糖尿病患者自我管理实践的障碍:印度南部沿海地区的一项基于设施的研究
Rekha T1, Murali Mohan R1, Nithin Kumar1
1Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
F1000Research
|March 21, 2025
概括
糖尿病患者在自我照顾方面面临着重大障碍,特别是在家庭支持和疾病知识方面. 较低的社会经济地位与理解健康信息的困难有关,影响糖尿病管理.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 患者护理 患者护理
背景情况:
- 糖尿病管理需要积极的患者自我照顾,包括饮食,运动,监测,药物和足部护理.
- 有效的DM自我管理对于实现最佳治疗结果和预防并发症至关重要.
- 患者的自我护理补充了治疗糖尿病的临床努力.
研究的目的:
- 评估糖尿病患者在自我保健实践中遇到的障碍.
- 在2型DM患者中确定与这些自我护理障碍相关的因素.
- 确定社会经济地位对理解糖尿病管理卫生文献的影响.
主要方法:
- 一项基于设施的横截面研究,涉及107名18岁以上的2型DM患者.
- 使用糖尿病障碍问卷-30 (DOQ-30) 识别自我护理挑战.
- 使用多项回归分析来检查年龄,性别,SES,DM持续时间和血糖水平等因素.
主要成果:
- 大多数参与者 (64.5%) 超过55岁,大多数 (65.4%) 的社会经济地位较低 (SES).
- 在"来自朋友和家人的支持" (平均分数3.73) 和"对疾病的了解" (平均分数3.58) 中发现了关键障碍.
- 较低的SES显著预测了理解卫生文献的困难 (P=0.002,OR=3.65).
结论:
- 糖尿病自我管理的主要障碍是朋友和家人的支持不足以及对疾病的知识有限.
- 社会经济地位对于那些难以理解医学文献的患者来说是一个重要的预测因素.
- 解决这些障碍对于改善糖尿病自我护理和患者结果至关重要.
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