diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM10290diaendo-10290Research ArticleОригинальные исследованияOriginal StudiesПрогнозирование самоконтроля у пациентов с сахарным диабетом на основе теории планируемого поведения среди пожилых людей с диабетом 2 типа в ТаиландеPredicting diabetic self-care management based on the theory of planned behavior among elderly with type 2 diabetes in Thailandhttps://orcid.org/0000-0002-8242-2893WongrithPaleeratana

RN, NP, M.Sc (Public Health), a lecturer at School of Public Health, Walailak University

paleerut@gmail.comSchool of Public Health, Walailak UniversityThailand201925102019224367376Copyright © Wongrith P., 20192019Wongrith P.Wongrith P.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/10290АКТУАЛЬНОСТЬ

АКТУАЛЬНОСТЬ. В мире продолжает расти заболеваемость диабетом 2 типа, особенно у пожилых людей. Таиланд, будучи развивающейся страной, не застрахован от этого разрушительного заболевания, а также его тревожащего роста в сфере общественного здоровья и экономического бремени для общества. Самостоятельный контроль за показателями гликемии представляет собой важную стратегию для предотвращения и уменьшения осложнений диабета 2 типа.

ЦЕЛЬ

ЦЕЛЬ. Данное исследование направлено на изучение результатов лечения, а также факторов, прогнозирующих самоконтроль у пациентов с сахарным диабетом среди пожилых людей в Таиланде.

МЕТОДЫ

МЕТОДЫ. Был проведен перекрестный коррелятивный прогностический анализ с использованием моделей множественной линейной регрессии для оценки данных у пожилых пациентов с сахарным диабетом 2 типа в Таиланде (с августа по декабрь 2017 года) для оценки самостоятельного контроля за уровнем гликемии. Данные 134 участников исследования были получены путем заполнения опросника, а также анализа медицинских карт.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. Большинство пациентов самостоятельно контролировали уровень гликемии (77,9%), причем у большинства показатели были умеренными (55,9%). Субъективные нормы и воспринимаемый контроль тесно связаны с намерениями пациентов. Наиболее важными факторами, определяющими намерения, были воспринимаемый поведенческий контроль (β4,025, р<0,01) и поведение по самоконтролю (β15,258, р<0,001). У пациентов, которые отвечали на вопросы, касающиеся поведения по самоконтролю за диетой, физическими упражнениями и режимом приема лекарств, наблюдались благоприятные результаты.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Более чем у половины пациентов отмечались умеренные уровни самоконтроля, и у большинства были хорошие гликемические показатели. В результате анализа было выявлено, что воспринимаемый поведенческий контроль имеет решающее значение для прогнозирования поведенческих намерений и поведения по самоконтролю за диабетом среди пожилых людей.

BACKGROUND

BACKGROUND: Type 2 diabetes, especially in the elderly, continues to plague the world. Thailand – a developing country – is not immune to these ravage effects and their distressing upsurge in health and economic societal burdens. Self-care management is an essential strategy to prevent complications and reduce type 2 diabetes complications.

AIM

AIM: This study aimed to examine the treatment outcome and factors predicting diabetes self-care behaviors among elderly in Thailand.

METHODS

METHODS: A cross-sectional correlative predictive design using multiple linear regression models to evaluate data in elderly type 2 diabetics in Thailand (August through December 2017) to assess perceived behavioral control on diabetic self-care management. One hundred thirty-four participant’s data were collected via questionnaire along with individual health records becoming the foundation of this study.

RESULTS

RESULTS: Most patients controlled glycemic outcome (77.9 %) through self-care behaviors at moderate rates (majority – 55.9%). Subjective norms and perceived control strongly correlated with behavioral intention and self-care behaviors. Perceived behavioral control was the most important factor predicting intentions (β 4.025, p < .01) and self-care management behavior (β15.258, p < .001). Patients responding to items regarding self-care behavior for diet, exercise and medication adherence showed favorable outcomes.

CONCLUSION

CONCLUSION: More than half of the patients had moderate levels in self-care management and the majority had good glycemic outcomes. From the analysis, we find that perceived behavioral control is critical to predicting behavioral intention and diabetic self-care behavior among the elderly.

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