Cukrinis diabetas (CD) yra valdoma liga, kuriai būtina ne tik tinkama ir atitinkanti gydymo standartus medikų teikiama diabeto priežiūra, bet ir sergančiųjų šia liga savipriežiūra. Darbo tikslas. Įvertinti ir palyginti Kauno miesto ir rajono pirminės sveikatos priežiūros centrų pacientų, sergančių CD, požiūrį į diabeto priežiūrą. Uždaviniai: 1) įvertinti ir palyginti Kauno miesto ir rajono pirminės sveikatos priežiūros centrų (PSPC) pacientų, sergančių CD, demografines socialines, gyvensenos ir CD charakteristikas; 2) įvertinti ir palyginti Kauno miesto ir rajono PSPC sergančių CD, požiūrį į savipriežiūrą bei CD priežiūros prieinamumą; 3) įvertinti Kauno miesto ir rajono PSPC pacientų, sergančių CD, pasitenkinimą cukrinio diabeto priežiūra. Tyrimo metodika. Tirti suaugę Kauno miesto privataus PSPC (n=104) ir Kauno rajono privataus PSPC pacientai (n=151), sergantys CD. Anoniminė anketinė apklausa vyko nuo 2009-10-05 iki 2010-02-10, naudojant tyrėjų sudarytą klausimyną. Duomenys analizuojami standartiniais statistiniais metodais (SPSS 13,0), skaičiuojant vidurkius, vertinant požymių priklausomybę pagal Pirsono (χ2) kriterijų, veiksnių pasireiškimo palyginimui skaičiuota šansų santykiai, veiksnių įtakai nustatyti atlikta logistinė regresija. Rezultatai. Miesto sergančiųjų CD tarpe, lyginant su rajono, buvo keturis kartus daugiau neturinčių jokių diabeto komplikacijų, bet du kartus dažniau besigydančių dėl CD problemų ligoninėje, taip pat daugiau įgijusių aukštesnį išsilavinimą... [toliau žr. visą tekstą] / Diabetes mellitus (DM) is a manageable disease, but it requires suitable and adequate care according treatment standards as well as self-management of the disease. The aim of the study: To assess and compare the attitudes towards diabetes care of patients with DM of Primary Health Care Centres in Kaunas city and Kaunas rural area. The objectives of the study: 1) to assess and compare demographic, social, lifestyle and disease characteristics of patients with DM of Primary Health Care Centres in Kaunas city and rural area; 2) to assess and compare the attitudes towards self-management of DM and medical care accessibility of Primary Health Care Centres in Kaunas city and rural area; 3) to assess and compare satisfaction with diabetes care of patients of Primary Health Care Centres in Kaunas city and rural area. Methods: Adult patients with DM from Kaunas city Primary Health Care centre (n =104) and from Kaunas rural area Primary Health Care centre (n=151), were involved in the survey. Anonymous questionnaire survey was carried out since 2009-10-05 until 2010-02-10 using the questionnaire developed by researchers. Statistical analysis package (SPSS 13,0) was used to analyse the data. Dependence of symptoms was researched by the use of Pirson test (χ²). Odds ratio was computed for comparison of factor manifestation. Logistic regression was performed in order to determine the influence of factors. The results: Among the patients with DM in the city, comparing to the rural area... [to full text]

Un problème préoccupant du suivi des patients diabétiques en République Démocratique du Congo (RDC) demeure ceux perdus de vue qui ne cessent d’augmenter. En effet, beaucoup de patients négligent la gestion de leur maladie pour plusieurs raisons, parmi lesquelles les croyances religieuses. En général, les religions promeuvent la vie et consolident sa protection. Certaines croyances religieuses, cependant, confortent des comportements démissionnaires et irresponsables au regard de la santé. La présente recherche vise à comprendre le rôle des connaissances et des facteurs religieux sur l’autogestion du diabète. Une enquête qualitative descriptive par entretiens semi-dirigés a été réalisée à Kinshasa auprès de 23 fidèles diabétiques et ainsi qu’au moyen de trois groupes de discussion impliquant des leaders religieux de ces églises. Cette étude a démontré une connaissance erronée et insuffisante de la maladie et à l’influence des croyances religieuses sur la gestion du diabète. Les participants identifiaient le diabète comme une maladie grave, curable par des prières et par des plantes traditionnelles dictées par Dieu. Ils manifestaient un déni de la maladie, ce qui influençait leurs habitudes de vie (c’est-à-dire leur régime alimentaire et leur activité physique). Se disant détenir le pouvoir de guérison, les chefs religieux pouvaient interrompre le traitement médical et acceptaient que leurs fidèles diabétiques se rendent à l’hôpital uniquement pour vérifier leur taux de glycémie. Notre étude implique que les réseaux d’affiliation religieuse et d’entraide devraient être ciblés par les stratégies de sensibilisation contre la désinformation, afin de réduire les complications et les décès dus au diabète à Kinshasa en particulier et en République Démocratique du Congo en général. / An important problem in the follow-up of diabetic patients in the Democratic Republic of Congo (DRC) remains the lost to follow-up which continues to increase. Many patients neglect the management of their disease for several reasons including religious beliefs. In general, religions promote life and consolidate its protection. Certain religious beliefs, however, reinforce resigning and irresponsible behaviors regarding health. The current research aims to understand the role of knowledge and religious factors in the self-management of diabetes. A descriptive qualitative study by semi-structured interviews was carried out in Kinshasa among 23 diabetic patients and three focus groups of religious leaders from prophetic churches. This study suggests an incorrect and insufficient knowledge of the disease, and the influence of religious beliefs on diabetes management. Participants identified diabetes as a serious disease that was curable by prayers and by traditional plants dictated by God. They displayed a denial of the disease which influenced their lifestyle (i.e., diet and physical activity). Claiming to have the ability to heal, religious leaders could interrupt medical treatment and only allowed their diabetic patients to go to the hospital to check their blood sugar levels. Our study implies that religious affiliation and mutual aid networks should be targeted by advocacy strategies against disinformation to reduce complications and deaths from diabetes in Kinshasa and in the Democratic Republic of Congo.