Diabetes Self-Care Behaviours and Clinical Outcomes among Taiwanese Patients with Type 2 Diabetes

台湾2型糖尿病患者自我照顾行为与临床结果

Chung-Mei Ouyang ； Johanna T Dwyer ； Paul F Jacques ； Lee-Ming Chuang ； Catherine F Haas ； Katie Weinger

《Asia Pacific Journal of Clinical Nutrition》 24卷3期 (2015/09) Pp. 438-443

https://doi.org/10.6133/apjcn.2015.24.3.03

摘要

我们研究了185位台湾门诊病人的背景特征对五种糖尿病自我照顾行为表现频率的影响。所有受试者皆为到一所大学附属医院门诊就诊的被诊断为2型糖尿病一年以上的患者，并且他们在就诊过程中曾经在门诊接受过至少一次营养师主导的个体营养教育会议和一次护士主导的糖尿病教育会议。79%的受试者有规律服药（问卷调查回答为经常或总是），超过半数患者会遵守饮食和运动建议，但仅有少数患者做足部保健（38%）或自我血糖监测（20%）。采用逻辑回归方法分析患者的人口学和疾病相关特征与其自我照顾行为之间的相关性。虽然自我血糖监测和足部护理与临床结果并不相关，但按时服药的患者比不按时服药的患者有较低的糖化血色素值（A1C）和较少的慢性并发症。另外，遵循糖尿病饮食计划的患者也有较低的糖化血色素值，有规律运动者较未规律运动者有较健康的身体质量指数（BMI）。

關鍵字

2型糖尿病 ； 台湾 ； 自我照顾行为 ； 患者教育 ； 临床结果

並列摘要

We examined the influences of patients' background characteristics on the frequency of performing five diabetes self-care behaviours that 185 Taiwanese outpatients reported. All patients had type 2 diabetes diagnosed for more than a year and attended an outpatient clinic at a large university hospital where they had received at least one dietitian-led individual nutrition education session and one nurse-led diabetes education session during the course of their care. Seventy nine percent of the patients regularly (defined as responses often or always on the questionnaire) took their medications and over half followed recommended meal plans and exercised, but fewer performed foot care (38%) or checked their blood glucose levels (20%) regularly. The associations between patients' demographics and disease-related characteristics and their performance of self-care behaviours were assessed with logistic regression. Although checking blood glucose levels and performing diabetes foot care were unrelated to any clinical outcome examined, patients who took their diabetes medications had lower hemoglobin A_(1c) levels and fewer chronic complications than those who did not. Furthermore, patients who followed a diabetes meal plan also had lower hemoglobin A_(1c) levels, and those who exercised regularly had healthier body mass indices (BMI) than those who did not.

並列關鍵字

type 2 diabetes mellitus ； Taiwan ； self-care behaviours ； patient education ； clinical outcomes