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沙特阿拉伯吉达国民警卫队卫生事务局初级保健中2型糖尿病患者对胰岛素治疗的认知与态度

Perception and attitude of type 2 diabetic patients toward insulin therapy in the primary care of National Guard for Health Affairs (NGHA) in Jeddah, Saudi Arabia.

作者信息

Alzahrani Abdullah M, Alshareef Reem J, Balubaid Marwan M, Alzahrani Mohammed, Alsoubhi Mohammed, Shaheen Mostafa

机构信息

Department of Family Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia.

Department of Health Science, College of Medicine King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

出版信息

J Family Med Prim Care. 2023 Nov;12(11):2768-2773. doi: 10.4103/jfmpc.jfmpc_2484_22. Epub 2023 Nov 21.

Abstract

PURPOSE/BACKGROUND: Our study explores and determines the perception toward insulin among patients with diabetes in the National Guard for Health Affairs (NGHA), Jeddah, the Kingdom of Saudi Arabia (KSA), and aims to gain insight into the causes of refusal. Patients with type 2 diabetes (T2D) are likely to need the use of insulin to keep blood glucose levels within normal range and delay the onset of diabetes-related problems. Individuals with diabetes may be hesitant to begin insulin therapy if they have a negative attitude toward it, which might add to the delay in beginning treatment.

MATERIALS AND METHODS

A cross-sectional study was conducted in the primary healthcare centers of the NGHA in Jeddah, Saudi Arabia. Data were collected through a validated self-administered questionnaire that was divided into three sections, with a total of 32 questions. The first section concerned demographic data, the second part was directed toward insulin users, and the last section was directed toward non-insulin patients.

RESULTS AND CONCLUSION

Our study collected 314 responses. Males constituted 54.8% of participants and insulin users resembled 45.7%. According to our study, important deterrents to starting insulin therapy among non-insulin users included the following: the cost of insulin, the pain associated with injections, the difficulty in maintaining food control while on insulin treatment, scarring at the injection site, and the weight gain impact. Factors that were found to influence compliance to insulin therapy among insulin users included fear of weight gain and self-administration of insulin.

摘要

目的/背景:我们的研究探讨并确定了沙特阿拉伯王国吉达市国家卫生事务卫队(NGHA)中糖尿病患者对胰岛素的看法,旨在深入了解拒绝使用胰岛素的原因。2型糖尿病(T2D)患者可能需要使用胰岛素来将血糖水平维持在正常范围内,并延缓糖尿病相关问题的发生。如果糖尿病患者对胰岛素治疗持消极态度,可能会对开始治疗有所犹豫,这可能会进一步延迟治疗的开始。

材料与方法

在沙特阿拉伯吉达市NGHA的初级医疗保健中心进行了一项横断面研究。通过一份经过验证的自填式问卷收集数据,该问卷分为三个部分,共有32个问题。第一部分涉及人口统计学数据,第二部分针对胰岛素使用者,最后一部分针对非胰岛素使用者。

结果与结论

我们的研究共收集到314份回复。男性占参与者的54.8%,胰岛素使用者占45.7%。根据我们的研究,非胰岛素使用者开始胰岛素治疗的重要阻碍因素包括:胰岛素成本、注射带来的疼痛、胰岛素治疗期间难以维持饮食控制、注射部位瘢痕形成以及体重增加的影响。在胰岛素使用者中,发现影响胰岛素治疗依从性的因素包括对体重增加的担忧和胰岛素的自我注射。

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