尼日利亚2型糖尿病患者的自我护理行为和血糖控制:一个试点横截面研究
Muhammad Idris Abdullahi1,2,3, Yanxin Bi1, Minmin Wang1
1Department of Global Health, School of Public Health, Peking University, Beijing, China.
Global health research and policy
|November 11, 2025
概括
饮食,运动和葡萄糖监测等自我护理实践对于管理2型糖尿病 (T2DM) 至关重要. 改善这些行为可以使尼日利亚患者在接受专业护理时更好地控制血糖.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 糖尿病管理 糖尿病管理
背景情况:
- 自我护理对于2型糖尿病 (T2DM) 管理至关重要,但它对尼日利亚患者在专业护理环境中的血糖控制的影响尚未得到充分研究.
- 这项研究通过检查自我护理实践及其与尼日利亚Gusau的T2DM患者血糖结果的关联来解决这一差距.
研究的目的:
- 评估T2DM患者在尼日利亚Gusau的专业内分泌诊所的自我护理实践.
- 确定各种自我护理行为与血糖控制 (禁食血糖水平) 之间的关联.
主要方法:
- 一项涉及262名来自尼日利亚Gusau两个内分泌诊所的成年T2DM患者的横截面研究.
- 通过人口统计调查问卷,糖尿病自我护理活动总结 (SDSCA) 和莫里斯基药物坚持量表 (MMAS-4) 收集的数据.
- 为评估血糖控制测量禁食血糖水平;用于分析的逻辑和线性回归.
主要成果:
- 45.8%的参与者没有控制的空腹血糖 (≥7 mmol/L).
- 较高的整体自我护理得分与更好的血糖控制 (OR 0.83) 有关.
- 坚持饮食 (OR 0.72),身体活动 (OR 0.74) 和血糖监测 (OR 0.22) 与改善的血糖结局有显著联系. 足部护理和药物坚持没有显示出显著的关联.
结论:
- 自理行为,特别是饮食,体力活动和葡萄糖监测,与尼日利亚Gusau的T2DM患者的血糖控制有显著的关联.
- 需要文化定制的干预措施来加强对这些自我护理实践的坚持.
- 支持自我管理至关重要,即使对于那些能够获得专门临床护理的患者来说也是如此.
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