Kumar Deepak, Burma Amrita, Peter Sherley, Ansari Mohd A, Patankar Anand
Department of Community Medicine, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan, Himachal Pradesh, India.
Department of Community Medicine, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman and Nicobar, India.
J Family Med Prim Care. 2024 Jul;13(7):2616-2622. doi: 10.4103/jfmpc.jfmpc_1804_23. Epub 2024 Jun 28.
Diabetes has emerged as a major chronic public health problem throughout the world. Self-management by diabetes patients is very important for controlling blood sugar levels and preventing complications of diabetes.
The present study was conducted to study self-management practices among diabetes patients and to analyse socio-demographic factors associated with them.
A cross-sectional analytical study was conducted among 230 randomly selected diabetes patients in the Andaman and Nicobar Islands. The self-management practices were measured by the diabetes self-management questionnaire (DSMQ).
The association of the DSMQ score with socio-demographic factors and blood sugar level was analysed by statistical tests like the T-test, analysis of variance (ANOVA) test, Tukey's honestly significant difference, and Chi-square test.
The mean DSMQ score of the diabetes patients was 29.55 ± 5.98. There was a significant difference between the mean DSMQ score and the educational level ( value = 0.009), residential status ( value = 0.037), and duration of diabetes ( value = 0.006). The subcomponent analysis of the DSMQ score revealed that the glucose management score of rural people (9.38 ± 3.36) was significantly higher ( value = 0.006) than that of urban people (8.32 ± 2.46), and the diet control score was significantly higher ( value = 0.02) in patients with normal post-prandial blood sugar (PPBS) (7.64 ± 2.18) than in patients with raised PPBS (6.96 ± 2.12).
Higher educational level, rural background, and long duration of diabetes were associated with better self-management practices. The patients with normal blood sugar levels showed higher diet control scores than the patients with raised blood sugar levels.
糖尿病已成为全球主要的慢性公共卫生问题。糖尿病患者的自我管理对于控制血糖水平和预防糖尿病并发症非常重要。
本研究旨在探讨糖尿病患者的自我管理行为，并分析与之相关的社会人口学因素。
在安达曼和尼科巴群岛对230名随机选取的糖尿病患者进行了横断面分析研究。自我管理行为通过糖尿病自我管理问卷（DSMQ）进行测量。
通过T检验、方差分析（ANOVA）检验、图基真实显著差异检验和卡方检验等统计方法分析DSMQ得分与社会人口学因素及血糖水平之间的关联。
糖尿病患者的DSMQ平均得分为29.55±5.98。DSMQ平均得分与教育水平（值=0.009）、居住状况（值=0.037）和糖尿病病程（值=0.006）之间存在显著差异。DSMQ得分的子成分分析显示，农村居民的血糖管理得分（9.38±3.36）显著高于城市居民（8.32±2.46）（值=0.006），餐后血糖正常（PPBS）患者的饮食控制得分（7.64±2.18）显著高于餐后血糖升高患者（6.96±2.12）（值=0.02）。
较高的教育水平、农村背景和较长的糖尿病病程与更好的自我管理行为相关。血糖水平正常的患者饮食控制得分高于血糖升高的患者。
