Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
BMC Endocr Disord. 2022 Jun 14;22(1):159. doi: 10.1186/s12902-022-01068-6.
A substantial proportion of older people who receive home care services (HCS) has diabetes and requires diabetes specific monitoring, treatment and self-care assistance. However, the prevalence and incidence rates of diabetes among older people in HCS are poorly described. The aim of the study is to estimate prevalence, incidence and time trends of pharmacologically treated diabetes among older people receiving HCS in Norway 2009-2014.
This nationwide observational cohort study is based on data from two population registries. The study population consisted of persons registered in the Norwegian Information System for the Nursing and Care Sector aged ≥ 65 years receiving HCS during at least one of the years 2009-2014. The Norwegian Prescription Database was utilized to identify participants' prescriptions for glucose lowering drugs (GLD). The period prevalence was calculated each year as persons with one or more prescriptions of GLD in the current or previous year. Incident cases were defined as subjects receiving prescriptions of GLD for the first time in the given calendar year if there were no prescriptions of any GLD for that person during the previous two years.
From 2009 to 2014, the number of older people receiving HCS increased from 112,487 to 125,593. The proportion of these who received GLD increased from 14.2% to 15.7% (p < 0.001) and was significantly higher among men than women. The annual incidence rate of diabetes among those receiving HCS showed a decreasing trend from 95.4 to 87.5 cases per 10,000 person-years from 2011 to 2014, but when stratifying on age group and gender, was significant only among the oldest women (age groups 85-89 years and 90 +).
The increasing prevalence of older people with diabetes who receive HCS highlights the importance of attention to treatment and care related to diabetes in the HCS.
相当一部分接受家庭护理服务（HCS）的老年人患有糖尿病，需要进行糖尿病专项监测、治疗和自我护理。然而，HCS 中老年人糖尿病的患病率和发病率数据描述不足。本研究旨在估计 2009-2014 年期间挪威接受 HCS 的老年人中经药物治疗的糖尿病的患病率、发病率和时间趋势。
这是一项基于两个人群登记处数据的全国性观察性队列研究。研究人群由在 2009-2014 年期间至少有一年接受 HCS 的年龄≥65 岁的挪威信息系统护理和护理部门登记处登记的人员组成。利用挪威处方数据库确定参与者的降血糖药物（GLD）处方。每年计算现患率，即当年或上一年有一个或多个 GLD 处方的人数。首次在特定日历年接受 GLD 处方的患者定义为新发病例，如果在之前两年中该患者没有任何 GLD 处方，则为新发病例。
2009 年至 2014 年，接受 HCS 的老年人人数从 112487 人增加到 125593 人。接受 GLD 的患者比例从 14.2%增加到 15.7%（p<0.001），且男性显著高于女性。接受 HCS 的患者中糖尿病的年发病率从 2011 年至 2014 年呈下降趋势，从每 10000 人年 95.4 例降至 87.5 例，但按年龄组和性别分层时，仅在年龄最大的女性（85-89 岁和 90 岁及以上）中具有显著意义。
接受 HCS 的糖尿病老年人比例增加，这突出了在 HCS 中关注糖尿病治疗和护理的重要性。
