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首页> 美国卫生研究院文献>Diabetology international >The relationship between patient perception of healthcare provision by professionals and the self-care activity of patients with diabetes: Japanese subgroup analysis of the second Diabetes Attitudes Wishes and Needs (DAWN2) study
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The relationship between patient perception of healthcare provision by professionals and the self-care activity of patients with diabetes: Japanese subgroup analysis of the second Diabetes Attitudes Wishes and Needs (DAWN2) study

机译：患者对专业人员提供医疗保健的看法与糖尿病患者的自我保健活动之间的关系：第二项糖尿病态度愿望和需求（DAWN2）研究的日本亚组分析

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Data for a subgroup of Japanese diabetes patients from the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study were analyzed to investigate possible relationships between patient-perceived healthcare provision by healthcare professionals, patient self-care, and glycemic control, by focusing on the patient’s perception. Patients answered a questionnaire that was originally developed and validated for the DAWN2 study. Questions on their perception of healthcare provision, duration of self-care activity during the past 7 days, and their last HbA1c level were analyzed. Self-care activity for more than 5 days was regarded as good adherence. This analysis included 508 patients (81 type 1 and 427 type 2). Of the self-care activity, “taking physical activity” for both types of diabetes and “checking feet” for type 2 patients were implemented for longer among patients with the perception of equivalent care provision than among those without. Patients with perception of “examining feet” as healthcare provision also reported longer implementation of “following healthy diet”, “taking physical activity”, “testing blood sugar”, and “taking diabetes medications exactly” than those who did not; however, this trend was not observed for “testing blood sugar” among type 1 patients. HbA1c level was significantly lower among type 2 patients with good adherence to “following healthy diet” and “taking physical activity”. Association may exist between patients’ perceptions of diabetes care and improvement in self-care activity, and between more engagement in self-care activity and better HbA1c achievement as a treatment outcome. For better management, it is essential for healthcare professionals to provide care that patients can perceive.
机译：通过对第二个糖尿病态度，愿望和需求（DAWN2）研究中日本糖尿病患者亚组的数据进行分析，以关注于医疗专业人员对患者感知的医疗保健提供，患者自我护理和血糖控制之间的可能关系。患者的知觉。患者回答了最初为DAWN2研究开发并经过验证的问卷。分析了有关他们对医疗保健提供的看法，过去7天内的自我护理活动的持续时间以及他们最近的HbA1c水平的问题。超过5天的自我保健活动被认为是良好的依从性。该分析包括508位患者（81位1型和427位2型）。在自我护理活动中，对具有同等护理水平的患者而言，对两种糖尿病类型的“进行体育锻炼”和对2型患者进行“检查脚”的时间要长于没有进行这种活动的患者。被“检查脚”视为医疗保健措施的患者还报告说，与没有检查的患者相比，“遵循健康饮食”，“进行体育锻炼”，“测试血糖”和“准确服用糖尿病药物”的时间更长。但是，在1型患者中未观察到“测试血糖”的趋势。在坚持“遵循健康饮食”和“进行体育锻炼”的2型患者中，HbA1c水平显着降低。患者对糖尿病护理的看法与自我护理活动的改善之间可能存在关联，并且在参与自我护理活动的参与程度与治疗结果中更好的HbA1c成就之间可能存在关联。为了更好地管理，对于医疗保健专业人员来说，提供患者可以感知的护理至关重要。

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