在博茨瓦纳的糖尿病患者中,心理胰岛素抵抗
Engemadzo Bitsang1, Billy M Tsima, Keneilwe Motlhatlhedi
1Ministry of Health, Gaborone, Botswana; and Department of Family Medicine and Public Health, Faculty of Medicine, University of Botswana, Gaborone. ebitsang@gmail.com.
心理胰岛素抵抗 (PIR) 在博茨瓦纳的2型糖尿病患者中非常普遍. 解决患者和卫生系统因素,以及改善沟通和教育,对于及时启动胰岛素至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 糖尿病研究研究 糖尿病研究
- 公共卫生 公共卫生
背景情况:
- 及时启动胰岛素治疗对于管理2型糖尿病至关重要.
- 心理胰岛素抵抗 (PIR) 是开始胰岛素治疗的重要障碍.
- 了解PIR患病率和促成因素对于有效的糖尿病护理至关重要.
研究的目的:
- 确定博茨瓦纳2型糖尿病成年人中PIR的患病率.
- 在这个患者群体中识别与PIR相关的因素.
- 为克服胰岛素治疗障碍的策略提供信息.
主要方法:
- 在博茨瓦纳的一家主要糖尿病诊所进行了一项横截面研究.
- 228名被诊断患有2型糖尿病超过一年的成年患者参与了研究.
- 胰岛素治疗评估量表 (ITAS) 评估了人们对胰岛素治疗的态度.
主要成果:
- PIR的患病率很高,为82.9% (95% CI: 78.0 - 87.8).
- 与PIR显著相关的因素包括性别 (调整或0.44,p=0.029) 和治疗类型 (调整或1.58,p=0.023).
- 这些发现表明,与PIR相关的与患者相关的和与卫生系统相关的影响.
结论:
- 心理胰岛素抵抗是博茨瓦纳2型糖尿病管理的一个主要挑战.
- 改善患者与医疗服务提供者之间的沟通以及在诊断和整个治疗过程中全面的患者教育至关重要.
- 解决这些因素可以促进及时启动胰岛素并改善患者的治疗结果.
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