM患者的血糖幸福度。
