Balakrishnan Naveen K, Day Philip, Green Ronya, Cruz Inez, Schneider David, Kale Neelima J
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Department of Family and Community Health, University of Massachusetts Medical School, Worcester, MA.
PRiMER. 2023 Jun 26;7:20. doi: 10.22454/PRiMER.2023.437650. eCollection 2023.
We sought to assess self-care perception consistency between patients with type 2 diabetes mellitus and their physicians and characterize the psychosocial parameters influencing their respective perceptions.
We conducted a study of 627 patients with type 2 diabetes and their physicians throughout 12 family medicine residency clinics in Texas to analyze their respective perceptions of patient self-care. We utilized linear regression testing.
There was a lack of consistency in self-care perception between patients and physicians 31.2% of the time. Patient self-care perception was best predicted by the patients' diabetes distress scores (<.001) and last HbA1c (<.001).
Measuring a patient's diabetes distress may help physicians better understand a patient's self-care perception. By understanding a patient's self-care perception, the physician may be able to explore these notions of positive or negative self-care perception and even gently correct them when necessary. This may allow physicians to better align themselves with the patient, provide behavioral health interventions, and better target and communicate effective plans.
We suggest periodic assessment of diabetes distress and self-care perception to inform the need for education to improve self-efficacy.
我们试图评估2型糖尿病患者与其医生之间自我护理认知的一致性，并描述影响他们各自认知的社会心理参数。
我们在得克萨斯州的12家家庭医学住院医师诊所对627名2型糖尿病患者及其医生进行了一项研究，以分析他们对患者自我护理的各自认知。我们采用了线性回归测试。
患者与医生之间在31.2%的时间里自我护理认知缺乏一致性。患者的糖尿病困扰评分（<.001）和最近的糖化血红蛋白（<.001）对患者自我护理认知的预测效果最佳。
测量患者的糖尿病困扰可能有助于医生更好地理解患者的自我护理认知。通过了解患者的自我护理认知，医生或许能够探究这些关于积极或消极自我护理认知的观念，甚至在必要时温和地予以纠正。这可能使医生能够更好地与患者达成一致，提供行为健康干预措施，并更好地制定和传达有效的计划。
我们建议定期评估糖尿病困扰和自我护理认知，以确定是否需要进行教育来提高自我效能。
