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中国移民安置区 2 型糖尿病农民的血糖控制:混合方法研究。

Blood glucose control among type 2 diabetic farmers in Chinese resettlement areas: a mixed methods study.

机构信息

Department of Nursing, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, 322000, Zhejiang, China.

Inpatient department, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Zhejiang, China.

出版信息

BMC Endocr Disord. 2024 Aug 29;24(1):163. doi: 10.1186/s12902-024-01686-2.

DOI:10.1186/s12902-024-01686-2
PMID:39210478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11360284/
Abstract

BACKGROUND

Due to China's rapid urbanization, many farmers have relocated to urban resettlement regions. There is limited research on the glycemic control of Type 2 diabetes mellitus (T2DM) farmers in these areas. This study examined their blood glucose control and its determinants.

METHODS

This study took place from March 2021 to January 2022 in a resettlement community in Yiwu, Zhejiang Province, China. In the first phase, a quantitative survey of 181 T2DM farmers was conducted using a questionnaire to gather demographic data, blood glucose control status, disease cognition levels, and treatment compliance. Inclusion criteria were migrant workers with ≥ 3 months of residence and local household registration and T2DM patients who met the diagnostic criteria of the Chinese guidelines. In the second phase, qualitative research involved face-to-face, semi-structured interviews with 15 patients with varying blood glucose control levels to analyze their experiences.

RESULTS

The blood glucose control rate in this particular group was 27.62%, and the average disease cognition score was 2.5 ± 0.75. Many patients (67.96%) had inadequate treatment compliance, specifically in monitoring compliance (4.45 ± 1.92) and regular review compliance (3.58 ± 1.74).

CONCLUSION

There is a need for tailored programs to improve glycemic control among resettled farmers. Enhancing disease awareness and treatment compliance through targeted education and support is crucial. Further studies are needed to evaluate different treatment regimens' impact on glycemic control.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

由于中国快速的城市化进程,许多农民已经搬迁到城市安置区。对于这些地区的 2 型糖尿病农民的血糖控制情况,研究还很有限。本研究旨在考察他们的血糖控制情况及其决定因素。

方法

本研究于 2021 年 3 月至 2022 年 1 月在浙江省义乌市的一个安置社区进行。第一阶段,采用问卷调查法对 181 名 2 型糖尿病农民进行了定量调查,收集了人口统计学数据、血糖控制状况、疾病认知水平和治疗依从性。纳入标准为居住时间≥3 个月且具有本地户籍的农民工和符合中国指南诊断标准的 2 型糖尿病患者。第二阶段,采用面对面、半结构化访谈的方法对 15 名血糖控制水平不同的患者进行了定性研究,以分析他们的经历。

结果

该群体的血糖控制率为 27.62%,平均疾病认知得分为 2.5±0.75。许多患者(67.96%)治疗依从性不足,特别是在监测依从性(4.45±1.92)和定期复查依从性(3.58±1.74)方面。

结论

需要为安置农民制定专门的计划来改善血糖控制。通过有针对性的教育和支持来提高疾病认识和治疗依从性至关重要。需要进一步研究评估不同治疗方案对血糖控制的影响。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ef/11360284/d0ee352bd98c/12902_2024_1686_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ef/11360284/d0ee352bd98c/12902_2024_1686_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ef/11360284/d0ee352bd98c/12902_2024_1686_Fig1_HTML.jpg

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