住院糖尿病教育后人格特征与血糖控制的关系

Metabolism open Pub Date : 2023-06-01 DOI:10.1016/j.metop.2023.100244

Taisuke Uchida , Hiroaki Ueno , Ayaka Konagata , Takayuki Nakamura , Norifumi Taniguchi , Hiroki Nabekura , Fumiko Kogo , Yuma Nagatomo , Yuri Tanaka , Koichiro Shimizu , Tomomi Shiiya , Hideki Yamaguchi , Kazuya Shimoda

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摘要

人格特征对血糖控制的纵向影响尚不清楚。这项前瞻性观察性研究探讨了住院糖尿病教育后未控制糖尿病患者的人格特征与血糖控制之间的关系。方法对接受住院糖尿病教育的糖尿病患者（HbA1c≥7.5%，高效液相色谱法测定）进行神经质、外向性、开放性、宜人性、责任心五大人格特征评分。使用多元线性分析来确定是否有任何人格特征与入院时的HbA1c以及从入院到出院后1、3和6个月的HbA1c变化独立相关。结果117名参与者（平均年龄60.4±14.5岁；59.0%为男性）被纳入研究。入院时和出院后1、3和6个月的HbA1c值分别为10.2±2.1%、8.3±1.4%、7.6±1.4%和7.7±1.5%。多元线性分析显示，入院时没有任何人格特征与HbA1c相关。从入院到出院3个月（β=-0.192，P=0.025）和6个月（α=-0.164，P=0.043），神经质与HbA1c变化呈负相关。结论糖尿病住院教育后，神经质与良好的长期血糖控制有关。

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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Association between personality traits and glycemic control after inpatient diabetes education

Aims

The longitudinal effect of personality traits on glycemic control is unclear. This prospective observational study explored the relationship between personality traits and glycemic control in patients with uncontrolled diabetes after inpatient diabetes education.

Methods

Patients with diabetes mellitus (HbA1c ≥ 7.5%, measured by high-performance liquid chromatography) who received inpatient diabetes education were scored on the Big Five personality traits: neuroticism, extraversion, openness, agreeableness, and conscientiousness. Multiple linear analysis was used to determine whether any personality traits were independently associated with HbA1c on admission and HbA1c change from admission to 1, 3, and 6 months after discharge.

Results

One hundred seventeen participants (mean age 60.4 ± 14.5 years; 59.0% male) were enrolled. HbA1c values on admission and 1, 3, and 6 months after discharge were 10.2 ± 2.1%, 8.3 ± 1.4%, 7.6 ± 1.4%, and 7.7 ± 1.5%, respectively. Multiple linear analysis showed that no personality traits were associated with HbA1c on admission. Neuroticism was negatively associated with the HbA1c change from admission to 3 months (β = −0.192, P = 0.025) and 6 months after discharge (β = −0.164, P = 0.043).