Impact of lockdown on self-care management among patients with type 2 Diabetes Mellitus residing in Lucknow city, India ? A cross-sectional study
Impact of lockdown on self-care management among patients with type 2 Diabetes Mellitus residing in Lucknow city, India ? A cross-sectional study
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DOI：
10.1016/j.cegh.2021.100703
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发表时间：
2021-02-06
影响因子：
2.6
通讯作者：
Chowdhary, Sandeep
中科院分区：
文献类型：
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作者：
Tiwari, Ajoy;Kumar, Dinesh;Chowdhary, Sandeep
目的：评估全国范围内的封锁及其对 2 型糖尿病 (T2D) 自我护理管理的相关影响。方法：收集了 1406 名糖尿病患者对 16 项问卷的答复。收集了有关糖尿病自我管理实践、行为方面、心理影响、药物可用性和对这一流行病的认识的数据。重点是患者在没有医生指导的情况下做出的选择以及压力和血糖水平对其他变量的影响。使用卡方检验对数据进行分析，P < 0.05。结果：约 27% 的人处于压力之下，14.7% 和 30.8% 的人报告饮食和睡眠模式发生了变化。大约 83% 的人无法咨询医生，因此 13% 的人停止服药。有压力的患者睡眠较少，饮食模式发生变化，血糖水平不受控制（P = 0.0001）。相反，那些没有压力的人会花时间与家人在一起并专注于自己的爱好（P = 0.0001）。那些血糖水平得到控制的人锻炼得更多，睡眠模式也正常。在没有咨询医生的情况下，血糖水平不受控制的患者中观察到剂量波动（P = 0.001）。结论：尽管大多数研究参与者无法咨询医生，但近 2/3 的人进行了自我血糖监测（SMBG），超过一半的人定期锻炼，超过 2/3 的人继续服用药物，大多数人遵循适当的饮食模式。由于压力管理与其他变量的关联，因此压力管理是这些时期的关键因素。
Objective: To assess the effect of nationwide lockdown and its associated repercussion on the self-care management of Type 2 Diabetes Mellitus (T2D). Methods: Response from 1406 diabetic patients was collected against a 16 item questionnaire. Data was collected on diabetic self-management practices, behavioral aspects, psychological implications, drug availability and awareness towards the pandemic. Emphasis was on choices made by patients in the absence of guidance from physicians and impact of stress and blood sugar levels on other variables. The data was analyzed using Chi-square tests at P < 0.05.Results: About 27% were under stress, 14.7% and 30.8% reported a change in dietary and sleep pattern. About 83% could not consult a doctor and as a result 13% stopped taking medications. Patients with stress slept less, observed a change in dietary patterns and had uncontrolled blood sugar levels (P = 0.0001). On the contrary those without stress spent time with family and were occupied with a hobby (P = 0.0001). Those with controlled blood sugar levels exercised more and had normal sleep patterns. Fluctuation with doses was observed among those with uncontrolled blood sugar levels in the absence of physicians consultation (P = 0.001).Conclusion: Even though majority of study participants were not able to consult their physicians yet nearly 2/3rd were practicing Self-Monitoring of Blood Glucose (SMBG), more than half were exercising regularly, more than 2/3rds continued taking their medications and majority were following appropriate diet pattern. Stress management is a key factor during these times due to its association with other variables.