Diabetes self-management - Self-reported recommendations and patterns in a large population
Diabetes self-management - Self-reported recommendations and patterns in a large population
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DOI：
10.2337/diacare.20.4.568
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发表时间：
1997-04-01
期刊：
影响因子：
16.2
通讯作者：
Johnson, S
中科院分区：
文献类型：
--
作者：
Ruggiero, L;Glasgow, RE;Johnson, S
目的 - 糖尿病自我管理是整体糖尿病管理的基石。然而，许多有关自我管理的问题仍未得到解答。当前的研究旨在探讨有关糖尿病自我管理的几个问题：1）个人报告被告知要做什么？ 2) 他们自我报告的自我保健水平和模式是什么？ 3) 不同亚组的自我报告自我管理建议和水平是否存在差异？ 研究设计和方法 - 2,056 人退回了邮寄调查问卷（回复率为 73.4%）。在总数中，13.8% 患有 IDDM，其余患有 NIDDM，其中 65% 的 NIDDM 组使用胰岛素。 结果 - 自我管理的水平和模式与之前研究中发现的一致，即，个体最经常遵循其处方药物治疗方案，最不经常遵循饮食和锻炼等生活方式改变的建议。不同亚组报告的自我管理建议存在显着差异。不同糖尿病类型自我管理水平的比较揭示了饮食和血糖测试的显着差异。一些个人特征的自我管理水平也存在差异，包括年龄、工作状态和保险类型，以及糖尿病控制和并发症试验结果的知识。结论——这些发现提供了关于糖尿病患者感知的自我管理建议以及具体自我管理水平和模式的重要信息。目前的研究结果可能有助于卫生专业人员更好地了解糖尿病自我管理的水平和相关性，并指导未来的研究。
OBJECTIVE - Diabetes self-management is the cornerstone of overall diabetes management. Yet many questions concerning self-management remain unanswered. The current study was designed to examine several questions about diabetes self-management: 1) What do individuals report being told to do? 2) What are their self-reported levels and patterns of self-care? 3) Are there differences on self-reported self-management recommendations and levels across various subgroups?RESEARCH DESIGN AND METHODS - Mailed surveys were returned by 2,056 individuals (73.4% response rate). Of the total, 13.8% had IDDM and the remainder had NIDDM, with 65% of the NIDDM group using insulin.RESULTS - The levels and patterns of self-management were consistent with those found in previous studies, i.e., individuals most regularly followed their prescribed medication regimen and least regularly followed recommendations for lifestyle changes of diet and exercise. There were significant differences on reported self-management recommendations across different subgroups. Comparisons on level of self-management across diabetes type revealed significant differences for diet and glucose testing. Differences were also found on self-management levels for a number of individual characteristics, including age, working status, and type of insurance, along with knowledge of the Diabetes Control and Complications Trial findings.CONCLUSIONS - These findings provide important information on perceived self-management recommendations and the specific self-management levels and patterns in individuals with diabetes. The current findings may help health professionals better understand the levels and correlates of diabetes self-management and direct future research.