■本研究旨在评估代谢控制因素之间的关系,社会人口特征,人格特质,和糖尿病患者自我感知的健康状况。
■这项横断面研究包括318名1型和2型糖尿病(DM)患者。参与者完成了问卷调查,其中包括测量五个人格维度的NEO人格量表修订和评估自我感知健康状况的SF-12调查。进行二元Logistic回归分析,具有社会人口特征,临床资料,和营养状况作为独立变量,和自我感知的健康状况(分类为不良或良好状况)作为因变量。使用未调整和调整的二元逻辑回归分析来检查人格特质(高与低)和代谢控制因素(良好控制与控制不良)与健康状况评分。
■60.7%的糖尿病患者表示他们的健康状况良好。“结果表明,女性性别(OR:0.314,95CI:0.105-0.938,P=0.038),年龄>60岁(OR:0.263,95CI:0.117-0.592,P=0.001),合并症(OR:0.314,95CI:0.178-0.556,P=0.001),DM并发症(OR:0.531,95CI:0.337-0.838,P=0.007),糖尿病神经病变(OR:0.562,95CI:0.356-0.886,P=0.013),和糖尿病性溃疡(OR:0.130,95CI:0.023-0.747,P=0.022)是与“不良”健康状况相关的独立变量。然而,有规律的体力活动(OR:3.144,95CI:1.209-8.175,P=0.019)和健康的营养饮食(OR:2.456,95CI:1.421-4.245,P<0.001)与“良好”自我感知健康状况的可能性较高相关。
旨在改善糖尿病患者自我感知健康的预防计划和干预措施应侧重于增加规律的体育锻炼和促进健康的营养状况。这些行动应特别针对具有较高神经质特征的女性和老年患者。
UNASSIGNED: This study aimed to assess the relationship between metabolic control factors, socio-demographic characteristics, personality traits, and self-perceived health status in diabetes.
UNASSIGNED: This cross-sectional study included 318 patients with type 1 and 2 diabetes (DM). Participants completed a questionnaire-based survey, which included the NEO Personality Inventory-Revised to measure five personality dimensions and the SF-12 survey to assess self-perceived health status. Binary logistic regression was performed to analyze the data, with socio-demographic characteristics, clinical data, and nutrition status as independent variables, and self-perceived health status (categorized as poor or good condition) as the dependent variable. Unadjusted and adjusted binary logistic regression analyses were used to examine the association between personality traits (high vs. low) and metabolic control factors (good control vs. bad control) with health status scores.
UNASSIGNED: 60.7% of the participants with diabetes in the study described their health as \"good.\" The results indicated that female gender (OR: 0.314, 95%CI: 0.105-0.938, P = 0.038), age > 60 years (OR: 0.263, 95%CI: 0.117-0.592, P = 0.001), comorbidities (OR: 0.314, 95%CI: 0.178-0.556, P = 0.001), DM complications (OR: 0.531, 95%CI: 0.337-0.838, P = 0.007), diabetic neuropathy (OR: 0.562, 95%CI: 0.356-0.886, P = 0.013), and diabetic ulcer (OR: 0.130, 95%CI: 0.023-0.747, P = 0.022) were independent variables associated with a \"poor\" health status. However, regular physical activity (OR: 3.144, 95%CI: 1.209-8.175, P = 0.019) and a healthy nutritional diet (OR: 2.456, 95%CI: 1.421-4.245, P < 0.001) were associated with a higher likelihood of a \"good\" self-perceived health status.
UNASSIGNED: Preventive programs and interventions aimed at improving self-perceived health among patients with diabetes should focus on increasing regular physical activity and promoting a healthy nutritional status. These actions should be particularly targeted towards female and older patients with higher neuroticism traits.