战争对乌克兰2型糖尿病患者的影响:一项调查研究
Oksana Sulaieva1,2, Viktoriia Yerokhovych3, Sergii Zemskov3
1Medical Laboratory CSD, Kyiv 02000, Ukraine.
EClinicalMedicine
|January 10, 2025
概括
战争在乌克兰显著恶化了2型糖尿病 (T2D) 的控制,增加了HbA1c水平. 关键的风险因素包括接触冲突,流离失所和医疗保健中断,突出了调整糖尿病管理策略的必要性.
科学领域:
- 内分泌学和糖尿病学
- 公共卫生 公共卫生
- 战争与健康研究 战争与健康研究
背景情况:
- 关于战争对乌克兰2型糖尿病 (T2D) 患者的健康影响的数据有限.
- 持续的冲突为管理T2D等慢性疾病带来了独特的挑战.
- 了解这些挑战对于调整医疗保健战略至关重要.
研究的目的:
- 评估战争对乌克兰T2D患者健康的影响.
- 确定在战争期间导致T2D进展的关键风险因素.
- 为改善患者支持而对糖尿病患者护理进行调整提供信息.
主要方法:
- 在2022年6月至2024年2月期间,乌克兰各地对1193名T2D患者进行了调查.
- 根据HbA1c变化 (>5%的增加) 患者被分为"进展"或"稳定"患者.
- 后勤回归和机器学习分析了影响T2D进展的内在因素和与战争有关的因素.
主要成果:
- 两年的战争与明显的中位数HbA1c从7.8%增加到8.4%.
- 见证袭击,占领,流离失所和家庭伤害加剧了T2D.
- 缺乏监测,咨询,一致的饮食和身体活动对HbA1c产生了负面影响.
结论:
- 战争对乌克兰T2D患者的健康产生了累积的不利影响.
- 与战争相关的直接和间接因素显著增加了T2D进展风险.
- 这些发现需要对糖尿病护理方案进行调整,以在冲突期间支持T2D患者.
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