孟加拉国人民是否意识到“糖尿病:繁荣之病”的卫生保健管理

Umme Salma Mukta
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摘要

简介:糖尿病对世界的威胁越来越大,它也被认为是一种“繁荣的疾病”。人口变化、文化转型、现代化、人口老龄化等表现使其成为“发展中国家问题”。2型糖尿病的发病率正在迅速增加,据估计,到2030年,这一数字将几乎翻一番。大约有3.87亿人患有糖尿病,占总人口的8.3%。据预测,发达国家的糖尿病患者人数将增加42%,从5200万增加到7200万,发展中国家的糖尿病患者人数将增加170%,从8400万增加到2.28亿。糖尿病是一种慢性疾病,曾经被认为在孟加拉国不常见,但现在它已成为一个重要的公共卫生问题。全国约有360万人受到影响。在孟加拉国,25岁或以上的成年人约有4%患有2型糖尿病,孟加拉国有800万人患有糖尿病。它导致了全国6.4%的死亡。由于对糖尿病的健康教育、宣传和对疾病及其有效性的整体认识不足,使糖尿病的认识不达标,使其管理更加复杂。目的:本研究旨在评估孟加拉国2型糖尿病卫生保健管理的知识和意识状况。方法:采用混合设计的横断面研究,在达卡和马尼贡吉地区进行。对800名参与者进行封闭式提问,收集定量数据。在定性数据收集方面,对25名患者进行了深入的知情访谈,对医生进行了8次非正式访谈。结果:研究结果显示,用药依从性与并发症之间存在着非常显著的关系。依从性受性别、教育程度、职业、治疗便利等因素的影响。但那些遵循适当规定的人面临的并发症更少。此外,除抗糖尿病药物治疗等方法外,还应遵循糖尿病患者所熟悉的草药治疗方法。受访者最喜欢的依从性是:饮食、运动、控制体重而不是药物。结论:总的来说,一个积极的结果是,保持适当依从性的2型糖尿病患者比没有正确依从性的2型糖尿病患者面临更少的并发症。
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Does the people in Bangladesh aware of “Diabetes Mellitus: the Disease of Prosperity” health care management
Introduction: Diabetes mellitus is an increasing threat to the world, which is also considered a “disease of prosperity”. The manifests of demographic changes, cultural transition, modernization, and population aging, etc. make it a “developing countries problem”. The incidence of type 2 diabetes mellitus is increasing so rapidly and it is estimated by 2030 this number will almost double. Around 387 million people have diabetes which is equal to 8.3% people. It is projected that there will be a 42% increase in the number of individuals with diabetes, from 51 to 72 million in the developed countries and 170% increase, from 84 to 228 million, in the developing countries. Diabetes mellitus is a chronic disease once thought to be uncommon in Bangladesh, but now it has emerged as an important public health problem. About 3.6 million people are affected throughout the country. In Bangladesh around 4% adults aged 25 years or more had type 2 diabetes mellitus, and 80 lakh people in Bangladesh suffer from diabetes. It causes 6.4 percent of total deaths in the country. Awareness of diabetes is not up to the mark due to health education about diabetic, announcement, and overall lack of awareness of the disease and its effectiveness make it more complicated to management. Objectives: This study aimed to assess the knowledge and awareness status on health care management of type 2 diabetes mellitus in Bangladesh. Methods: This is a cross sectional study followed mixed method in design among Dhaka and Manikgonj districts. A close ended questioner was followed for quantitative data collection among 800 participants. For qualitative data collection in-depth informant interview conducted with 25 patients and 8 informal interviews was conducted with the physicians. Results: Findings reveal that very significant relation exist with compliances and complication. That compliances influence by various factors like sex, education, occupation, treatment facilitates etc. But who follow the proper compliances faced fewer complications. Also in addition to anti diabetic’s medication and other method of compliances to herbal method which were familiar to diabetic patients. Most compliance the respondents preferred are: diet, exercise, weight control than the medication. Conclusion: Overall a positive outcome blowing that the patients of type 2 diabetics who maintained proper compliances faced less complication than who didn’t follow them properly.
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