发展中国家2型糖尿病患者随访期间的自我护理实践与血糖控制：一项前瞻性观察研究
Self-care practice and glycemic Control among type 2 diabetes patients on follow up in a developing country: a prospective observational study.
作者信息
Abebe Abinet, Wobie Yohannes, Kebede Bezie, Wale Alemnew, Destaw Alemnew, Ambaye Abyou Seyfu
机构信息
College of Medicine and Health Science, School of Pharmacy, Department of Clinical Pharmacy, Mizan-Tepi University, Mizan Aman, Ethiopia.
College of Medicine and Health Science, Department of Midwifery, Mizan-Tepi University, Mizan Aman, Ethiopia.
出版信息
J Diabetes Metab Disord. 2022 Apr 4;21(1):455-461. doi: 10.1007/s40200-022-00995-4. eCollection 2022 Jun.
PURPOSE
The main goal of managing diabetes is to achieve glycemic control. However, the glycemic level of most diabetic patients is shown to be poorly controlled mainly due to poor adherence to self-care practices. This study aims to assess the level of self-care practice and glycemic control among type 2 diabetes patients on follow up in a resource limited country.
METHODS
A four-month prospective observational study was conducted among type 2 diabetes patients from February 1 to May 30, 2021. Data was collected using a data abstraction checklist and structured questionnaire. The data was entered into Epidata version 4.4.6 and analyzed with SPSS version 26. Glycemic control and its predictors were determined using binary logistic regression. P-value less than 0.05 was considered as statistically significant.
RESULTS
A total of 138 patients were included in the study. Nearly three-fourths (74.6%) of patients had poor glycemic control and the majority of patients had poor self-care practice. 78.3%, 98.6%, 96.4%, and 55.8% of patients had poor adherence to diet, exercise, self-monitoring of blood glucose, and medications respectively. Importantly, 85(79%), 102(75%), 99(74.4%), and 65(84.4%) patients with poor adherence to diet, physical activity, self-monitoring of blood glucose, and antidiabetic medications had poor glycemic control. On multivariate logistic regression, BMI (AOR 4.1, CI:1.20-14.11, p = 0.024) and drug adherence (AOR 3.08, CI:1.22-7.08, p = 0.017) were factors associated with poor glycemic control.
CONCLUSIONS
A higher proportion of patients had low-level of self-care practice and poor glycemic control. This highlights the need to improve patients' awareness about the importance of self-care practice to maintain good glycemic control and prevent adverse outcomes associated with the disease.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s40200-022-00995-4.
目的
管理糖尿病的主要目标是实现血糖控制。然而，大多数糖尿病患者的血糖水平显示控制不佳，主要原因是对自我护理措施的依从性差。本研究旨在评估在一个资源有限的国家中，接受随访的2型糖尿病患者的自我护理措施水平和血糖控制情况。
方法
于2021年2月1日至5月30日对2型糖尿病患者进行了一项为期四个月的前瞻性观察研究。使用数据提取清单和结构化问卷收集数据。数据录入Epidata 4.4.6版本，并使用SPSS 26版本进行分析。使用二元逻辑回归确定血糖控制及其预测因素。P值小于0.05被认为具有统计学意义。
结果
共有138名患者纳入研究。近四分之三（74.6%）的患者血糖控制不佳，且大多数患者自我护理措施较差。分别有78.3%、98.6%、96.4%和55.8%的患者在饮食、运动、血糖自我监测和药物治疗方面依从性差。重要的是，在饮食、体育活动、血糖自我监测和抗糖尿病药物治疗方面依从性差的患者中，分别有85（79%）、102（75%）、99（74.4%）和65（84.4%）的患者血糖控制不佳。多因素逻辑回归分析显示，体重指数（AOR 4.1，CI：1.20 - 14.11，p = 0.024）和药物依从性（AOR 3.08，CI：1.22 - 7.08，p = 0.017）是与血糖控制不佳相关的因素。
结论
较高比例的患者自我护理措施水平较低且血糖控制不佳。这突出表明需要提高患者对自我护理措施对维持良好血糖控制及预防与该疾病相关不良后果重要性的认识。
补充信息
在线版本包含可在10.1007/s40200 - 022 - 00995 - 4获取的补充材料。
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