今回の文献では
歯磨き行動と糖尿病管理における歯磨きについての
自己効力感の役割を評価しています。
2型糖尿病患者60名(40～70歳)に対し歯磨きをしてもらい
歯磨きについての自己効力感と歯磨き回数と
HbA1cの知識とQOLとBMIと自己申告の
健康と身体活動について評価を行っています。
To assess the role of toothbrushing self-efficacy (TBSE) in toothbrushing (TB) behaviour and diabetes management, measured in terms of HbA1c knowledge, quality of life, BMI, self-reported health and physical activity among Turkish type-II-diabetes (DM2) patients.
A pilot study using self-administered health questionnaires was conducted among a random sample of 60 patients (aged 40 to 70 years) in Istanbul, Turkey. The assessed variables were: TBSE, TB, glycated haemoglobin (HbA1c) knowledge, quality of life, BMI, self-reported health and physical activity. Descriptive statistics, frequency distributions, Pearson’s correlation, the chi-square test and MANOVA were applied.
Almost half of the patients reported low TBSE (mean >= 53%). and TB once a day (54%). Most (77%) did not know their HA1C level and they were overweight (42%) and obese (32%). Almost half of the patients reported good quality of life (> mean, 55%), being physically active (51%) and in good health (mean < 46%). The patients reporting high levels of TBSE were more likely to know their HbA1c (OR= 10.5: 95%CI= 1.01-103.24) and to report better health (OR= 10.0: 95%CI = 1.80-55.63) and were less likely to be obese (OR= 0.16: 95%CI= 0.02-1.00) (P < 0.05). There was a strong correlation between TBSE and TB (rs = 0.61, P < 0.01).
The present study underlines the need for TBSE-integrated common health promotion for oral health and DM2, considering the relation of TBSE, HbA1c, BMI and toothbrushing.
結果は
より高い自己効力感を有する患者は、HbA1c値を把握しており
自己申告でより健康と答え、また肥満が少なかった。
自己効力感と歯磨き習慣には強い相関性があった。
結論として
2型糖尿病患者の全身的な健康増進には
食事・運動・血糖モニタリングだけでなく
口腔の健康要因にも焦点を当てる必要がある
ということです。
引用文献
Self-efficacy perspective on oral health behaviour and diabetes management.
Oral Health Prev Dent. 2012;10(4):379-87.