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使用血糖幸福感量表评估2型糖尿病患者及其治疗医师的心理社会状况:一项多中心横断面研究。

Evaluation of the Psychosocial Status of Patients With Type 2 Diabetes Mellitus and Their Treating Physicians Using the Glycemic Happiness Scale: A Multicentric, Cross-sectional Study.

作者信息

Kalra Sanjay, Sahoo Abhay K, Shaikh Shehla, Deshmukh Vaishali, Godbole Shreerang, Joshi Ameya, Swain Jayashree, K M Prasanna Kumar, Reddy Sagili Vijaya B, Rani P Radha, Dhediya Rajnish, Mittal Rajan, Kotak Bhavesh P, Dhanaki Gauri

机构信息

Endocrinology, Bharti Research Institute of Diabetes & Endocrinology (BRIDE), Karnal, IND.

Endocrinology, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, IND.

出版信息

Cureus. 2025 Mar 7;17(3):e80209. doi: 10.7759/cureus.80209. eCollection 2025 Mar.

Abstract

BACKGROUND

The purpose of this study was to evaluate the psychosocial status of patients with type 2 diabetes (T2D) and treating physicians using a novel Glycemic Happiness (GH) scale.

METHODS

This was a real-world, prospective, multicentric, cross-sectional observational study. Male and female participants aged ≥ 18 years with a clinical diagnosis of T2D were eligible to take part. Additionally, the physicians with extensive T2D patient experience were enrolled in the study.

RESULTS

The study included a total of 400 participants of T2D and 27 physicians. The patient population consisted of 213 (53.3%) men and 187 (46.7%) women, with a mean age of 54.29 ± 12.05 years. The proportions of patients and physicians who were found to be happy were 50.5% and 90.8%, respectively. A statistically significant difference was found in the mean value of the GH score of insulin and oral antidiabetic drugs (OAD) for the physician component (P=0.0160). Although no significant difference in GH score was observed between insulin and OAD usage among the patients (P=0.9564), a significant difference was observed for dosage frequency of OAD (Once daily (OD) vs. three times daily (TID) (P=0.0034) and twice daily (BID) vs. TID (P=0.0324)). In the multiple regression analysis, GH in patients was found to be associated with glycated hemoglobin (HbA1c) and postprandial glucose (PPG) values.

CONCLUSIONS

High glucose levels and OAD dosage frequency have been negatively associated with GH in patients with T2D. To achieve long-term happiness and well-being in diabetes management, there is a need to focus on various aspects of GH among patients and physicians.

摘要

背景

本研究旨在使用一种新型的血糖幸福感(GH)量表评估2型糖尿病(T2D)患者和治疗医生的心理社会状况。

方法

这是一项真实世界、前瞻性、多中心、横断面观察性研究。年龄≥18岁且临床诊断为T2D的男性和女性参与者有资格参与。此外,有丰富T2D患者治疗经验的医生也被纳入研究。

结果

该研究共纳入400名T2D患者和27名医生。患者群体包括213名(53.3%)男性和187名(46.7%)女性,平均年龄为54.29±12.05岁。发现感到幸福的患者和医生的比例分别为50.5%和90.8%。在医生部分,胰岛素和口服抗糖尿病药物(OAD)的GH评分均值存在统计学显著差异(P = 0.0160)。虽然患者中胰岛素和OAD使用情况的GH评分未观察到显著差异(P = 0.9564),但OAD的给药频率存在显著差异(每日一次(OD)与每日三次(TID)(P = 0.0034)以及每日两次(BID)与TID(P = 0.0324))。在多元回归分析中,发现患者的GH与糖化血红蛋白(HbA1c)和餐后血糖(PPG)值相关。

结论

高血糖水平和OAD给药频率与T2D患者的GH呈负相关。为了在糖尿病管理中实现长期的幸福和健康,需要关注患者和医生GH的各个方面。

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