Nouhjah Sedigheh, Shahbazian Hajieh, Ghodrati Niloofar
Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Student Research Committee, Faculty of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Obes Med. 2022 Aug;33:100418. doi: 10.1016/j.obmed.2022.100418. Epub 2022 May 28.
The COVID-19 pandemic as a serious public health concern has been accompanied with changes and restrictions in everyday life. This can affect directly or indirectly health behaviors and disease management, particularly in developing countries with low resources. This study aimed to compare self-care behaviors of patients with type 2 diabetes using insulin pens before and after the COVID-19 pandemic.
This was a prospective cohort study involving 300 patients with type 2 diabetes who had been referred to a referral tertiary care diabetes clinic during 2018-2019. The Summary of Diabetes Self-Care Activities Assessment (SDSCA) questionnaire was used for the evaluation of 5 self-care activities.
The mean total self-care score before and one year after the onset of the COVID-19 crisis was 37.63 (SD, 10.89) and 26.14 (SD, 10.99), respectively. Before the COVID-19 crisis, 27%, 54.3%, and 18.7% of patients had poor, moderate, and good self-care, respectively. One year after the onset of the epidemic, however, these rates were 66.3%, 29%, and 4.7%, respectively. There was a significant difference between the mean score of 5 indices of self-care behaviors before and after the COVID-19 crisis (p < 0.01).
Our findings suggest the deterioration of self-care behaviors amidst the COVID-19 pandemic in an Iranian population. Continuous follow-up of patients with diabetes and the design of effective educational programs for these patient can prevent or delay the long-term consequences of diabetes, especially in the context of the COVID-19 crisis.
2019冠状病毒病疫情作为一个严重的公共卫生问题，给日常生活带来了变化和限制。这可能直接或间接地影响健康行为和疾病管理，尤其是在资源匮乏的发展中国家。本研究旨在比较2019冠状病毒病疫情前后使用胰岛素笔的2型糖尿病患者的自我护理行为。
这是一项前瞻性队列研究，涉及2018 - 2019年期间转诊至三级糖尿病专科诊所的300例2型糖尿病患者。采用糖尿病自我护理活动评估摘要（SDSCA）问卷对5项自我护理活动进行评估。
2019冠状病毒病危机爆发前及爆发后一年，自我护理总得分的平均值分别为37.63（标准差，10.89）和26.14（标准差，10.99）。在2019冠状病毒病危机之前，分别有27%、54.3%和18.7%的患者自我护理情况较差、中等和良好。然而，疫情爆发一年后，这些比例分别为66.3%、29%和4.7%。2019冠状病毒病危机前后自我护理行为5项指标的平均得分存在显著差异（p < 0.01）。
我们的研究结果表明，在伊朗人群中，2019冠状病毒病疫情期间自我护理行为恶化。对糖尿病患者进行持续随访并为这些患者设计有效的教育项目，可以预防或延缓糖尿病的长期后果，尤其是在2019冠状病毒病危机的背景下。
