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探讨新冠疫情期间 2 型糖尿病患者对新冠病毒的恐惧、治疗依从性和代谢控制情况。

Investigation of COVID-19 fear, treatment compliance, and metabolic control of patients with type 2 diabetes mellitus during the pandemic.

机构信息

Department of Internal Medicine Nursing, Malatya Turgut Özal University, Faculty of Health Sciences, Battalgazi, Malatya, Turkey.

Department of Internal Medicine, Malatya Turgut Özal University, Faculty of Medicine, Battalgazi, Malatya, Turkey.

出版信息

Prim Care Diabetes. 2022 Oct;16(5):658-663. doi: 10.1016/j.pcd.2022.08.005. Epub 2022 Aug 15.

Abstract

AIMS

This study was carried out to investigate fear levels, treatment compliance, and metabolic control of type II Diabetes Mellitus patients during the COVID-19 pandemic.

METHODS

The study employed a single-center, observational design and was conducted between January and April 2021. The study consisted of 303 patients who attended the internal medicine outpatient clinic of a university hospital in Turkey. For data collection, the Patient Identification Form, COVID-19 Fear Scale, and the Type II Diabetes Treatment Compliance Scale were used. The study complied with the Helsinki Declaration criteria. IBM SPSS v25.0 statistics package program was used for data analysis.

RESULTS

The mean age of the patients was 45.8 ± 7.5 years, the mean duration of illness was 8.2 ± 3.6 years. Moreover, 40.6% of patients presented with poor levels of treatment compliance. In addition, the mean FCV-19S score of the patients was 29.1 ± 3.05. It was noticeable that those with high mean scores of FCV-19S had poor compliance with treatment and metabolic control during the pandemic (p < 0.05).

PRACTICE IMPLICATIONS

Fear of COVID-19 negatively affects treatment compliance and metabolic control of type II diabetes patients. The patients avoided attending their regular follow-ups at the hospital due to fear of contracting COVID-19. In order to reduce the fear of COVID-19 it is paramount to maintain optimum metabolic control and treatment compliance.

摘要

目的

本研究旨在调查 COVID-19 大流行期间 II 型糖尿病患者的恐惧水平、治疗依从性和代谢控制情况。

方法

该研究采用单中心观察设计,于 2021 年 1 月至 4 月进行。研究包括土耳其一所大学医院内科门诊的 303 名患者。为了收集数据,使用了患者识别表、COVID-19 恐惧量表和 II 型糖尿病治疗依从性量表。本研究符合赫尔辛基宣言的标准。使用 IBM SPSS v25.0 统计软件包程序进行数据分析。

结果

患者的平均年龄为 45.8 ± 7.5 岁,平均病程为 8.2 ± 3.6 年。此外,40.6%的患者治疗依从性差。此外,患者的平均 FCV-19S 得分为 29.1 ± 3.05。值得注意的是,那些 FCV-19S 平均得分较高的患者在大流行期间治疗依从性和代谢控制较差(p < 0.05)。

实践意义

对 COVID-19 的恐惧会对 II 型糖尿病患者的治疗依从性和代谢控制产生负面影响。由于担心感染 COVID-19,患者避免定期到医院进行随访。为了降低对 COVID-19 的恐惧,保持最佳的代谢控制和治疗依从性至关重要。

相似文献

本文引用的文献

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COVID-19 and diabetes: The why, the what and the how.新型冠状病毒肺炎与糖尿病:原因、影响与应对。
J Diabetes Complications. 2020 Sep;34(9):107637. doi: 10.1016/j.jdiacomp.2020.107637. Epub 2020 May 22.

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