diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM10154diaendo-10154Research ArticleОригинальные исследованияOriginal StudiesУдовлетворенность жизнью, отношение к лечению заболевания и алиментарный статус больных сахарным диабетом в Азад-Кашмире, Пакистан: одномоментное поперечное исследование на базе больницыLife satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional studyhttps://orcid.org/0000-0002-2935-4756JalilAisha

PhD, assistant professor

aisha5@live.comhttps://orcid.org/0000-0003-2844-7456UsmanAhmed

PhD, assistant professor

ahmedusmaan@hotmail.comhttps://orcid.org/0000-0002-6078-2564AkramSobia

Department of Home Economics, MSc. Home Economics, lecturer

sobia.akram@must.edu.pkhttps://orcid.org/0000-0001-7533-5647ZulfiqarNazish

Department of Home Economics, M Phil. Food and Nutrition, lecturer

nazish.he@must.edu.pkhttps://orcid.org/0000-0002-2239-1570ArshadWajeeha

Department of Home Economics, MSc, assistant professor

chairperson.he@must.edu.pkSchool of Integrated Social Sciences, University of LahorePakistanInstitute of Social and Cultural Studies, University of the PunjabPakistanMirpur University of Science and TechnologyPakistan2020210420202314655Copyright © Jalil A., Usman A., Akram S., Zulfiqar N., Arshad W., 20202020Jalil A., Usman A., Akram S., Zulfiqar N., Arshad W.Jalil A., Usman A., Akram S., Zulfiqar N., Arshad W.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/10154АКТУАЛЬНОСТЬ

АКТУАЛЬНОСТЬ. Удовлетворенность жизнью больных сахарным диабетом (СД) в связи с отношением к лечению болезни и алиментарным статусом никогда еще не исследовалась в Азад-Джамму и Азад-Кашмире, Пакистан.

ЦЕЛЬ

ЦЕЛЬ. Целью данного исследования является анализ удовлетворенности жизнью, а также лечения заболевания и алиментарного статуса, у пациентов с СД.

МЕТОДЫ

МЕТОДЫ. Было проведено одномоментное поперечное исследование среди 496 пациентов в госпитале DHQ, в Мирпуре, в Азад-Джамму и Азад-Кашмире. Анкета состояла из двух разделов: I) Шкала отношения к диабету (DAS-3); II) Профиль пациента, СД в анамнезе, алиментарный статус и пищевые привычки. Результаты были получены посредством бинарной логистической регрессии и анализа методом множественной регрессии.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. В целом 64% опрошенных пациентов отмечали неудовлетворенность своей жизнью при СД. Большинство пациентов были женщины (66%), значение ИМТ было выше 25,0 (56%). Мужской пол (скорректированное отношение шансов (СОШ)=1,82; 95% ДИ=1,15–2,88), а также низкий доход (СОШ=3,16; 95% ДИ=1,13–8,80) и средний доход (СОШ=4,70; 95% ДИ=1,52–15,5) были значительно связаны с неудовлетворенностью жизнью. Вероятность неудовлетворенности жизнью была выше у пациентов с низким уровнем потребления пищи (СОШ=1,82; 95% ДИ=1,20–2,76); уверенность пациентов в том, что нет необходимости принимать инсулин для лечения диабета при легкой форме заболевания (СОШ=1,56; 95% ДИ=1,01–2,41); незначительная польза попыток достижения надлежащего контроля сахара в крови, поскольку осложнения диабета неизбежны (СОШ=1,63; 95% ДИ=1,18–2,23); эмоциональные факторы диабета незначительны (СОШ=1,47; 95% ДИ=1,02–2,14); пациент должен принимать решения касательно ежедневного лечения диабета (СОШ=2,15; 95% ДИ=1,19–3,88).

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Полученные данные свидетельствуют о необходимости организации консультативных сессий для пациентов с СД, которые будут способствовать регулярной физической активности для улучшения состояния здоровья и лечения заболевания. Предположительно, в достижении лучших результатов в состоянии здоровья пациентам помогут консультации и регулярные обращения к диетологу.

BACKGROUND

BACKGROUND: The life satisfaction of diabetes mellitus patients in association with the disease management attitudes and nutritional status have never been investigated yet in Pakistani administered Azad Jammu & Kashmir.

AIM

AIM: The purpose of this study is to analyze the patient satisfaction about life with diabetes mellitus in association with disease management and nutritional status.

METHODS

METHODS: A cross sectional survey was conducted among 496 patients in DHQ hospital, Mirpur Azad Jammu & Kashmir. The questionnaire comprised of two sections: 1) Diabetes Attitude Scale (DAS-3); 2) Patient profile, DM history, nutritional status and dietary habits. The findings are generated by binary logistic regression and multivariate regression analyses.

RESULTS

RESULTS: Overall, 64% of the patients interviewed reported dissatisfaction with their life with DM. Majority of the patients were females (66%), BMI value above 25.0 (56%). Gender male (AOR=1.82; 95%CI=1.15-2.88) and low income (AOR=3.16; 95%CI= 1.13-8.80) and middle income (AOR=4.70; 95%CI=1.52-15.5) were significantly associated with life dissatisfaction. There was higher likelihood of life dissatisfaction among patients with low food intake (AOR=1.82; 95%CI= 1.20-2.76); patients’ belief on: no need of taking insulin to treat their diabetes have a mild disease (AOR=1.56; 95%CI= 1.01-2.41); not much use in trying to have good blood sugar control because complications of diabetes happen anyway (AOR= 1.63; 95%CI= 1.18-2.23); emotional effects of diabetes are small (AOR=1.47; 95%CI= 1.02-2.14); decisions regarding daily diabetes care should be made by the patient (AOR= 2.15; 95%CI= 1.19-3.88).

CONCLUSION

CONCLUSION: Findings implied the need of organizing counselling sessions for DM patients that promote regular physical activity to improve health and disease management. The consultation and regular visits of a nutritionist may help the patients in achieving better health outcomes.

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The authors declare that there are no conflicts of interest present.