Prevalence of Self-care Practices among Type 2 Diabetes Mellitus Patients and its Effect on Glycemic Control: A Cross-sectional Study in Secondary and Tertiary Health-care Centers in Lucknow.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Maviya Khan, Monika Agarwal, Kauser Usman, Prabhakar Mishra
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Abstract

Background: Globally, prevalence of diabetes is 10.5%, and in 2019, approximately 463 million adults were living with diabetes by 2045; this will increase to 700 million (10.9%). India is a diabetic capital of world, prevalence of diabetes in India is 8.3%.

Aim: This study aimed to assess self-care practices (SCPs) among type 2 diabetes mellitus (T2DM) patients, its predictors, and effect of SCP on glycemic control.

Materials and methods: A cross-sectional hospital-based study was conducted among 300 known T2DM patients in the age group of 18-60 years attending noncommunicable diseases clinic at Secondary and Tertiary Care Hospitals of Lucknow, Uttar Pradesh, selected using two-stage purposive sampling method. Data were collected using a predesigned and pretested semi-structured questionnaire. Data were collected from consenting respondents on the sociodemographic profile (about their residence, gender, marital status, type of family, educational status, family income, employment status, etc.). SCP was assessed using Summary of Diabetes Self-Care Activities. Data were analyzed using SPSS.

Results: Among 300 patients with a mean age 50 ± 8.9 years, the prevalence of good SCPs was 37%. Out of 189 T2DM patients with poor SCPs, 66.4% had uncontrolled blood sugar level (285.4 ± 67 mg/dL). Out of 73 T2DM patients with poor SCPs, 65.7% had uncontrolled glycated hemoglobin level (8.4% ± 2%), and this was statistically significant.

Conclusion: The practice of self-care was found to be suboptimal among patients with T2DM in the study.

2 型糖尿病患者自我护理方法的普遍性及其对血糖控制的影响:勒克瑙市二级和三级医疗保健中心的横断面研究。
背景:全球糖尿病发病率为 10.5%,2019 年,约有 4.63 亿成年人患有糖尿病,到 2045 年,这一数字将增至 7 亿(10.9%)。印度是世界糖尿病之都,印度的糖尿病患病率为 8.3%。目的:本研究旨在评估 2 型糖尿病(T2DM)患者的自我护理实践(SCP)、其预测因素以及 SCP 对血糖控制的影响:采用两阶段目的性抽样法,在北方邦勒克瑙市二级和三级医院非传染性疾病诊所就诊的 300 名 18-60 岁已知 T2DM 患者中进行了医院横断面研究。数据收集采用了预先设计和测试的半结构式问卷。从同意的受访者那里收集了有关社会人口学概况(居住地、性别、婚姻状况、家庭类型、教育状况、家庭收入、就业状况等)的数据。SCP采用糖尿病自我护理活动总结进行评估。数据使用 SPSS 进行分析:在平均年龄为 50 ± 8.9 岁的 300 名患者中,SCP 良好的比例为 37%。在 189 名自理能力较差的 T2DM 患者中,66.4% 的患者血糖水平未得到控制(285.4 ± 67 mg/dL)。在 73 名自我保健能力差的 T2DM 患者中,65.7% 的患者糖化血红蛋白水平未得到控制(8.4% ± 2%),这在统计学上有显著意义:结论:研究发现,T2DM 患者的自我保健实践并不理想。
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