Aims

The research was conducted with the aim of determining the effect of the COVID-19 pandemic on levels of self-management in individuals with type 2 diabetes.

Methods

This cross-sectional descriptive type of study was conducted between 21 December 2020 and 1 April 2021. It was performed with 378 individuals with type 2 diabetes attending the endocrinology clinic and outpatients’ department of a government hospital who agreed to participate in the research. In the collection of data, a Patient Identification Form, Visual Analog Scales (an Anxiety VAS and a Stress VAS), and the Diabetes Self-Management Questionnaire (DSMQ) were used. The Wilcoxon test, Independent Sample t test, One-Way Anova and binary logistic regression were used in the analysis of data.

Results

The Diabetes Self-Management Questionnaire (DSMQ) total mean score of the individuals with type 2 diabetes participating in the study during the COVID-19 pandemic was 5.25 ± 1.04. Their anxiety total mean score was 0.32 ± 1.56, and their total mean stress score was 7.06 ± 1.62. Being male, over the age of 65, married and having a diagnosis of diabetes for 6–11 years, increased smoking, the COVID-19 pandemic, reduced physical activity (not walking) and support obtained from health professionals, and increased anxiety and stress levels were found to be risk factors affecting diabetic self-management.

Conclusions

The findings show that the COVID-19 pandemic has had a negative effect on the self-management levels of individuals with type 2 diabetes.

中文翻译：

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COVID-19 大流行对 2 型糖尿病患者自我管理的影响

宗旨

该研究旨在确定 COVID-19 大流行对 2 型糖尿病患者自我管理水平的影响。

方法

这项横断面描述性研究是在 2020 年 12 月 21 日至 2021 年 4 月 1 日期间进行的。它对 378 名在政府医院内分泌诊所和门诊部就诊并同意参与研究的 2 型糖尿病患者进行。在收集数据时，使用了患者身份识别表、视觉模拟量表（焦虑 VAS 和压力 VAS）和糖尿病自我管理问卷 (DSMQ)。数据分析采用 Wilcoxon 检验、独立样本 t 检验、单向方差分析和二元逻辑回归。

结果

在 COVID-19 大流行期间参与研究的 2 型糖尿病患者的糖尿病自我管理问卷 (DSMQ) 总平均得分为 5.25 ± 1.04。他们的焦虑总平均得分为 0.32 ± 1.56，他们的总平均压力得分为 7.06 ± 1.62。男性，年龄超过 65 岁，已婚并被诊断为糖尿病 6-11 年，吸烟增加，COVID-19 大流行，体力活动减少（不是步行）和从卫生专业人员那里获得的支持减少，以及焦虑和压力增加水平被发现是影响糖尿病自我管理的危险因素。

结论

研究结果表明，COVID-19 大流行对 2 型糖尿病患者的自我管理水平产生了负面影响。