Correlates of Self-Care Behaviors in Adults With Type 2 Diabetes and Comorbid Heart Failure.

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2019-08-01 Epub Date: 2019-06-14 DOI:10.1177/0145721719855752

Fekadu B Aga, Sandra B Dunbar, Tedla Kebede, Melinda Kay Higgins, Rebecca A Gary

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引用次数: 8

Abstract

Purpose: The purpose of this study was to describe sociodemographic, clinical, and psychosocial correlates of diabetes self-care behaviors in adults with type 2 diabetes mellitus (T2D) and comorbid heart failure (HF).

Method: Baseline data of 180 participants from a clinical trial that tested a 6-month integrated self-care intervention for persons with comorbid HF and T2D were analyzed. Correlational bivariate and multiple logistic regression analyses were performed to examine correlates of diabetes self-care behaviors.

Result: Participants had a mean age of 58 ± 11years; the majority were male (n = 118, 66%) and African American (n = 119, 66%). Number of comorbidities >2 (P < .001), having more than a high school education (P < .05), and African American ethnicity (P < .05) predicted better exercise, self-monitoring blood glucose (SMBG), and foot care behaviors, respectively. The use of an aldosterone inhibitor (P < .05) predicted worse exercise performance, higher Charlson Comorbidity Index scores (P < .01) predicted worse SMBG, and treatment with diet plus medication (P < .05) and dyslipidemia (P < .001) predicted worse foot care.

Conclusion: Findings from this study provide new insights into the complex self-care requirements for T2D patients with comorbid HF. Integrated self-care interventions are clearly warranted in persons living with multiple chronic conditions for optimal health outcomes and the prevention of complications. Our sample of predominately African American men showed they had better T2D self-care behaviors than whites than previously reported. Additional research is needed to determine racial and gender differences on health outcomes in persons with T2D and comorbid HF.

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成人2型糖尿病患者自我护理行为与合并性心力衰竭的关系

目的:本研究的目的是描述2型糖尿病(T2D)合并心衰(HF)的成人糖尿病自我保健行为的社会人口学、临床和社会心理相关因素。方法:对来自一项临床试验的180名参与者的基线数据进行分析，该试验对合并心衰和T2D的患者进行了为期6个月的综合自我保健干预。采用相关的双变量和多元逻辑回归分析来检验糖尿病自我保健行为的相关性。结果:参与者平均年龄58±11岁;以男性(n = 118, 66%)和非裔美国人(n = 119, 66%)居多。合并症数>2 (P < 0.001)、高中以上学历(P < 0.05)和非裔美国人(P < 0.05)分别预测更好的运动、自我监测血糖(SMBG)和足部护理行为。使用醛固酮抑制剂(P < 0.05)预测较差的运动表现，较高的Charlson共病指数评分(P < 0.01)预测较差的SMBG，饮食加药物治疗(P < 0.05)和血脂异常(P < 0.001)预测较差的足部护理。结论:本研究结果为t2dm合并心衰患者复杂的自我护理需求提供了新的见解。对于患有多种慢性疾病的人来说，为了获得最佳的健康结果和预防并发症，显然有必要采取综合自我保健干预措施。我们以非裔美国男性为主的样本显示，他们的T2D自我护理行为比之前报道的白人要好。需要进一步的研究来确定种族和性别差异对T2D合并心衰患者健康结果的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.