Department of Internal Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Ethiop J Health Sci. 2022 May;32(3):587-596. doi: 10.4314/ejhs.v32i3.15.
A comprehensive cardiovascular risk control reduces diabetes-associated complications but achieving the triplet goals (blood glucose, blood pressure (BP), and low-density lipoprotein (LDL-C)) remains a clinical challenge. Patients' knowledge of these diabetes therapeutic goals has been shown to improve glycemic control. However, this is not well studied in Ethiopia.
A cross-sectional study was conducted from March to June 2020 in Tikur Anbessa Specialized Hospital among randomly selected 419 patients with type 2 diabetes. Data was collected using a pretested, structured questionnaire. A multivariable binary logistic regression was fitted to identify determinants of knowledge.
The mean age (±SD) of study participants was 57.4 (±10.8) years and the median duration (IQR) of diabetes was 12 (7, 20) years. A quarter of them achieved fasting glycemic control, a fifth of them attained the A1c goal and only 3% achieved the triple targets. Patients who reported knowing their target goals for BP, fasting blood sugar (FBS), A1C, and LDL-C were 79.5, 77.3, 11.7, and 7.2% respectively. The factors associated with knowledge of the therapeutic goals were longer diabetes duration, increased household income, age, being divorced as compared to married, having no formal education, and primary education.
The majority of participants knew their BP and FBS targets while only a minority understood their A1c and LDL-C targets. It highlighted the need for the provision of patient-centered diabetes education to improve knowledge of the therapeutic targets.
全面的心血管风险控制可降低糖尿病相关并发症，但实现三项目标（血糖、血压（BP）和低密度脂蛋白（LDL-C））仍然是临床挑战。患者对这些糖尿病治疗目标的了解已被证明可改善血糖控制。然而，在埃塞俄比亚，这方面的研究并不多。
2020 年 3 月至 6 月，在提克阿凡贝萨专科医院，对随机抽取的 419 名 2 型糖尿病患者进行了横断面研究。使用预先测试的结构化问卷收集数据。采用多变量二项逻辑回归来确定知识的决定因素。
研究参与者的平均年龄（±SD）为 57.4（±10.8）岁，糖尿病的中位数（IQR）持续时间为 12（7，20）年。四分之一的患者空腹血糖控制达标，五分之一的患者达到 A1c 目标，只有 3%的患者达到三项目标。报告知晓自己的 BP、空腹血糖（FBS）、A1C 和 LDL-C 目标的患者分别为 79.5%、77.3%、11.7%和 7.2%。与治疗目标知识相关的因素包括糖尿病持续时间较长、家庭收入增加、年龄、离异而非已婚、无正规教育和小学教育。
大多数参与者知道自己的 BP 和 FBS 目标，但只有少数人了解自己的 A1c 和 LDL-C 目标。这突出表明需要提供以患者为中心的糖尿病教育，以提高对治疗目标的了解。
