Khan Maviya, Agarwal Monika, Usman Kauser, Mishra Prabhakar
Department of Community Medicine and Public Health, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Int J Appl Basic Med Res. 2023 Oct-Dec;13(4):246-254. doi: 10.4103/ijabmr.ijabmr_212_23. Epub 2023 Dec 8.
Globally, prevalence of diabetes is 10.5%, and in 2019, approximately 463 million adults were living with diabetes by 2045; this will increase to 700 million (10.9%). India is a diabetic capital of world, prevalence of diabetes in India is 8.3%.
This study aimed to assess self-care practices (SCPs) among type 2 diabetes mellitus (T2DM) patients, its predictors, and effect of SCP on glycemic control.
A cross-sectional hospital-based study was conducted among 300 known T2DM patients in the age group of 18-60 years attending noncommunicable diseases clinic at Secondary and Tertiary Care Hospitals of Lucknow, Uttar Pradesh, selected using two-stage purposive sampling method. Data were collected using a predesigned and pretested semi-structured questionnaire. Data were collected from consenting respondents on the sociodemographic profile (about their residence, gender, marital status, type of family, educational status, family income, employment status, etc.). SCP was assessed using Summary of Diabetes Self-Care Activities. Data were analyzed using SPSS.
Among 300 patients with a mean age 50 ± 8.9 years, the prevalence of good SCPs was 37%. Out of 189 T2DM patients with poor SCPs, 66.4% had uncontrolled blood sugar level (285.4 ± 67 mg/dL). Out of 73 T2DM patients with poor SCPs, 65.7% had uncontrolled glycated hemoglobin level (8.4% ± 2%), and this was statistically significant.
The practice of self-care was found to be suboptimal among patients with T2DM in the study.
全球糖尿病患病率为10.5%，到2045年，预计约有4.63亿成年人患有糖尿病；到2045年，这一数字将增至7亿（10.9%）。印度是世界糖尿病之都，印度的糖尿病患病率为8.3%。
本研究旨在评估2型糖尿病（T2DM）患者的自我护理行为（SCPs）、其预测因素以及SCP对血糖控制的影响。
采用两阶段目的抽样法，对北方邦勒克瑙市二级和三级护理医院非传染性疾病诊所就诊的300例年龄在18 - 60岁的已知T2DM患者进行了一项基于医院的横断面研究。使用预先设计和预测试的半结构化问卷收集数据。从同意参与的受访者处收集社会人口学资料（包括居住情况、性别婚姻状况、家庭类型、教育程度、家庭收入、就业状况等）。使用糖尿病自我护理活动总结评估SCP。数据采用SPSS进行分析。
300例患者的平均年龄为50±8.9岁，良好SCPs的患病率为37%。在189例SCPs较差的T2DM患者中，66.4%的患者血糖水平未得到控制（285.4±67mg/dL）。在73例SCPs较差的T2DM患者中，65.7%的患者糖化血红蛋白水平未得到控制（8.4%±2%），且具有统计学意义。
本研究发现T2DM患者的自我护理行为欠佳。
