埃塞俄比亚西南部2型糖尿病患者的血糖控制和相关因素:一项前性观察性研究
Aster Wakjira Garedo1,2, Gorfineh Teshome Tesfaye3, Rahel Tamrat4
1School of Pharmacy, Jimma University, Jimma, Ethiopia. asterwakjira@gmail.com.
BMC endocrine disorders
|December 5, 2024
概括
低血糖控制影响了埃塞俄比亚一半以上的2型糖尿病患者. 女性性别,年龄较大,糖尿病持续时间较长,胰岛素使用,肥胖,并发症和自我护理不良等因素显著影响血糖控制.
科学领域:
- 内分泌学和新陈代谢学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 糖尿病 (DM) 是一个全球性的健康危机,全球有超过50亿人受到影响.
- 2型糖尿病 (T2DM) 构成了重大的公共卫生挑战,特别是关于血糖控制不良的问题.
- 有效的管理策略需要了解导致不同人群血糖控制不足的因素.
研究的目的:
- 评估埃塞俄比亚西南部吉玛医疗中心T2DM患者的血糖控制状态.
- 在这个患者队列中,确定与血糖控制不良相关的关键因素.
主要方法:
- 在吉玛医疗中心进行了一项涉及420名T2DM患者的前性观察性研究.
- 用面试官管理的问卷和患者记录检查清单收集数据.
- 采用二进制逻辑回归分析来确定与低血糖控制相关的变量 (p <0.05).
主要成果:
- 超过一半 (58.1%) 的参与者表现出不受控制的禁食血糖水平.
- 与血糖控制不良的显著关联包括女性性别 (AOR=2.576),年龄≥60 (AOR=2.024),糖尿病持续时间>10年 (AOR=3.036),胰岛素+OAD治疗 (AOR=2.08),肥胖 (AOR=2.18),糖尿病并发症 (AOR=3.193) 和自我护理不良 (AOR=3.034).
结论:
- 在吉玛医疗中心观察到低血糖控制的高患病率.
- 医疗保健提供者应优先考虑患者自我护理,体重管理和并发症预防方面的教育,以改善T2DM患者的血糖控制.
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