布基纳法索瓦加杜古的 1 型糖尿病青少年和年轻成人的糖尿病知识及相关因素。
Diabetes knowledge and associated factors in adolescents and young adults with type 1 diabetes in Ouagadougou (Burkina Faso).
机构信息
Service de médecine interne, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Institut Supérieur des Sciences de la Santé, Université Nazi BONI, Bobo Dioulasso, Burkina Faso.
出版信息
BMC Endocr Disord. 2023 Sep 30;23(1):210. doi: 10.1186/s12902-023-01469-1.
BACKGROUND
Type 1 diabetes (T1D) in youth is becoming a public health problem in Sub-Saharan Africa, including Burkina Faso. However, little is known about the level of knowledge of these patients on T1D. This study aimed to evaluate the knowledge of diabetes in adolescents and young adults about the disease, and identify the factors associated in Burkina Faso.
METHODS
A cross-sectional survey was conducted from April to June 2020 among youth with T1D, aged 10 to 30 years, and regularly followed in the internal medicine department of Yalgado Ouedraogo University Hospital of Ouagadougou, Burkina Faso. Data were collected using the French AJD (Aide aux Jeunes Diabétiques) validated diabetes knowledge and skills (DKS) questionnaire designed to test participants' accuracy in knowledge about six different themes of T1D, as generalities of diabetes, hypoglycemia and hyperglycemia, management of insulin treatment, and self-monitoring blood glucose (SMBG). DKS level was determined by calculating the scores, and univariate and multivariate logistic regression were used to explore factors influencing DKS scores. This level was classified as insufficient or low ≤ 25/50, regular 26-39/50, and adequate or good ≥ 40/50.
RESULTS
Sixty-three participants with a mean age of 19.05 years and a sex ratio (W/M) of 1.17 were included in our study. The mean HbA1c level was 9.79%, and 43 (68.23%) patients had an insufficient DKS level. The mean global DKS score of correct answers was 23.63/50. The percentage of correct answers was respectively 50% for the item "generalities of diabetes", 32.4% for the item "hypoglycemia and hyperglycemia", 67.72% for the item "diet", 37.34% for the item "management of insulin treatment" and 44.97% for the item "SMBG". In univariate analysis, a better patient DKS level was associated with university education and long duration of diabetes care follow-up (> 10 years, p < 0.05). Only increasing age remain associated with a better knowledge score (p < 0.05) in multivariate analysis.
CONCLUSION
This study is an important first step in identifying areas for intervention efforts about therapeutic education for youth with type I diabetes in Burkina Faso.
背景
1 型糖尿病（T1D）在撒哈拉以南非洲，包括布基纳法索，已成为一个公共卫生问题。然而，人们对这些患者对 T1D 的了解程度知之甚少。本研究旨在评估青少年和青年 T1D 患者对该疾病的认知水平，并确定与布基纳法索相关的因素。
方法
2020 年 4 月至 6 月期间，在布基纳法索瓦加杜古的 Yalgado Ouedraogo 大学医院内科，对年龄在 10 至 30 岁之间、定期接受 T1D 治疗的青少年进行了一项横断面调查。使用法国 AJD（Aide aux Jeunes Diabétiques）验证的糖尿病知识和技能（DKS）问卷收集数据，该问卷旨在测试参与者对 T1D 的六个不同主题的准确性，包括糖尿病的一般知识、低血糖和高血糖、胰岛素治疗管理和自我监测血糖（SMBG）。通过计算分数来确定 DKS 水平，采用单变量和多变量逻辑回归来探讨影响 DKS 分数的因素。该水平分为不足或低≤25/50、常规 26-39/50 和充足或好≥40/50。
结果
本研究共纳入 63 名参与者，平均年龄为 19.05 岁，性别比（W/M）为 1.17。平均 HbA1c 水平为 9.79%，43 名（68.23%）患者的 DKS 水平不足。正确答案的全球 DKS 平均分数为 23.63/50。各项目的正确答案百分比分别为：“糖尿病的一般知识”项目为 50%，“低血糖和高血糖”项目为 32.4%，“饮食”项目为 67.72%，“胰岛素治疗管理”项目为 37.34%，“SMBG”项目为 44.97%。单因素分析显示，患者的 DKS 水平与大学教育和糖尿病护理随访时间较长（>10 年，p<0.05）有关。多因素分析仅显示年龄增加与知识评分较好相关（p<0.05）。
结论
本研究是在布基纳法索识别 1 型糖尿病青年治疗教育干预措施重点领域的重要的第一步。
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