Diabetic Med:影响伦敦南部Ⅰ型糖尿病结构化教育的因素

2017-06-28 MedSci MedSci原创

近日,国际杂志 《Diabetic medicine》上在线发表一项关于影响伦敦南部Ⅰ型糖尿病结构化教育的因素的研究,旨在调查影响当地人Ⅰ型糖尿病患者接受结构化教育的因素,以了解为什么接受程度较低。 根据是否参与正常饮食调整剂量(DAFNE),研究人员在伦敦南部两个行政区进行了Ⅰ型糖尿病成年人的横断面研究。使用单变量分析比较人口统计学,血糖控制和服务,并按种族进行亚组分析,采用探索回归模型识别影

近日,国际杂志 《Diabetic medicine》上在线发表一项关于影响伦敦南部Ⅰ型糖尿病结构化教育的因素的研究,旨在调查影响当地人Ⅰ型糖尿病患者接受结构化教育的因素,以了解为什么接受程度较低。

根据是否参与正常饮食调整剂量(DAFNE),研究人员在伦敦南部两个行政区进行了Ⅰ型糖尿病成年人的横断面研究。使用单变量分析比较人口统计学,血糖控制和服务,并按种族进行亚组分析,采用探索回归模型识别影响因素。

分析显示,73%的成年人没有参加DAFNE项目。男性性别(59 vs 48;P = 0.002),年龄较大(39vs 35岁,P <0.001),非白种人(30 vs 20; P = 0.001),来自社会底层(多重剥夺评分指数3128; P <0.001)与不参与相关。在非白种人群体中,性别(男性88%,女性70%,P <0.001)和年龄(43vs 34岁)差异持续存在。回归分析显示,较高基线的HbA 1c水平(优势比1.96; P = 0.004),年龄较小(优势比0.98; P = 0.001)和更低的底层居民(优势比0.52; P = 0.001)与参与DAFNE相关。

社会经济状况和能够指示严重的疾病(HbA 1c)的因素影响了人们参与DAFNE。因此,需要更多的工作来了解未参加者的人口统计,以助于对这些群体的未来服务设计和替代参与策略。

原始出处:

S. M. Harris, P. Shah, H. Mulnier, et al. Factors influencing attendance at structured education for Type 1 diabetes in south London.

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    2017-06-28 1e1a50a1m36(暂无匿称)

    血糖控制和服务,并按种族进行亚组分析,采用探索回归模型识别影响因素。

    0

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