Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occu...Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occurrence and development of complications, as well as improving the quality of life of patients. This paper mainly describes the concept of self-efficacy, the current situation of self-efficacy of diabetic patients at home and abroad, the functional aspects and their influencing factors, so as to take relevant measures on how to improve self-efficacy. It aims to provide a theoretical basis for the development of self-efficacy interventions for patients with type 2 diabetes mellitus.展开更多
BACKGROUND The trend of prediabetes progressing to type 2 diabetes mellitus(T2DM)is prominent,and effective intervention can lead to a return to prediabetes.Exploring the factors influencing the outcome of prediabetes...BACKGROUND The trend of prediabetes progressing to type 2 diabetes mellitus(T2DM)is prominent,and effective intervention can lead to a return to prediabetes.Exploring the factors influencing the outcome of prediabetes is helpful to guide clinical intervention.The weight change in patients with prediabetes has not attracted much attention.AIM To explore the interaction between body weight and the factors affecting the progression of prediabetes to T2DM.METHODS We performed a retrospective analysis of 236 patients with prediabetes and 50 with normal glucose tolerance(NGT),and collected clinical data and follow-up results of all patients.Based on natural blood glucose outcomes,we classified 66 patients with progression to T2DM into the disease progression(DP)group,and 170 patients without progression to T2DM into the disease outcome(DO)group.We analyzed the factors that influenced prediabetes outcome and the influence of body weight on prediabetes blood glucose outcome by unconditional logistic regression.A general linear model(univariate)was used to analyze the interaction between body weight and independent influencing factors.RESULTS There were 98 cases of impaired fasting glucose(IFG),90 cases of impaired glucose tolerance(IGT),and 48 cases of coexistent IFG and IGT.The body weight,waist circumference,body mass index,fasting blood glucose,and 2 h plasma glucose of patients with IFG,IGT,and coexistent IFG and IGT were higher than those in patients with NGT(P<0.05).Logistic regression analysis showed that body weight,glycosylated hemoglobin,uric acid,fasting insulin,and homeostatic model assessment for insulin resistance were independent factors affecting progression of prediabetes to T2DM(P<0.05).Receiver operating characteristic curve analysis showed that the area under the curve predicted by the above indicators combined was 0.905[95%confidence interval(CI):0.863-0.948],which was greater than that predicted by each indicator alone.Logistic regression analysis with baseline body weight as an independent variable showed that compared with body weight 1,the odds ratio(95%CI)of body weight 3 was 1.399(1.142-2.126)(P=0.033).There was a multiplicative interaction between body weight and uric acid(β=1.953,P=0.005).CONCLUSION High body weight in patients with prediabetes is an independent risk factor for progression to T2DM,and the risk of progression is increased when coexisting with high uric acid level.展开更多
Objective： This review aimed to examine the outcomes and influencing factors of telecare management of type 2 diabetes, to provide some advice for medical staff and to inform decision makers to promote the developmen...Objective： This review aimed to examine the outcomes and influencing factors of telecare management of type 2 diabetes, to provide some advice for medical staff and to inform decision makers to promote the development of telecare in specific areas. Sources of information： The reference articles were mainly selected from the CNKI, Wanfang Database, PubMed, Science Direct and other resources. Following a systematic, comprehensive search of databases, a total of 1 062 qualitative, quantitative or mixed studies were initially selected; after careful review and screening, 45 studies were coded and analysed. Inclusion criteria： The articles were selected using the words ＂diabetic＂, ＂type 2 diabetes＂, ＂telecare, telenursing, remote care or telernedicine＂, ＂outcomes or effect＂ and ＂influencing factors＂. Type 2 diabetic who were intervened by electronic equipment are included. The patients who just have typel diabetes are excluded, and those who were treated without using electronic equipment also are excluded. Results： Telecare produces positive results with a variety of outcomes, such as an improvement in the overall status of patients with type 2 diabetes, making full use of the medical staff resources and promoting the popularity of the hospital remotely; however, the factors which may prevent the development of telecare are various. Conclusions： Telecare has a positive effect in all aspects. With the development of technology and gradual changes in the people＇ s concept of e-health, telecare may have a brilliant future and may play a more important role in promoting human health.展开更多
Multiple studies have demonstrated that oral health quality of life(OHQOL)in patients with type 2 diabetes(T2DM)is affected by multiple factors.Therefore,during this study the related factors of OHQOL for T2DM was rev...Multiple studies have demonstrated that oral health quality of life(OHQOL)in patients with type 2 diabetes(T2DM)is affected by multiple factors.Therefore,during this study the related factors of OHQOL for T2DM was reviewed,and analyzed them from the aspects of socio-demographic factors,T2DM related factors and oral health related factors.This was to provide basis for nursing workers to develop personalized nursing measures.展开更多
文摘Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occurrence and development of complications, as well as improving the quality of life of patients. This paper mainly describes the concept of self-efficacy, the current situation of self-efficacy of diabetic patients at home and abroad, the functional aspects and their influencing factors, so as to take relevant measures on how to improve self-efficacy. It aims to provide a theoretical basis for the development of self-efficacy interventions for patients with type 2 diabetes mellitus.
基金The study was reviewed and approved by The First People’s Hospital of Wenling City(Approval No.KY-2019-1024-01).
文摘BACKGROUND The trend of prediabetes progressing to type 2 diabetes mellitus(T2DM)is prominent,and effective intervention can lead to a return to prediabetes.Exploring the factors influencing the outcome of prediabetes is helpful to guide clinical intervention.The weight change in patients with prediabetes has not attracted much attention.AIM To explore the interaction between body weight and the factors affecting the progression of prediabetes to T2DM.METHODS We performed a retrospective analysis of 236 patients with prediabetes and 50 with normal glucose tolerance(NGT),and collected clinical data and follow-up results of all patients.Based on natural blood glucose outcomes,we classified 66 patients with progression to T2DM into the disease progression(DP)group,and 170 patients without progression to T2DM into the disease outcome(DO)group.We analyzed the factors that influenced prediabetes outcome and the influence of body weight on prediabetes blood glucose outcome by unconditional logistic regression.A general linear model(univariate)was used to analyze the interaction between body weight and independent influencing factors.RESULTS There were 98 cases of impaired fasting glucose(IFG),90 cases of impaired glucose tolerance(IGT),and 48 cases of coexistent IFG and IGT.The body weight,waist circumference,body mass index,fasting blood glucose,and 2 h plasma glucose of patients with IFG,IGT,and coexistent IFG and IGT were higher than those in patients with NGT(P<0.05).Logistic regression analysis showed that body weight,glycosylated hemoglobin,uric acid,fasting insulin,and homeostatic model assessment for insulin resistance were independent factors affecting progression of prediabetes to T2DM(P<0.05).Receiver operating characteristic curve analysis showed that the area under the curve predicted by the above indicators combined was 0.905[95%confidence interval(CI):0.863-0.948],which was greater than that predicted by each indicator alone.Logistic regression analysis with baseline body weight as an independent variable showed that compared with body weight 1,the odds ratio(95%CI)of body weight 3 was 1.399(1.142-2.126)(P=0.033).There was a multiplicative interaction between body weight and uric acid(β=1.953,P=0.005).CONCLUSION High body weight in patients with prediabetes is an independent risk factor for progression to T2DM,and the risk of progression is increased when coexisting with high uric acid level.
文摘Objective： This review aimed to examine the outcomes and influencing factors of telecare management of type 2 diabetes, to provide some advice for medical staff and to inform decision makers to promote the development of telecare in specific areas. Sources of information： The reference articles were mainly selected from the CNKI, Wanfang Database, PubMed, Science Direct and other resources. Following a systematic, comprehensive search of databases, a total of 1 062 qualitative, quantitative or mixed studies were initially selected; after careful review and screening, 45 studies were coded and analysed. Inclusion criteria： The articles were selected using the words ＂diabetic＂, ＂type 2 diabetes＂, ＂telecare, telenursing, remote care or telernedicine＂, ＂outcomes or effect＂ and ＂influencing factors＂. Type 2 diabetic who were intervened by electronic equipment are included. The patients who just have typel diabetes are excluded, and those who were treated without using electronic equipment also are excluded. Results： Telecare produces positive results with a variety of outcomes, such as an improvement in the overall status of patients with type 2 diabetes, making full use of the medical staff resources and promoting the popularity of the hospital remotely; however, the factors which may prevent the development of telecare are various. Conclusions： Telecare has a positive effect in all aspects. With the development of technology and gradual changes in the people＇ s concept of e-health, telecare may have a brilliant future and may play a more important role in promoting human health.
基金supported by Hebei Provincial Administration of Traditional Chineseit was used in the research project of Chinese medicine in 2019,the item number:2019178.
文摘Multiple studies have demonstrated that oral health quality of life(OHQOL)in patients with type 2 diabetes(T2DM)is affected by multiple factors.Therefore,during this study the related factors of OHQOL for T2DM was reviewed,and analyzed them from the aspects of socio-demographic factors,T2DM related factors and oral health related factors.This was to provide basis for nursing workers to develop personalized nursing measures.
