The relationship between patient perception of healthcare provision by professionals and the self-care activity of patients with diabetes: Japanese subgroup analysis of the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study
The relationship between patient perception of healthcare provision by professionals and the self-care activity of patients with diabetes: Japanese subgroup analysis of the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study
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患者对专业人员提供的医疗保健服务的看法与糖尿病患者的自我保健活动之间的关系：第二次糖尿病态度、愿望和需求 (DAWN2) 研究的日本亚组分析
DOI：
10.1007/s13340-015-0216-0
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发表时间：
2016
影响因子：
2.2
通讯作者：
H. Ishii
中科院分区：
文献类型：
--
作者：
Y. Hayashino;H. Ishii
对第二次糖尿病态度、愿望和需求(DAWN2)研究中的一组日本糖尿病患者的数据进行了分析，以通过关注患者的感知来调查医疗保健专业人员提供的患者感知的医疗服务、患者自我护理和血糖控制之间的可能关系。患者回答了一份问卷，该问卷最初是为DAWN2研究开发和验证的。分析了他们对医疗保健服务的看法、过去7天内自我护理活动的持续时间以及他们最后的HbA1c水平。自我护理活动超过5天视为良好坚持。这项分析包括508名患者(81名1型和427名2型)。在自我护理活动中，对于两种类型的糖尿病患者来说，接受同等护理服务的患者比没有接受同等护理服务的患者实施“体力活动”和“检查脚部”的时间更长。认为“检查足部”是医疗保健措施的患者也报告说，“遵循健康饮食”、“进行体育锻炼”、“检测血糖”和“完全服用糖尿病药物”的实施时间也比不这么认为的患者更长；然而，在1型患者中，“检测血糖”并没有观察到这一趋势。坚持“健康饮食”和“进行体育锻炼”的2型患者HbA1c水平显著低于健康饮食者。患者对糖尿病护理的看法与自我护理活动的改善之间可能存在关联，更多地参与自我护理活动与作为治疗结果的更好的HbA1c之间可能存在关联。为了更好地管理，医疗保健专业人员提供患者可以感知的护理是必不可少的。
Data for a subgroup of Japanese diabetes patients from the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study were analyzed to investigate possible relationships between patient-perceived healthcare provision by healthcare professionals, patient self-care, and glycemic control, by focusing on the patient’s perception. Patients answered a questionnaire that was originally developed and validated for the DAWN2 study. Questions on their perception of healthcare provision, duration of self-care activity during the past 7 days, and their last HbA1c level were analyzed. Self-care activity for more than 5 days was regarded as good adherence. This analysis included 508 patients (81 type 1 and 427 type 2). Of the self-care activity, “taking physical activity” for both types of diabetes and “checking feet” for type 2 patients were implemented for longer among patients with the perception of equivalent care provision than among those without. Patients with perception of “examining feet” as healthcare provision also reported longer implementation of “following healthy diet”, “taking physical activity”, “testing blood sugar”, and “taking diabetes medications exactly” than those who did not; however, this trend was not observed for “testing blood sugar” among type 1 patients. HbA1c level was significantly lower among type 2 patients with good adherence to “following healthy diet” and “taking physical activity”. Association may exist between patients’ perceptions of diabetes care and improvement in self-care activity, and between more engagement in self-care activity and better HbA1c achievement as a treatment outcome. For better management, it is essential for healthcare professionals to provide care that patients can perceive.
影响因子：
16.2
作者：
Toobert, DJ;Hampson, SE;Glasgow, RE
通讯作者：
Glasgow, RE