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乌干达患者感知到的家庭社会支持与糖尿病自我管理之间的关系。

The relationship between perceived social support from family and diabetes self-management among patients in Uganda.

机构信息

Department of Family Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

Pan Afr Med J. 2022 Apr 7;41:279. doi: 10.11604/pamj.2022.41.279.33723. eCollection 2022.

Abstract

INTRODUCTION

optimal self-care in diabetes mellitus contributes substantially to good glucose control and delays development of complications. The family´s support is an important predictor of optimal self-care behavior. Little is known about the relationship between social support from family and self-care behavior in Uganda. The study set out to determine the association between perceived social support from immediate family and diabetes self-management among diabetic patients in the eastern region of Uganda.

METHODS

this was a cross-sectional study among 405 adults attending diabetic outpatient clinics in Eastern Uganda between May 2021 and June 2021. Data of socio-demographic and clinical characteristics, perceived social support from family, and diabetes self-management were collected. Descriptive statistics were done and associations of socio-demographic and clinical characteristics, perceived social support from family with diabetes self-management were determined using Pearson Chi-square and Fisher´s exact tests.

RESULTS

the mean (SD) age was 52 (14.9) years, (60%) were female, majority (49.4%) were 45-64 years old. Perceived social support from family and optimum diabetes self-management were found in; (95.3%) and (87.4%) respectively. Perceived social support from family was associated with optimal diabetes self-management (p-value <0.001). Financial contribution from family members to cost of care and cohesion among family members in support of care were associated with optimal diabetes self-management both with a (p-value 0.001). Access to a functional glucometer was associated with optimal diabetes self-management (p-value <0.001).

CONCLUSION

among patients in Eastern Uganda, self-management for diabetes control is significantly associated with perception of receipt of support from their families.

摘要

简介

糖尿病患者的自我护理达到最佳状态,有助于实现良好的血糖控制并延缓并发症的发生。家庭支持是预测最佳自我护理行为的重要因素。然而,关于乌干达家庭支持与自我护理行为之间关系的了解甚少。本研究旨在确定乌干达东部地区糖尿病患者感知的来自直系亲属的社会支持与糖尿病自我管理之间的关系。

方法

这是一项在 2021 年 5 月至 2021 年 6 月期间在乌干达东部地区的糖尿病门诊就诊的 405 名成年人中进行的横断面研究。收集了社会人口学和临床特征、来自家庭的感知社会支持以及糖尿病自我管理的数据。进行了描述性统计,并使用 Pearson Chi-square 和 Fisher's exact 检验确定社会人口学和临床特征、来自家庭的感知社会支持与糖尿病自我管理之间的关联。

结果

平均(SD)年龄为 52(14.9)岁,60%为女性,大多数(49.4%)年龄在 45-64 岁之间。家庭感知的社会支持和最佳糖尿病自我管理的比例分别为 95.3%和 87.4%。家庭感知的社会支持与最佳糖尿病自我管理相关(p 值<0.001)。家庭成员在医疗费用方面的经济贡献以及家庭成员之间的凝聚力支持对护理与最佳糖尿病自我管理相关(p 值均为 0.001)。获得功能正常的血糖仪与最佳糖尿病自我管理相关(p 值<0.001)。

结论

在乌干达东部地区的患者中,糖尿病控制的自我管理与他们感知到来自家庭的支持显著相关。

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