Alsayed Hassan Diana, Helaluddin Fatema, Chahestani Ozra Hajebi, Mohamed Omnia, Islam Nazmul
Department of Public Health, College of Health Sciences, QU Health, Qatar University, Doha 2713, Qatar.
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON L8S 4K1, Canada.
Healthcare (Basel). 2022 Oct 25;10(11):2124. doi: 10.3390/healthcare10112124.
Diabetes self-management (DSM) practices are an important determinant of health-related outcomes, including health-related quality of life (HRQOL). The purpose of this study is to explore DSM practices and their relationship with the HRQOL of patients with type 2 diabetes in primary health care centers (PHCCs) in Qatar. In this cross-sectional study, data were collected from PHCC patients with diabetes via interview-administered questionnaires by utilizing two instruments: the DSM questionnaire (DSMQ) and the HRQOL Short Form (SF-12). Frequencies were calculated for categorical variables and medians were calculated for continuous variables that were not normally distributed. A statistical comparison between groups was conducted using chi-square for categorical data. Binary logistic regression was utilized to examine the relationship between the significant independent factors and the dependent variables. A total of 105 patients completed the questionnaire, 51.4% of whom were male. Approximately half of the participants (48.6%) reported poor overall DSM practices, and 50.5% reported poor physical health quality of life (PC) and mental health quality of life (MC). Female participants showed significantly higher odds of reporting poor DSM than male participants (OR, 4.77; 95% CI, 1.92-11.86; = 0.001). Participants with a secondary education (OR, 0.18; 95% CI, 0.04-0.81; = 0.025) and university education (OR, 0.18; 95% CI, 0.04-0.84; = 0.029) showed significantly lower odds of reporting poor DSM than participants with no/primary education. Older participants showed higher odds of reporting poor PC than younger participants (OR 11.04, 95% CI, 1.47-82.76 and OR 8.32; 95% CI, 1.10-62.86, respectively). Females also had higher odds for poor PC than males (OR 7.08; 95% CI, 2.21-22.67), while participants with a secondary (OR, 0.13; 95% CI, 0.03-0.62; = 0.010) and university education (OR, 0.11; 95% CI, 0.02-0.57; = 0.008) showed significantly lower odds of reporting poor MC. In conclusion, patients with diabetes reported poor overall DSM practices and poor HRQOL. Our findings suggest intensifying efforts to deliver culturally appropriate DSM education to patients and to empower patients to take charge of their health.
糖尿病自我管理（DSM）实践是包括健康相关生活质量（HRQOL）在内的健康相关结果的重要决定因素。本研究的目的是探讨卡塔尔初级卫生保健中心（PHCCs）中2型糖尿病患者的DSM实践及其与HRQOL的关系。在这项横断面研究中，通过使用两种工具，即DSM问卷（DSMQ）和HRQOL简表（SF-12），通过访谈式问卷从PHCC的糖尿病患者中收集数据。计算分类变量的频率，并计算非正态分布的连续变量的中位数。使用卡方检验对分类数据进行组间统计比较。采用二元逻辑回归分析显著独立因素与因变量之间的关系。共有105名患者完成了问卷，其中51.4%为男性。大约一半的参与者（48.6%）报告总体DSM实践较差，50.5%报告身体健康生活质量（PC）和心理健康生活质量（MC）较差。女性参与者报告DSM较差的几率显著高于男性参与者（OR，4.77；95%CI，1.92-11.86；P = 0.001）。接受中等教育的参与者（OR，0.18；95%CI，0.04-0.81；P = 0.025）和大学教育的参与者（OR，0.18；95%CI，0.04-0.84；P = 0.029）报告DSM较差的几率显著低于未接受教育/小学教育的参与者。年龄较大的参与者报告PC较差的几率高于较年轻的参与者（OR分别为11.04，95%CI，1.47-82.76和OR 8.32；95%CI，1.10-62.86）。女性报告PC较差的几率也高于男性（OR 7.08；95%CI，2.21-22.67），而接受中等教育（OR，0.13；95%CI，0.03-0.62；P = 0.010）和大学教育的参与者（OR，0.11；95%CI，0.02-0.57；P = 0.008）报告MC较差的几率显著较低。总之，糖尿病患者报告总体DSM实践较差且HRQOL较差。我们的研究结果表明，应加大力度为患者提供符合文化背景的DSM教育，并使患者有能力掌控自己的健康。
