Nguyen Thao Ngoc Phuong, Thi Chi Nguyen, Phuong Trang Pham Thi, Ngoc Quy Nguyen, Pham Hong Tham
Department of Pharmacy, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.
Department of Pharmacy, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam.
J Diabetes Res. 2025 Jul 30;2025:9970845. doi: 10.1155/jdr/9970845. eCollection 2025.
In Vietnam, diabetes-related knowledge and self-management practices remain suboptimal, with limited interventions addressing the diverse counseling needs of Type 2 diabetes (T2D) patients. This study is aimed at identifying the counseling topics most preferred by T2D patients and examine the factors influencing their preferences to inform the development of targeted, cost-effective health counseling initiatives. A cross-sectional, descriptive study was conducted among 460 outpatients with T2D using structured interviews and medical records. Participants selected one of three counseling topics: disease-related knowledge (which provided information on the causes, symptoms, complications, and treatment options for T2D), nutrition and lifestyle (which included personalized guidance on food choices, healthy eating patterns, physical activity, and weight management), or medication information (which provided education on prescribed medications, dosage, timing, potential side effects, and proper administration). Multinomial logistic regression was employed to identify sociodemographic and clinical factors associated with counseling preferences. Among the participants, nutrition and lifestyle counseling was the most preferred topic (49%), followed by disease-related knowledge (33%), and medication information (18%). Factors influencing preferences included occupational status, and complications were significantly associated with a preference for disease-related knowledge ( = 0.021 and = 0.029, respectively). Marital status and complications influenced the preference for nutrition and lifestyle counseling ( = 0.043 and = 0.011, respectively). Medication regimen and achieving target fasting blood glucose levels predicted a preference for medication information counseling ( < 0.05 and < 0.001, respectively). This study serves as a reference for developing tailored health counseling programs to the specific needs of T2D patients. Personalized counseling approaches, particularly focusing on nutrition, lifestyle, and medication management, are critical for optimizing patient care and improving self-management. This study demonstrates that personalized counseling approaches, particularly in nutrition, lifestyle, and medication management, are critical for optimizing patient care and improving self-management. Additionally, it provides valuable insights for healthcare providers, policymakers, researchers, and stakeholders in implementing individualized care for T2D by considering specific factors that influence intervention choices.
在越南，糖尿病相关知识和自我管理实践仍不尽人意，针对2型糖尿病（T2D）患者多样化咨询需求的干预措施有限。本研究旨在确定T2D患者最喜欢的咨询主题，并研究影响其偏好的因素，以为制定有针对性、具有成本效益的健康咨询举措提供依据。对460名T2D门诊患者进行了一项横断面描述性研究，采用结构化访谈和病历资料。参与者从三个咨询主题中选择其一：疾病相关知识（提供有关T2D病因、症状、并发症和治疗选择的信息）、营养与生活方式（包括食物选择、健康饮食模式、体育活动和体重管理方面的个性化指导）或用药信息（提供有关处方药、剂量、用药时间、潜在副作用和正确用药方法的教育）。采用多项逻辑回归分析来确定与咨询偏好相关的社会人口统计学和临床因素。在参与者中，营养与生活方式咨询是最受欢迎的主题（49%），其次是疾病相关知识（33%）和用药信息（18%）。影响偏好的因素包括职业状况，并发症与对疾病相关知识的偏好显著相关（分别为 = 0.021和 = 0.029）。婚姻状况和并发症影响对营养与生活方式咨询的偏好（分别为 = 0.043和 = 0.011）。用药方案和达到空腹血糖目标水平预示着对用药信息咨询的偏好（分别为 < 0.05和 < 0.001）。本研究为根据T2D患者的特定需求制定量身定制的健康咨询项目提供了参考。个性化咨询方法，特别是关注营养、生活方式和用药管理，对于优化患者护理和改善自我管理至关重要。本研究表明，个性化咨询方法，特别是在营养、生活方式和用药管理方面，对于优化患者护理和改善自我管理至关重要。此外，它为医疗服务提供者、政策制定者、研究人员和利益相关者在考虑影响干预选择的具体因素来实施T2D个体化护理方面提供了宝贵的见解。
