孟加拉国农村保健中心门诊患者糖尿病的知识、态度和行为

S. Chowdhury, Shahryar Ahmad, M. Hassan, Farzana Mostafa, Tasnuva Tanzil
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摘要

背景:糖尿病(DM)是一种疾病,其中身体不能产生足够的胰岛素或对胰岛素反应正常,导致血糖水平异常高。目的了解农村卫生院初级保健门诊糖尿病患者对糖尿病的知识、态度和行为及其相关因素。材料与方法:采用问卷横断面调查法,于2021年2月至11月在某资源贫乏国家某基层医院门诊部进行调查。采用系统随机抽样技术,对384例已知患有2型糖尿病的患者(男女不限,年龄3 ~ 30岁)进行研究,并采用预测的结构化问卷进行访谈。数据采用SPSS (Statistical Package for Social Sciences)第21版进行分析,采用卡方检验进行推理分析。研究持续时间超过9个月。结果:调查结果显示,257人(66.9%)对糖尿病相关知识有充分认识,165人(43.0%)对糖尿病相关知识有充分认识,105人(27.3%)对糖尿病相关知识有充分认识。态度适当性与患者年龄(p=0.001)、文化程度(p=0.016)相关,行为适当性与患者年龄(p=0.001)、文化程度(p<0.001)相关,均有统计学意义。结论:所调查患者对糖尿病的态度和行为远不能令人满意。此外,参与者的年龄和受教育程度似乎对他们的态度和行为都有影响。建议使用更严格的设计对研究结果进行进一步评估。Jcmcta 2021;32 (2): 14-19
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Knowledge, Attitude and Practices of Diabetes Mellitus among Patients Visiting Out-Patient Department at A Rural Health Centre of Bangladesh
Background : Diabetes Mellitus (DM) is a disorder in which the body does not produce enough or respond normally to inculin causing blood sugar levels to be abnormally high. To assess the knowledge, attitude and practices regarding diabetes mellitus and their associated factors among diabetic patients visiting outpatient department of a primary care setting at a rural health center.  Materials and methods: A questionnaire based crosssectional survey was carried out in the Outpatient Department of a primary level hospital in a poor resource country from February to November 2021. A total of 384 patients aged ³30 years of either gender with known diabetes mellitus type 2 were included in the study using systematic random sampling technique and interviewed using a pretested structuredquestionnaire. Data were analyzed on Statistical Package for Social Sciences (SPSS) version 21 and inferential analysis was performed using chi-square test. The study duration spanned over 9 months. Results: The study results showed that 257 (66.9%) of the participants had adequate knowledge, 165 (43.0%) had adequate attitude while only 105 (27.3%) had adequate practices related to diabetes mellitus. Moreover, adequateness of attitude was statistically significantly associated with age (p=0.001) and education (p=0.016) while that of practices was also statistically significantly associated with age (p=0.001) and education (p<0.001) of the patients. Conclusion: Diabetes related attitude and practices of the patients studied were far from satisfactory. Moreover, participants’ age and educational status appeared to influence both their attitude and their practices. Further evaluation of study findings using more rigorous designs is recommended. JCMCTA 2021 ; 32 (2) : 14-19
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