Study on changes in management capabilities of chronic disorders in elderly diabetic patients during the COVID-19 pandemic
10.3760/cma.j.issn.0254-9026.2023.10.006
- VernacularTitle:新型冠状病毒肺炎疫情期间老年糖尿病患者慢性疾病管理能力变化研究
- Author:
Xiuqi QIAO
1
;
Na AN
;
Minghui WANG
;
Hong WANG
;
Fuying ZHAO
;
Ran LUAN
;
Jiaming CAO
;
Qi PAN
Author Information
1. 北京医院内分泌科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Diabetes mellitus;
Chronic disease;
Corona virus disease 2019(COVID-19)
- From:
Chinese Journal of Geriatrics
2023;42(10):1180-1184
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate changes in the self-management ability of chronic diseases in elderly diabetic patients during the novel coronavirus pneumonia pandemic.Methods:A multi-stage cluster sampling method was used to retrospectively collect diabetes management information from elderly diabetic patients treated in five community health service centers in Beijing in June 2022, including 295 elderly diabetic patients, and changes in management of their self-care practices such as diet, exercise, medical treatment and medication, blood glucose monitoring, complication management, and psychological states before and after the outbreak(2019-2022)were analyzed.Results:In 295 elderly diabetic patients, increased glycated hemoglobin( P<0.05)and body mass index(BMI)( P<0.05)were observed during the pandemic.Among 115 patients with underlying diabetic complications, 75.7%(87)of patients had worsening symptoms of chronic complications of diabetes and a shortened weekly exercise time[124(60, 300)min vs.140(60, 300)min, Z=6.00, P<0.05].The number of weekly blood glucose tests was reduced(5.6±4.2 vs.5.8±4.3, t=3.17, P<0.05).The weekly time spent interacting with family members increased( P<0.05).There were no significant differences in body weight, sleep time, and number of times of forgetting to take medication per week before and after the outbreak( P>0.05).21.0% of patients had a decrease in the number of hospital visits, and 72.2% of patients experienced low mood and increased adverse psychological emotions during the pandemic. Conclusions:The pandemic has had a negative impact on the management of chronic diseases in elderly diabetic patients, mainly reflected in the reduction of exercise time and blood glucose monitoring.It also affected regular hospital visits of patients, resulting in negative psychological emotions, poor blood glucose control, increased BMI, and aggravated symptoms of chronic complications, compared with their pre-pandemic conditions.
