Investigation of the relationship between patient empowerment and glycaemic control in patients with type 2 diabetes: a cross-sectional analysis.
Investigation of the relationship between patient empowerment and glycaemic control in patients with type 2 diabetes: a cross-sectional analysis.
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DOI：
10.1136/bmjopen-2015-008422
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发表时间：
2015-12-18
期刊：
影响因子：
2.9
通讯作者：
Moran J
中科院分区：
文献类型：
--
作者：
Fitzgerald M;O'Tuathaigh C;Moran J
确定患者赋权与糖尿病管理之间是否存在相关性，即通过血糖控制（糖化血红蛋白，HbA 1c）、高密度脂蛋白（HDL）、低密度脂蛋白（LDL）、总胆固醇（TC）和甘油三酯测量代谢控制的主要结局。2012年进行的回顾性横断面分析。数据来自爱尔兰糖尿病联合会参加社区糖尿病教育（CODE）计划的参与者。569例2型糖尿病患者。患者授权水平，通过糖尿病授权量表-简表测量。收集的其他信息包括患者的性别、年龄、体重指数（BMI）、吸烟状况和糖尿病年数。HbA 1c、HDL、LDL、TC和甘油三酯值。偏相关分析未能显示患者赋权与血糖控制或其他糖尿病管理变量之间存在任何统计学显着关系（HbA 1c，p=0.32; HDL，p=0.95; LDL，p=0.77; TC，p=0.49;甘油三酯，p=0.77）。Logistic回归分析证实，患者赋权评分不是血糖控制水平的显著预测因子。自糖尿病诊断以来的时间与HbA 1c水平升高相关。年龄和性别是HDL和LDL水平的重要预测因素，而性别和年龄分别与TC和甘油三酯水平的变化相关。在这项研究中，没有发现患者授权水平与糖尿病控制的其他措施之间存在显著关联。需要进一步研究赋权模式在不同疾病管理水平和不同环境下的短期和长期结果，以评估其在糖尿病患者管理中的价值。
To determine whether there is an association between patient empowerment and diabetes management in terms of the primary outcomes of metabolic control as measured by glycaemic control (glycated haemoglobin, HbA1c), high-density lipoprotein (HDL), low-density lipoprotein (LDL), total cholesterol (TC) and triglycerides. Retrospective cross-sectional analysis conducted in 2012. Data from Diabetes Federation of Ireland from participants enrolled in the Community Orientated Diabetes Education (CODE) Programme. 569 patients diagnosed with type 2 diabetes. Patient empowerment levels, as measured by the Diabetes Empowerment Scale-Short Form. Additional information collected included patients’ gender, age, body mass index (BMI), smoking status and number of years with diabetes. HbA1c, HDL, LDL, TC and triglycerides values. Partial correlation analyses failed to show any statistically significant relationship between patient empowerment and glycaemic control or other diabetes management variables (HbA1c, p=0.32; HDL, p=0.95; LDL, p=0.77; TC, p=0.49; triglycerides, p=0.77). Logistic regression analysis confirmed that patient empowerment score was not a significant predictor of level of glycaemic control. Time since diagnosis of diabetes was associated with increased HbA1c levels. Age and gender were significant predictors of HDL and LDL levels, while gender and age were associated with changes in TC and triglycerides levels, respectively. No significant association was found between patient empowerment levels and other measures of diabetes control in this study. Further research into the short-term and long-term outcomes of the empowerment model, at different levels of disease management, and across different settings, is required to evaluate its value in the management of patients with diabetes.