Knowledge, attitudes, and practices of elderly diabetes patients regarding home emergency management of acute complications

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetes research and clinical practice Pub Date : 2025-02-01 DOI:10.1016/j.diabres.2025.112000

Li Wang, Runzhi Wen, Gaizhen Zhang, Naiqian Zhao

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Abstract

Aims

This study aims to assess the knowledge, attitudes, and practices (KAP) of elderly diabetic patients regarding the home emergency management of acute diabetic complications, which is critical for preventing severe outcomes and ensuring timely intervention in emergencies.

Methods

This cross-sectional study was conducted between September and October 2024 at the Second Hospital of Shanxi Medical University, among all elderly diabetic patients who voluntarily participated. Demographic information and KAP scores were evaluated.

Results

A total of 409 valid questionnaires were analyzed, yielding an effective rate of 98.32 %. Among the participants, 218 (53.3 %) were female, and 134 (32.76 %) had been diagnosed with diabetes for less than 1 year. The mean scores for KAP were 12.98 ± 6.65 (possible range: 0–28), 45.76 ± 6.30 (possible range: 11–55), and 51.74 ± 8.24 (possible range: 13–65), respectively. Structural equation modeling (SEM) revealed that education level, diabetes health education, and main treatment method significantly influenced knowledge. Additionally, knowledge and complicating diseases impacted attitude, while both knowledge and attitude strongly influenced practice. Education level, diabetes health education, and main treatment method also indirectly affected attitude and practice.

Conclusion

Elderly diabetic patients demonstrated inadequate knowledge but exhibited generally positive attitudes and practices regarding the home emergency management of acute diabetic complications.

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老年糖尿病患者关于急性并发症家庭急救管理的知识、态度和实践。

目的：本研究旨在评估老年糖尿病患者对急性糖尿病并发症家庭急救管理的知识、态度和实践（KAP），这对于预防严重后果和确保紧急情况的及时干预至关重要。方法：本横断面研究于2024年9 - 10月在山西医科大学第二医院进行，研究对象为自愿参加的老年糖尿病患者。评估人口统计信息和KAP评分。结果：共分析有效问卷409份，有效率为98.32%。在参与者中，218名（53.3%）是女性，134名（32.76%）被诊断患有糖尿病少于1年。KAP平均评分分别为12.98±6.65（可能范围0 ~ 28）、45.76±6.30（可能范围11 ~ 55）、51.74±8.24（可能范围13 ~ 65）。结构方程模型（SEM）显示，教育程度、糖尿病健康教育和主要治疗方法对知识有显著影响。此外，知识和并发症影响态度，而知识和态度都强烈影响实践。教育程度、糖尿病健康教育、主要治疗方法也间接影响态度和行为。结论：老年糖尿病患者对急性糖尿病并发症的家庭急救认识不足，但总体上表现出积极的态度和做法。

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 research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.