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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Comorbidity and lack of education countered participation in a diabetes prevention self-management program
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Comorbidity and lack of education countered participation in a diabetes prevention self-management program

机译：合并症和缺乏教育阻碍了糖尿病预防自我管理计划的参与

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Comorbidity and lack of education countered participation in a diabetes prevention self-management program Aim. To investigate socio-economic and disease-related predictors for non-participation in the 'Ready to Act' program offering self-management support to people with screen-detected dysglycaemia. Background. Screening for type 2 diabetes followed by support to people's self-management strategies is increasingly being offered in primary care. Due to non-participation in self-management programs, healthcare providers often miss the opportunity to provide the basic knowledge and skills resulting in uninformed self-management decisions. Methods. A prospective cohort-study was conducted in 2010 within the framework of the Danish part of the Anglo-Danish-Dutch study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care (ADDITION). A total of 322 43- to 75-year-old screen-detected patients, receiving GP-multi-faceted intensive treatment were invited to an additional interdisciplinary 12-week self-management program 'Ready to Act'. A comparison between participants and non-participants was conducted according to socio-economic outcomes: age, gender, cohabitant and education and disease-related outcomes: diagnosis (diabetes or prediabetes), duration of diagnosis, comorbidity measured by Charlson's combined 17 medical conditions measure. Results. The participant rate was 44%. The most pronounced predictor for participation was vocational education. With no vocational education as the reference group, the OR for participation was 1.91 (95% CI 1.06-3.44) for 1-3 years of vocational education and 2.65 (95% CI 1.31-5.39) for more than 3 years of vocational education. Second, having comorbidity (a score of one or more at Charlson's index) tended to decrease participation (OR 0.6, 95% CI 0.34-1.06). Conclusion. Educational level and comorbidity were the most decisive factors that influenced attendance to a diabetes prevention program. Both factors a...
机译：合并症和缺乏教育阻碍了参加糖尿病预防自我管理计划的目标。调查不参与“准备行动”计划的社会经济因素和与疾病相关的预测因素，该计划为筛查到的血糖异常患者提供自我管理支持。背景。在初级保健中越来越多地筛查2型糖尿病，然后支持人们的自我管理策略。由于不参与自我管理计划，医疗保健提供者常常会错过提供基本知识和技能的机会，从而导致无知的自我管理决策。方法。一项前瞻性队列研究于2010年在盎格鲁-丹麦-荷兰人对患有筛查型糖尿病的初级保健患者进行强化治疗的丹麦研究框架内进行（ADDITION）。共有322名43至75岁的筛查患者接受了GP多方面的强化治疗，他们被邀请参加另一个跨学科的12周自我管理计划“准备行动”。根据社会经济结果对参与者和非参与者进行比较：年龄，性别，同居者和受教育程度以及与疾病相关的结果：诊断（糖尿病或糖尿病前期），诊断持续时间，合并症（通过Charlson的17种医疗条件衡量） 。结果。参加率为44％。参与程度最明显的预测因素是职业教育。如果没有职业教育作为参考组，则参加1-3年的职业教育的OR为1.91（95％CI 1.06-3.44），接受三年以上的职业教育的OR为2.65（95％CI 1.31-5.39）。其次，合并症（Charlson指数得分为1或更高）往往会降低参与度（OR 0.6，95％CI 0.34-1.06）。结论。受教育程度和合并症是影响参加糖尿病预防计划的最决定性因素。两个因素都...

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