Elhadidy Samah Saleh, El-Gilany Abdel-Hady, Abdel Ghani Badawi Mohamed Roshdi, Elbialy Aya Mohamed
Occupational Health and Industrial Medicine, Faculty of Medicine, Mansoura University, Egypt.
Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Egypt.
J ASEAN Fed Endocr Soc. 2024;39(2):70-78. doi: 10.15605/jafes.039.02.09. Epub 2024 Aug 2.
Work life of individuals with diabetes differs from that of those without diabetes. Work may interfere with diabetes self-management tasks, resulting in intentional hyperglycemia at work (IHW) and poor glycemic control. Diabetes affects work productivity due to work-related diabetes distress (WRDD) and impaired work ability (WA).
To estimate the prevalence and identify the predictors of always high, poor/very poor glycemic control, high WRDD and poor/moderate WA among workers with diabetes.
A cross-sectional study was done at the Specialized Medical Hospital Mansoura University, which included 323 working patients with diabetes. They were subjected to personal interviews to collect socio-demographic data, occupational, diabetes and other pertinent medical histories. Questionnaires for measuring IHW, WRDD and WA were completed. Clinical and A1c data were obtained from their records.
The prevalence of always high IHW, poor/very poor glycemic control, high WRDD and poor/moderate work ability was: 23.8%, 60.1%, 34.7% and 74.6%, respectively. The predictors of always high IHW were: 1) Below university education; 2) Treatment with insulin only or combined with oral drugs; and 3) High WRDD. The predictors of poor/very poor glycemic control were urban residence, always and almost high IHW. The predictors of high WRDD were mentallyrequiring jobs or both mentally- and physically-requiring jobs, duration of diabetes greater than 14 years and treatment with insulin. The predictors of poor/moderate WA were 'high' WRDD, 'almost high' and 'high a few times' IHW ratings.
Most of the studied population suffered mainly from poor/very poor glycemic control and poor/moderate work ability, while a lower proportion had high WRDD. This highlighted the need for workplace modifications and interventions to help workers with diabetes control their diabetes, improve their work ability and reduce WRDD to increase productivity.
糖尿病患者的工作生活与非糖尿病患者不同。工作可能会干扰糖尿病自我管理任务，导致工作时故意高血糖（IHW）和血糖控制不佳。糖尿病会因工作相关的糖尿病困扰（WRDD）和工作能力受损（WA）而影响工作效率。
估计糖尿病患者中始终高血糖、血糖控制差/非常差、WRDD高以及WA差/中等的患病率，并确定其预测因素。
在曼苏拉大学专科医院进行了一项横断面研究，纳入了323名在职糖尿病患者。对他们进行个人访谈以收集社会人口学数据、职业、糖尿病及其他相关病史。完成了用于测量IHW、WRDD和WA的问卷。从他们的记录中获取临床和糖化血红蛋白（A1c）数据。
始终高IHW、血糖控制差/非常差、WRDD高以及工作能力差/中等的患病率分别为：23.8%、60.1%、34.7%和74.6%。始终高IHW的预测因素为：1）大学以下学历；2）仅用胰岛素治疗或胰岛素与口服药物联合治疗；3）高WRDD。血糖控制差/非常差的预测因素为城市居住、始终和几乎高IHW。WRDD高的预测因素为脑力工作或脑力和体力兼有的工作、糖尿病病程大于14年以及胰岛素治疗。工作能力差/中等的预测因素为“高”WRDD、“几乎高”和“高几次”的IHW评分。
大多数研究人群主要存在血糖控制差/非常差和工作能力差/中等的问题，而WRDD高的比例较低。这突出表明需要对工作场所进行调整和干预，以帮助糖尿病患者控制糖尿病、提高工作能力并减少WRDD，从而提高生产力。
