Pakistani moslems with Type 2 diabetes mellitus: effect of sex, literacy skills, known diabetic complications and place of care on diabetic knowledge, reported self-monitoring management and glycaemic control
Pakistani moslems with Type 2 diabetes mellitus: effect of sex, literacy skills, known diabetic complications and place of care on diabetic knowledge, reported self-monitoring management and glycaemic control
复制标题
DOI：
10.1046/j.1464-5491.1999.00102.x
复制
发表时间：
1999-07-01
影响因子：
3.5
通讯作者：
Tomlinson, S
中科院分区：
文献类型：
--
作者：
Hawthorne, K;Tomlinson, S
目的探讨性别、文化程度、就诊地点等因素对糖尿病知识和自我管理的影响，在曼彻斯特糖尿病中心（MDC）的初级保健全科诊所（GP）和二级保健诊所就诊的巴基斯坦穆斯林糖尿病人群中，结果201例患者入组本研究。糖尿病饮食知识良好（平均得分72%），患者声称定期进行血糖测量（66%），但他们不善于将其知识应用于日常生活中的问题。只有24%的人知道如何管理持续性高血压。女性在这一点上比男性差（19 vs. 31%（chi（2）= 3.8，P = 0.05）），不太可能理解为什么应该监测血糖水平，总体血糖控制较差（HbA（1c）8.8 vs. 8.1%，P = 0.04）。54名患者完全是文盲。他们的知识得分与读者相似，但处理问题的能力较差。这些患者中有45名是女性，多元回归分析显示，她们更有可能有最差的贫血控制。没有重大差异，发现之间的一般执业医生和住院医生，或患者之间的已知并发症，除了住院医生更有可能有并发症和较差的control.Conclusions妇女谁不能阅读在这一人群中可能有较差的贫血控制和地图发现它更难学习如何将他们的知识应用到日常生活中。该亚组可能需要更密集、文化上适当的健康教育和支持。
Aims To study factors such as sex, educational status and place of care, which might influence knowledge and self-management of diabetes, and glycaemic control in a Pakistani moslem diabetic population attending primary care general practices (GP) and secondary care clinics at the Manchester Diabetes Centre (MDC).Methods Patients with Type 2 diabetes mellitus took part in a one-to-one semi-structured interview and gave blood for haemoglobin A(1c) levels.Results Two hundred and one patients entered the study. Knowledge about diabetic diets was good (average scores 72%), and patients claimed to perform regular glucose measurements (66%), but they were not good at applying their knowledge to problems in daily life. Only 24% knew how to manage persistent hyperglycaemia. Women were worse than men at this (19 vs. 31% (chi(2) = 3.8, P = 0.05)), were less likely to understand why glucose levels should be monitored, and had poorer glycaemic control overall (HbA(1c) 8.8 vs. 8.1%, P = 0.04). Fifty-four patients were completely illiterate. They had similar knowledge scores to readers but were less able to handle problem scenarios. Forty-five of these patients were women, and multiple regression analysis showed they were more likely to have the poorest glycaemic control. No major differences were found between general practioner and hospital attenders, or between patients with and without known complications, except that hospital attenders were more likely to have complications and poorer control.Conclusions Women who cannot read in this population are likely to have poorer glycaemic control and map be finding it more difficult to learn how to apply their knowledge to daily life. This subgroup may need more intensive, culturally appropriate, health education and support.