T Rekha, R Murali Mohan, Kumar Nithin, Hegde Kausthubh, Unnikrishnan Bhaskaran, Mithra Prasanna, Holla Ramesh, Suma Balanarayana, Rao Aadithya M, Nikitha Patil, Sahama M Aysha Roushida
Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
F1000Res. 2023 Jul 17;12:839. doi: 10.12688/f1000research.138146.1. eCollection 2023.
Background The purpose of the study was to assess the obstacles faced by diabetes patients in their self-care and determine the factors associated with these obstacles. The management of diabetes mellitus (DM) extends beyond the clinician's efforts, with the responsibility of the care also being shared by the patient to achieve better treatment outcomes and prevent complications. Self-care management is the most important part of DM treatment, which includes diet, regular exercise, blood glucose monitoring, medication and foot care. Methods A facility-based cross-sectional study was conducted among 107 type 2 DM patients aged >18 years using the Diabetes Obstacles Questionnaire-30. Patients scoring a mean response score >3 were considered to have an obstacle. We included age, gender, socioeconomic status (SES), duration of DM and blood glucose levels as factors for regression analysis and a P value <0.05 was considered to be statistically significant. Results A large majority (64.5%, n = 69) of our participants were aged above 55 years and belonged to lower socio-economic status (65.4%, n = 70). Family history of DM was present in 41% (n=44) of the participants. The median duration of DM among the participant was 10 (4 - 7) years. In our study, the participants faced obstacles for two items in the domains: Support from Friends & Family (mean score: 3.73) and Knowledge of the Disease (mean score: 3.58). A multinominal regression analysis revealed SES was predictive of participants who could not understand information from literature with a P. value of 0.002 (OR: 3.65, CI: 1.60-8.338). Conclusion The two major obstacles to self-management practices that were identified were in the domains of Support from Friends and Family, and Knowledge of the Disease. Socioeconomic status was identified to be a predictive factor associated with the participants who are not able to understand information from the literature.
背景 本研究的目的是评估糖尿病患者在自我护理中面临的障碍，并确定与这些障碍相关的因素。糖尿病（DM）的管理不仅仅依赖于临床医生的努力，患者也需承担护理责任，以实现更好的治疗效果并预防并发症。自我护理管理是糖尿病治疗的最重要部分，包括饮食、规律运动、血糖监测、药物治疗和足部护理。
方法 采用糖尿病障碍问卷-30，对107名年龄大于18岁的2型糖尿病患者进行了一项基于机构的横断面研究。平均反应得分>3分的患者被认为存在障碍。我们将年龄、性别、社会经济地位（SES）、糖尿病病程和血糖水平作为回归分析的因素，P值<0.05被认为具有统计学意义。
结果 我们的大多数参与者（64.5%，n = 69）年龄在55岁以上，且社会经济地位较低（65.4%，n = 70）。41%（n = 44）的参与者有糖尿病家族史。参与者中糖尿病的中位病程为10（4 - 7）年。在我们的研究中，参与者在以下两个领域面临障碍：来自朋友和家人的支持（平均得分：3.73）和疾病知识（平均得分：3.58）。多项回归分析显示，SES是无法理解文献信息的参与者的预测因素，P值为0.002（OR：3.65，CI：1.60 - 8.338）。
结论 确定的自我管理实践的两个主要障碍在于来自朋友和家人的支持以及疾病知识领域。社会经济地位被确定为与无法理解文献信息的参与者相关的预测因素。
