门诊 2 型糖尿病患者疾病知识和态度的相关因素——一项多中心研究。
Factors associated with disease knowledge and attitude among ambulatory patients with type 2 diabetes - a multicenter study.
机构信息
Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.
出版信息
BMC Endocr Disord. 2024 Aug 26;24(1):158. doi: 10.1186/s12902-024-01696-0.
BACKGROUND
Diabetes is a multifactorial disease state that requires adequate patient monitoring for improved health outcomes. Diabetes knowledge and attitude, and associated factors such as medication adherence, medication discrepancy, health literacy, and glycemic control were evaluated in this study. The selected factors were also compared with diabetes knowledge and attitude.
METHODS
A cross-sectional study was carried out among ambulatory diabetes patients in three tertiary healthcare facilities in Nigeria. An interviewer-administered semi-structured questionnaire was utilized for data collection. Data was analysed using descriptive and inferential statistics with the level of significance set at p < 0.05.
RESULTS
A total of 188 diabetes patients participated in the study; 51 (27.1%) at the Federal Medical Center, Abeokuta, 69 (36.7%) at the University College Hospital, Ibadan, and 68 (36.2%) at the University of Ilorin Teaching Hospital, Ilorin. One hundred and twelve (59.6%) female patients participated in the study and patients' average age was 58.69 ± 13.68 years. Medication discrepancy was observed among 101 (53.7%) patients. One hundred and three (54.8%), 47 (25.0%) and 38 (20.2%) had high, medium, and low medication adherence, respectively. Ninety-one (48.4%) had high health literacy. Mean diabetes knowledge score was 14.64 ± 2.55 points out of a maximum obtainable score of 18 points. Mean diabetes attitude of patients was 62.50 ± 6.86 points out of a maximum obtainable score of 70 points. Significant positive association was observed between diabetes knowledge and health literacy (Beta = 0.021, p = 0.029). Diabetes knowledge was higher in patients with higher level of formal education (p = 0.046), higher diabetes attitude (p < 0.001) and high health literacy (p = 0.002). Patients' diabetes attitude was higher in individuals older than 60 years of age (p = 0.029), and those with high health literacy (p = 0.005).
CONCLUSIONS
The diabetes patients displayed good disease knowledge, attitude and medication adherence. Average levels of health literacy and medication discrepancy was observed among the patients. Significant differences were observed between patients' diabetes knowledge and level of formal education, diabetes attitude, health literacy and age. Patients' health literacy was significantly associated with diabetes knowledge.
背景
糖尿病是一种多因素疾病状态，需要对患者进行充分监测，以改善健康结局。本研究评估了糖尿病知识和态度以及相关因素，如药物依从性、药物差异、健康素养和血糖控制。所选因素也与糖尿病知识和态度进行了比较。
方法
在尼日利亚的三家三级医疗机构对门诊糖尿病患者进行了横断面研究。采用访谈者管理的半结构式问卷进行数据收集。使用描述性和推断性统计进行数据分析，显著性水平设置为 p < 0.05。
结果
共有 188 名糖尿病患者参加了研究；其中 51 名（27.1%）来自联邦医疗中心阿贝奥库塔，69 名（36.7%）来自伊巴丹大学教学医院，68 名（36.2%）来自伊洛林大学教学医院。共有 112 名（59.6%）女性患者参加了研究，患者平均年龄为 58.69 ± 13.68 岁。101 名（53.7%）患者存在药物差异。103 名（54.8%）、47 名（25.0%）和 38 名（20.2%）患者的药物依从性分别为高、中、低。91 名（48.4%）患者具有较高的健康素养。糖尿病知识的平均得分为 14.64 ± 2.55 分，满分 18 分。患者的平均糖尿病态度得分为 62.50 ± 6.86 分，满分 70 分。糖尿病知识与健康素养呈显著正相关（β=0.021，p=0.029）。具有较高正规教育水平（p=0.046）、较高糖尿病态度（p<0.001）和较高健康素养（p=0.002）的患者，其糖尿病知识得分更高。患者的糖尿病态度在年龄大于 60 岁的个体中更高（p=0.029），且在健康素养较高的个体中更高（p=0.005）。
结论
糖尿病患者表现出良好的疾病知识、态度和药物依从性。观察到患者的平均健康素养和药物差异水平。患者的糖尿病知识与正规教育水平、糖尿病态度、健康素养和年龄之间存在显著差异。患者的健康素养与糖尿病知识显著相关。
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