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首页> 外文期刊>The International journal of pharmacy practice >The associations of illness perception with metabolic control (HbA1c) among type 2 diabetes mellitus patients in a district hospital
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The associations of illness perception with metabolic control (HbA1c) among type 2 diabetes mellitus patients in a district hospital

机译：在地区医院2型糖尿病患者2型糖尿病患者中的疾病感知与代谢对照的关联

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Abstract Objectives Despite the availability of a wide selection of anti‐diabetic treatments, many type 2 DM ( T 2 DM ) patients still do not have controlled glucose levels. In addition to pharmacological intervention, patients’ own implicit beliefs about their illness should be targeted for health intervention. Thus, we conducted a quantitative study to evaluate the associations between illness perception ( IP ) domains and metabolic control (HbA1c) of T2 DM patients in Selama Hospital and to identify patients’ perceptions of the causal T2 DM factors. Method A cross‐sectional study was conducted in the outpatient department of Selama Hospital from October to December 2015. A total of 200 T 2 DM patients were recruited using systematic random sampling. A self‐administered validated questionnaire consisting of three sections was used, and the data were analysed using SPSS version 18. The associations between eight IP domains and HbA1c were evaluated via multiple linear regression. P values 0.05 were considered significant. Key findings The analysis included data from 200 respondents with a mean age of 57.7 years ( SE = 9.8). The majority were women (64.5%) and Malays (86%) with a primary school education (43.5%) and a family history of diabetes (53.5%). The median duration of illness was 5 years ( IQR = 7), and the median HbA1c level was 8.15% ( IQR = 3.1). The mean score for the eight IP domains was 33.7 ( SE = 8.43) out of a total score of 80. Using multiple linear regression, HbA1c was found to be significantly associated with IP domains of identity symptoms at 0.221 (95% CI 0.083–0.358). Moreover, 79.4% of patients ranked diet and eating behaviour as the main factor for T2 DM . Conclusion The IP domain of identity symptoms was significantly correlated with T2 DM metabolic control. By understanding patients’ IP , healthcare providers can focus on behavioural approaches to managing T2 DM patients. Steps must be taken to educate patients about the importance of diet control in managing T2 DM .
机译：摘要目的尽管有广泛的抗糖尿病治疗方法，但许多2 DM（T 2 DM）患者仍然没有受控葡萄糖水平。除了药理干预外，患者对其疾病的隐性信念应针对健康干预。因此，我们进行了定量研究，以评估塞拉纳医院T2 DM患者的疾病感知（IP）结构域和代谢对照（HBA1C）的关联，并鉴定患者对因果T2 DM因素的看法。方法在2015年10月至12月的Selama医院门诊部进行了横截面研究。使用系统随机抽样共招募了200岁的2 DM患者。使用由三个部分组成的自我管理的验证问卷，使用SPSS版本18分析数据。通过多元线性回归评估8个IP域和HBA1C之间的关联。 P值＆ 0.05被认为是显着的。主要发现分析包括来自200名受访者的数据，平均年龄为57.7岁（SE = 9.8）。大多数是女性（64.5％）和马来人（86％），小学教育（43.5％）和糖尿病的家族史（53.5％）。中位的疾病持续时间为5年（IQR = 7），中位数HBA1C水平为8.15％（IQR = 3.1）。八个IP结构域的平均得分为33.7（SE = 8.43），总分为80.使用多元线性回归，发现HBA1C与0.221的IP症状的IP结构域显着相关（95％CI 0.083-0.358 ）。此外，79.4％的患者将饮食和饮食行为排名为T2 DM的主要因素。结论同一性症状的IP领域与T2 DM代谢控制显着相关。通过了解患者的知识产权，医疗保健提供者可以专注于管理T2 DM患者的行为方法。必须采取步骤教育患者关于饮食控制在管理T2 DM中的重要性。

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