How much time do patients with diabetes spend on self-care?
How much time do patients with diabetes spend on self-care?
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DOI：
10.3122/jabfm.18.4.262
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发表时间：
2005-07-01
期刊：
影响因子：
--
通讯作者：
Pogach, L
中科院分区：
文献类型：
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作者：
Safford, MM;Russell, L;Pogach, L
简介：很少有报道说病人花多少时间在自我管理上，这是糖尿病护理的基石。方法：我们研究了1482例参加美国东北部3个管理式护理计划的糖尿病患者的横断面。调查患者在足部护理、锻炼和食品采购/准备上花费的时间（7/ 00至9/ 01）。结果：患者（57.9% ≥ 55岁; 51.6%女性; 36.2%非裔美国人; 31.1%胰岛素）每天花费58（平均）分钟进行自我护理（四分位距19，84）。许多患者跳过了个人自我护理元素：37.9%的患者报告没有足部护理，37.7%的患者没有运动，54.4%的患者没有时间购买/准备食物。四分之一有严重足部神经病变症状的患者没有花时间进行足部护理。从不自我测试的人比其他人更不可能从事足部护理（比值比（OR）0.4（95% CI 0.3，0.6），运动（OR 0.4（95% CI 0.3，0.6））和食品采购/准备（OR 0.7（95%CI 0.5，1.0）），并且可能比经常自我测试的人少花30分钟的总自我护理时间（P < .01）。讨论：大多数人花了相当多的时间从事自我护理，但许多人跳过了个别任务，为临床医生提供了合作决策的机会。
Introduction: Little is reported about how much time patients spend on self- management, a cornerstone of diabetes care.Methods: We studied a cross- section of 1482 diabetic patients enrolled in 3 northeastern United States managed care plans. Patients were surveyed about how much time they spent on foot care, exercise, and food shopping/ preparation ( 7/ 00 to 9/ 01). Logistic regressions modeled which types of patients were likely to spend time, and linear regressions modeled characteristics associated with spending more/ less time.Results: Patients ( 57.9% >= 55 years; 51.6% women; 36.2% African American; 31.1% on insulin) spent 58 ( mean) minutes/ day on self- care ( interquartile range 19, 84). Many patients skipped individual selfcare elements: 37.9% reported no foot care, 37.7% no exercise, and 54.4% no time on food shopping/ preparation. One fourth of patients with severe foot neuropathy symptoms spent no time on foot care. Never self- testers were less likely than others to engage in foot care ( odds ratio ( OR) 0.4 ( 95% CI 0.3, 0.6), exercise ( OR 0.4 ( 95% CI 0.3, 0.6)), and food shopping/ preparation ( OR 0.7 ( 95% CI 0.5, 1.0)), and were likely to spend 30 minutes less total self- care time than frequent self- testers ( P < .01).Discussion: Most people spent considerable time engaged in self- care, but many skipped individual tasks, offering clinicians opportunities for collaborative decision making.