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在初级保健糖尿病管理中探索自我效能,自我护理和血糖控制之间的关系
Le Ho Thi Quynh Anh1,2, Nguyen Vu Quoc Huy3, Nguyen Minh Tam1
1Family Medicine Centre, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
SAGE open medicine
|December 30, 2024
概括
自我有效性是管理2型糖尿病的关键. 提高饮食的自我有效性有助于最佳的血糖控制,同时改善运动,监测和足部护理的自我有效性对于那些控制不佳的人来说至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 主要护理是指初级护理.
- 行为科学 行为科学
背景情况:
- 2型糖尿病 (PWDs) 的管理需要了解影响血糖控制的因素.
- 自我疗效和自我护理实践至关重要,但它们与血糖控制的相互作用需要在初级保健机构进一步调查.
研究的目的:
- 研究2型糖尿病患者的自我效能,自我护理活动和血糖控制之间的关系.
- 为初级保健提供有针对性的行为干预措施的发展提供信息.
主要方法:
- 在294名2型糖尿病患者的横截面研究中,使用糖尿病管理自我效能度量 (DMSES) 和糖尿病自我护理活动总结 (SDSCA).
- 使用多变量逻辑回归和网络分析 (高斯图形模型) 来分析数据.
- 研究了不同血糖控制子组之间的关系.
主要成果:
- 50.7%的参与者患有低于最佳的血糖控制.
- 更高的自我效能,更短的糖尿病持续时间,正常的腰围,没有并发症,以及口服低血糖剂的使用与更好的血糖控制有关.
- 网络分析显示,饮食坚持和自我效能在得到良好控制的糖尿病中有着强烈的联系;运动,监测和足部护理自我效能在次优控制中起着核心作用.
结论:
- 在初级保健中,自我效能在糖尿病管理中起着至关重要的作用.
- 对于最佳的血糖控制,专注于饮食的自我效能;对于次优的控制,优先考虑运动的自我效能,血糖监测和足部护理.
- 有针对性的干预措施,包括教育和电子健康工具,可以为患者提供更好的糖尿病自我管理能力.
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