尼泊尔博卡拉2型糖尿病患者自我护理实践、治疗满意度和生活质量评估

Pragya Banstola, D. Yadav, Raju Pandey
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摘要

治疗满意度和健康相关生活质量对糖尿病患者的成功治疗具有重要的相关性。本研究的主要目的是评估博卡拉地区2型糖尿病患者的自我护理实践、治疗满意度和生活质量。材料与方法:2019年6月至2019年12月在博卡拉大都会区对2型糖尿病患者进行了横断面研究。本研究的样本量为248例。采用连续抽样的方法选择研究对象。面试时间表是用来做面对面的面试。这是一组摘自Diabetes-39的问题,它被用作评估参与者生活质量的工具。尼泊尔版D-39仪器在Metrocity医院总样本的10%(25)中进行预测试,以在数据收集前检查其简便性。采用李克特5分量表评估治疗满意度。采用卡方检验检验因变量与自变量之间的相关性,并计算粗奇数比来衡量关联强度。结果:四分之二(41.9%)的参与者参与体育活动。五分之二(39.9%)的参与者每月检测血糖。大约六分之四(68.5%)的参与者生活质量良好,其余的生活质量较差。几乎所有98.0%的患者对治疗满意。年龄、性别、婚姻状况、身体活动和糖尿病病程等因素与生活质量有关。结论:该研究表明,应注重体育活动以促进健康生活。人们应该注重促进自我保健,以防止疾病的并发症。通过适当的自我照顾、适当的治疗和咨询,可以提高生活质量。
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Assessment of Self-care practices, Treatment satisfaction and Quality of Life among Diabetes Type2 Patients in Pokhara, Nepal
INTRODUCTION: Treatment satisfaction and health-related quality of life are related and important for successful treatment of diabetes patients. The main objective of this research is to assess the self-care practices, treatment satisfaction and quality of life among diabetes type2 patient in Pokhara. MATERIALS AND METHODS: A cross-sectional study was conducted among the diabetes type2 patients from June 2019 to December 2019 in Pokhara Metropolitan. The sample size for this study was 248. Consecutive sampling technique was used for the selection of participants. Interview schedule was used for doing face to face interview. A collection of questions adapted from Diabetes-39 and it was used as a tool for assessing the quality of life of the participants. The Nepali version of the D-39 instrument was pre-tested among 10% (25) of total sample in Metrocity hospital to check its simplicity before data collection. Likert scale of 5 points was used to assess treatment satisfaction. Chi-square test was obtained to find out the association between dependent and independent variables and crude odd ratio was calculated to measure the strength of association. RESULTS: Two-fourth (41.9%) of the participants were engaged in physical activity. Two-fifth (39.9%) of the participants test blood sugar monthly. About four-sixth (68.5%) of the participants had good quality of life and rest had poor quality of life. Almost all 98.0% were satisfied with the treatment. Factors such as age, sex, marital status, physical activity and duration of diabetes mellitus were associated with quality of life. CONCLUSIONS: The study showed that physical activities should be focused to promote healthier life. One should focus on promoting a self-care practices in order to prevent the complication of disease. Quality of life can be achieved through adequate self-care practice, proper treatment and counselling.
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