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在卢旺达推医院的2型糖尿病患者中,糖尿病自我管理的知识,实践和障碍
Marie Colombe Munezero1, Vedaste Bagweneza1, Theogene Kubahoniyesu2
1School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Patient preference and adherence
|November 10, 2025
概括
有效的糖尿病自我管理对于2型糖尿病 (T2DM) 控制至关重要. 尽管有良好的自我护理和知识,但许多卢旺达患者面临着影响其管理的财务和信息障碍.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的自我管理对于控制2型糖尿病 (T2DM) 和预防并发症至关重要.
- 患有T2DM的患者经常遇到阻碍他们遵守推护理实践的障碍.
- 了解这些障碍对于改善患者的治疗结果至关重要.
研究的目的:
- 评估有关T2DM的知识水平.
- 评估T2DM患者的自我护理实践.
- 在卢旺达转诊医院环境中识别糖尿病自我管理的障碍.
主要方法:
- 在基加利大学教学医院 (CHUK) 进行了一项定量,横截面的研究.
- 从140名T2DM患者收集数据,使用自我管理的结构化问卷.
- 采用了系统的抽样,并使用描述性统计和后勤回归分析数据.
主要成果:
- 大多数参与者 (73.6%) 经常练习糖尿病自我护理,而74.3%的人具有足够的T2DM知识.
- 然而,60.7%的人表示存在重大障碍,主要是财务限制和医疗保健提供者提供的信息不足.
- 年龄 (50-59岁),婚姻状况和较低的社会经济地位 (Ubudehe类别1) 等因素与障碍的增加有关,而高等教育和城市居住是保护性的.
结论:
- 卢旺达的许多T2DM患者表现出良好的自我护理和知识,但面临着巨大的障碍,特别是经济和教育方面的障碍.
- 需要针对糖尿病素养和社会经济不平等的干预措施.
- 加强自我管理是改善卢旺达T2DM患者长期结果的关键.
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