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首页> 外文期刊>Asia Pacific Family Medicine >A cross-sectional study of the differences in diabetes knowledge, attitudes, perceptions and self-care practices as related to assessment of chronic illness care among people with diabetes consulting in a family physician-led hospital-based first line health service and local government health unit-based health centers in the Philippines
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A cross-sectional study of the differences in diabetes knowledge, attitudes, perceptions and self-care practices as related to assessment of chronic illness care among people with diabetes consulting in a family physician-led hospital-based first line health service and local government health unit-based health centers in the Philippines

机译：在家庭医生主导的医院一线医疗服务和地方政府医疗服务中，通过对糖尿病患者进行慢性病护理评估相关的糖尿病知识，态度，观念和自我护理实践的差异的横断面研究菲律宾的单位医疗中心

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Background The purpose of this study was to investigate differences in diabetes knowledge, attitudes and perceptions (KAP), self-care practices as related to assessment of chronic illness care among people with diabetes consulting in a family physician-led tertiary hospital-based out-patient clinic versus local government health unit-based health centers in the Philippines. Methods People with diabetes consulting in the said primary care services were interviewed making use of questionnaires adapted from previously tested and validated KAP questionnaires and the patients’ assessment of chronic illness care (PACIC) questionnaire. Adherence to medications, diabetes diet, and exercise and the number of diabetes consultations were asked. Analysis of variance was used to determine differences in KAP, self-care practices, and PACIC and regression analysis was used to determine any associations of the abovementioned variables to the PACIC ratings. Results A total of 549 respondents were included in the study. Differences in knowledge, attitudes, perceptions, PACIC, utilization of health services, and adherence to medications and exercise were all statistically significant. Ratings for diabetes knowledge, positive attitudes, and the perceptions of support attitudes and the abilities to perform self care, and the proportions of those properly utilizing health services and adhering to medications and exercise were higher while ratings for negative attitudes, perceived support needs, perceived support received and PACIC were lower among those consulting in the family physician-led health service. Conclusions Combining family medicine-based approaches with culturally competent diabetes care may improve knowledge, attitudes, perceptions and self-care practices of and collaborative care with people with diabetes.
机译：背景技术本研究的目的是调查在以家庭医生为主导的三级医院进行咨询的情况下，糖尿病患者的糖尿病知识，态度和观念（KAP），自我护理实践与评估慢性病护理相关的差异。菲律宾的患者诊所与当地政府卫生部门的卫生中心。方法接受上述初级保健服务中咨询糖尿病患者的问卷调查，这些问卷是根据先前经过测试和验证的KAP问卷以及患者对慢性病护理（PACIC）问卷的评估改编而成的。询问是否坚持服药，糖尿病饮食和运动以及进行糖尿病咨询的次数。方差分析用于确定KAP，自我护理实践和PACIC的差异，回归分析用于确定上述变量与PACIC等级的任何关联。结果共有549名受访者被纳入研究。知识，态度，观念，PACIC，卫生服务的利用以及对药物和运动的依从性差异均具有统计学意义。糖尿病知识，积极态度，支持态度和自我护理能力的评价以及正确利用卫生服务，坚持用药和锻炼的人的比例较高，而消极态度，感知的支持需求，感知的评价较高在以家庭医生为主导的医疗服务咨询中，获得的支持和PACIC较低。结论将基于家庭医学的方法与具有文化背景的糖尿​​病护理相结合，可以改善糖尿病患者的知识，态度，观念和自我护理实践以及与糖尿病患者的协作护理。

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