多民族亚洲人群中糖尿病并发症查的不遵守:混合方法前性研究协议
Amudha Aravindhan1,2, Eva Fenwick1,2, Aurora Wing Dan Chan1
1Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
JMIR research protocols
|May 9, 2025
概括
这项研究招募了近1000名2型糖尿病患者,以了解每年针对糖尿病视网膜病变,病和足部并发症进行查的不遵守情况. 基线数据收集了关于不遵守规则的预测因素,以供未来分析.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 糖尿病管理 糖尿病管理
背景情况:
- 建议糖尿病患者每年进行糖尿病视网膜病变 (DR),糖尿病病变 (DN) 和糖尿病足并发症 (DFC) 的查.
- 对这些查的不良遵守是常见的,但关于其规模和预测因素的数据在新加坡缺乏.
研究的目的:
- 确定新加坡2型糖尿病患者不遵守DR,DN和DFC查的比率,预测因素和影响.
- 描述与不遵守相关的方法和基线特征.
主要方法:
- 这是一项前性混合方法研究,涉及新加坡6个初级保健中心的974名患者.
- 不遵守定义为在4个月内错过年度重新选预约.
- 收集了基线社会人口统计,医学和患者报告的数据;计划进行定性访谈.
主要成果:
- 75.4%的人参加了DR,61.9%的DN和80.7%的DFC查.
- 高患高血压 (73.4%),失脂症 (85.1%) 和肥胖 (43.1%) 的高患病率.
- 超过一半 (55.1%) 缺乏先前的糖尿病教育;报告了与糖尿病相关的低自我有效性.
结论:
- 将近1000名2型糖尿病患者被纳入,并系统地收集了潜在的不坚持预测因素.
- 后续行动将确定不遵守率和可修改的预测指标,以告知计划倡议.
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