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女性独特的糖尿病自我管理行为需要针对性别进行糖尿病研究:改善慢性病管理和解决临床治理问题。

Women's distinct diabetes self-management behaviours demand gender-specific diabetes research: improving chronic disease management and addressing clinical governance issues.

机构信息

School of Public Health, University of Technology Sydney, PO Box 123, Broadway, NSW 2007, Australia; and Corresponding author. Email:

School of Public Health, University of Technology Sydney, PO Box 123, Broadway, NSW 2007, Australia.

出版信息

J Prim Health Care. 2021 Dec;13(4):308-312. doi: 10.1071/HC21015.

DOI:10.1071/HC21015
PMID:34937641
Abstract

Management of diabetes mellitus continues to pose challenges for primary health-care professionals, with estimates of as many as 2 million Australians requiring ongoing care. Although most cases are men, women living with diabetes have presenting concerns and self-management characteristics distinct from men. A threat to women's optimal diabetes management is being at greater risk of developing mental health conditions, especially for women with insulin-dependent type 2 diabetes. In addition, complementary medicine use is highly prevalent among women and is associated with significant direct and indirect risks, which raises clinical governance issues. To date, limited gender-specific diabetes research exists that has explored women's diabetes self-management behaviours and risk profiles. We argue that this is essential to inform the design of targeted care approaches that address clinical governance issues and help health-care professionals to better support women living with diabetes.

摘要

糖尿病的管理对于基层医疗保健专业人员来说仍然是一个挑战,据估计,有多达 200 万澳大利亚人需要持续的护理。尽管大多数病例是男性,但患有糖尿病的女性在就诊关注和自我管理特征方面与男性不同。对女性最佳糖尿病管理的威胁是,她们患心理健康疾病的风险更高,特别是对于患有胰岛素依赖型 2 型糖尿病的女性。此外,补充医学的使用在女性中非常普遍,并且与显著的直接和间接风险相关,这引发了临床治理问题。迄今为止,针对女性糖尿病自我管理行为和风险特征的特定性别糖尿病研究非常有限。我们认为,这对于为解决临床治理问题并帮助医疗保健专业人员更好地支持糖尿病女性患者的有针对性的护理方法的设计提供信息是至关重要的。

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Women's distinct diabetes self-management behaviours demand gender-specific diabetes research: improving chronic disease management and addressing clinical governance issues.女性独特的糖尿病自我管理行为需要针对性别进行糖尿病研究:改善慢性病管理和解决临床治理问题。
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Is mental health co-morbidity an influencing factor in the health service utilisation of women with diabetes mellitus?心理健康共病是否是糖尿病女性患者卫生服务利用的影响因素?
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