在中国重新安置地区的2型糖尿病农民中控制血糖:混合方法研究
Yubing Lu1, Caixia Li2, Wei Xu1
1Department 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.
BMC endocrine disorders
|August 29, 2024
概括
在2型糖尿病 (T2DM) 的重新安置农民中,血糖控制很差,只有27.62%的人实现了控制. 低治疗遵从性和疾病意识是关键问题,需要针对这个脆弱人群进行有针对性的干预.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 农村卫生 农村卫生
背景情况:
- 中国的快速城市化导致农民迁移到城市重新安置地区.
- 在这些重新安置社区的农民中,对2型糖尿病 (T2DM) 的血糖控制存在有限的研究.
- 了解T2DM农民在重新安置后面临的挑战对于公共卫生倡议至关重要.
研究的目的:
- 在城市重新安置地区的T2DM农民中检查血糖控制状态.
- 确定血糖控制的决定因素,包括疾病认知和治疗遵守.
- 为制定有针对性的干预措施提供信息,以改善这种人群中的糖尿病管理.
主要方法:
- 在中国江省义乌 (2021年3月至2022年1月) 采用混合方法方法.
- 定量阶段:对181名T2DM农民进行人口统计,血糖控制,疾病认知和治疗遵守情况的调查.
- 定性阶段:与15名患者进行半结构面试,以探索他们对糖尿病管理的经验.
主要成果:
- 整体血糖控制率为27.62%.
- 平均疾病认知得分为2.5 ± 0.75,表明理解能力不足.
- 在67.96%的患者中,对治疗的遵守是不充分的,特别是在监测和定期审查方面.
结论:
- 量身定制的计划对于加强重新安置的T2DM农民的血糖控制至关重要.
- 通过有针对性的教育和支持,提高疾病意识和治疗遵从性至关重要.
- 进一步的研究应该调查各种治疗方案对这种人口中的血糖控制的影响.
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