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Relation between psychosocial variables and the glycemic control of patients with type 2 diabetes: A cross-sectional and prospective study

机译:2型糖尿病患者心理社会变量与血糖控制之间的关系:一项横断面和前瞻性研究

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Background This cross-sectional and prospective study used a variety of psychological inventories to evaluate the relationship between psychosocial factors and the glycemic control of patients with type 2 diabetes. Methods Participants were 304 patients with type 2 diabetes who were treated as outpatients at diabetes clinics. All participants were assessed for HbA1c and completed the following self-report psychological inventories: 1) Diabetes Treatment Satisfaction Questionnaire (DTSQ), 2) Problem Areas in Diabetes Survey (PAID), 3) Well-being Questionnaire 12 (W-BQ12), 4) Self-Esteem Scale (SES), 5) Social Support Scale, and 6) Self-Efficacy Scale. HbA1c was again measured one year later. The relationships between the psychosocial variables obtained by analysis of the psychological inventories and baseline or one-year follow-up HbA1c were determined. Results Baseline HbA1cwas significantly correlated with age, diet treatment regimen, number of microvascular complication of diabetes, and the total scores of DTSQ, W-BQ12, PAID, SES and the Self-Efficacy Scale. Hierarchical stepwise multiple regression revealed that significant predictors of baseline HbA1c were total DTSQ and PAID scores, along with age, diet treatment regimen, and number of microvascular complication of diabetes after adjustment for demographic, clinical and other psychosocial variables. Two hundred and ninety patients (95.4% of 304) were followed and assessed one year after baseline. Hierarchical stepwise multiple regression analysis showed the significant predictors of follow-up HbA1c to be total DTSQ and PAID scores, along with age and diet treatment regimen. However, the correlation between baseline and follow-up HbA1c was so high that the only other variable to retain significance was diet treatment regimen once baseline HbA1c was included in the regression of follow-up HbA1c. Conclusion The DTSQ and the PAID predicted both current and future HbA1c to a similar and significant degree in patients with type 2 diabetes.
机译:背景这项横断面和前瞻性研究使用了各种心理清单来评估2型糖尿病患者的心理社会因素与血糖控制之间的关系。方法纳入304例2型糖尿病患者,在糖尿病门诊就诊。所有参与者均接受了HbA 1c 评估,并完成了以下自我报告的心理调查:1)糖尿病治疗满意度问卷(DTSQ),2)糖尿病调查中的问题领域(PAID),3)福利问卷12(W-BQ12),4)自尊量表(SES),5)社会支持量表和6)自我效能量表。一年后再次测量了HbA 1c 。确定了通过心理清单分析获得的心理社会变量与基线或一年随访HbA 1c 的关系。结果基线HbA 1c 与年龄,饮食治疗方案,糖尿病微血管并发症的数量以及DTSQ,W-BQ12,PAID,SES和自我效能感量表的总分显着相关。分层逐步多元回归分析显示,基线HbA 1c 的重要预测指标是总DTSQ和PAID得分,以及年龄,饮食治疗方案以及根据人口统计学,临床和其他社会心理因素进行调整后的糖尿病微血管并发症的数量变量。基线后一年随访了290名患者(占304名患者的95.4%)并进行了评估。分层逐步多元回归分析显示,随访HbA 1c 的重要预测指标是总DTSQ和PAID得分,以及年龄和饮食治疗方案。但是,基线和随访HbA 1c 之间的相关性很高,一旦回归中包括基线HbA 1c ,唯一保持显着性的变量是饮食治疗方案随访HbA 1c 。结论DTSQ和PAID在2型糖尿病患者中预测当前和未来HbA 1c 的程度相似且显着。

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