Sales Ibrahim, Bawazeer Ghada, Shahba Ahmad Abdul-Wahhab, Alkofide Hadeel
Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia.
Department of Pharmaceutics, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia.
Healthcare (Basel). 2024 Feb 22;12(5):521. doi: 10.3390/healthcare12050521.
The COVID-19 pandemic disrupted healthcare worldwide, potentially impacting disease management. The objective of this study was to assess the self-management behaviors of Saudi patients with diabetes during and after the COVID pandemic period using the Arabic version of the Diabetes Self-Management Questionnaire (DSMQ). A cross-sectional study was conducted in patients aged ≥18 years diagnosed with type 2 diabetes mellitus who had at least one ambulatory clinic visit in each of the specified time frames (Pre-COVID-19: 1 January 2019-21 March 2020; COVID-19 Time frame: 22 March 2020 to 30 April 2021) utilizing the DSMQ questionnaire, with an additional three questions specifically related to their diabetes care during the COVID pandemic. A total of 341 patients participated in the study. The study results revealed that the surveyed patients showed moderately high self-care activities post-COVID-19. Total DSMQ scores were significantly higher in patients aged >60 years versus younger groups ( < 0.05). Scores were significantly lower in patients diagnosed for 1-5 years versus longer durations ( < 0.05). Patients on insulin had higher glucose management sub-scores than oral medication users ( < 0.05). Overall, DSMQ scores were higher than the pre-pandemic Saudi population and Turkish post-pandemic findings. DSMQ results suggest that, while COVID-19 negatively impacted some self-management domains, the Saudi patients surveyed in this study upheld relatively good diabetes control during the pandemic. Further research is warranted on specific barriers to optimize diabetes care during public health crises.
新冠疫情扰乱了全球医疗保健系统，可能对疾病管理产生影响。本研究的目的是使用阿拉伯语版的糖尿病自我管理问卷（DSMQ）评估沙特糖尿病患者在新冠疫情期间及之后的自我管理行为。对年龄≥18岁、被诊断为2型糖尿病且在每个指定时间段（新冠疫情前：2019年1月1日至2020年3月21日；新冠疫情时间段：2020年3月22日至2021年4月30日）至少有一次门诊就诊的患者进行了一项横断面研究，使用DSMQ问卷，并额外增加了三个与他们在新冠疫情期间的糖尿病护理特别相关的问题。共有341名患者参与了该研究。研究结果显示，接受调查的患者在新冠疫情后表现出中等偏高的自我护理活动。60岁以上患者的DSMQ总得分显著高于较年轻组（<0.05）。确诊1 - 5年的患者得分显著低于病程较长的患者（<0.05）。使用胰岛素的患者血糖管理子得分高于口服药物使用者（<0.05）。总体而言，DSMQ得分高于疫情前的沙特人群以及土耳其疫情后的研究结果。DSMQ结果表明，虽然新冠疫情对一些自我管理领域产生了负面影响，但本研究中接受调查的沙特患者在疫情期间保持了相对良好的糖尿病控制。有必要进一步研究在公共卫生危机期间优化糖尿病护理的具体障碍。
